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Can I conceive at 38 years and will the child be normal?

Q: I have had a history if miscarriages. I conceived normally for the first time after 6 months of marriage and had a preterm delivery in the 27th week and the baby passed away after 1 day. After that I tried to conceive and had to go through numerous tests and hormone injections. I used to conceive but will have a miscarriage around 45 days. This has happened around 5 times. All my test results are normal, but doctors say I have PCOD. I am 38 years old and my height is 5 ft and weigh 69 kg. There is no history of miscarriages in the family. Can you help and advise if I can conceive at this age and if so will the child be normal? What are the precautions I have to take?

A:Since you are 38 years old, there is a chance of conceiving, but there is a small risk that the child may be abnormal. So, once pregnant, you should undergo a battery of tests: Triple Marker Test, Malformation scan of fetus, and if required, Amniocentesis. Also get further investigations like Glucose Tolerance Test, Anti Cardiolipin antibodies, Lupus anticoagulant, thyroid profile, ANA, DNA, TORCH (IgG, IgM) and hysterosalpingogram. These tests are to find out why you have aborted so many times so that appropriate treatment can be started.

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