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Please don’t apologies for the length. The more I know about your history the easier it is for me to give you feedback. I do believe that it is harder to conceive for many woman when they are trying for their second or third child. I believe that it is less about your age and more about how much your life has changed. Now that you have a child you are no longer priority #1, and if you are lucky you are #2. You may not sleep as well or eat as well. Stress may have increased because now you have someone else to care for. There are many factors that play a role in your decrease of antral follicles. I do think that CoQ10 or Ubiquinol is helpful for changing this number but you should not expect to see this change in a couple of months. This will take longer. More importantly I find that many patients who I treat for secondary fertility issues have underlying or subclinical thyroid issues. I would make sure to have a full thyroid panel completed (not just TSH).

Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.

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