<human>: hi doc, at forty 42 years both my tubes are block however my gyno told my one could be repaired, however there were other issues such as no period. a blood test concludes that i went into early menopause at that time i was 38. my period suddenly repair last august 2013 a month after i was rob at gun point. The time period that period stop i was also encountering some stress as i had make a decision to close my business thatwas difficult thing for me to do. question is could stress have been the contributing factor to my period history. and is there a posssible of me getting pregnant at this stage of my life.
<bot>: Hallow Dear, There are more than one issues for which you need guidance cum explanation. I shall tackle them one by one:1. Though stress can affect the menstrual regularity, after having a menopause for 4 years if you again start bleeding, it should be taken seriously to rule out any evidence of any serious pathology like cancer. Such sort of bleeding anytime 6 months after confirmed menopause is labelled as Post Menopausal bleeding and needs to be thoroughly investigated. Your menopause was confirmed by blood tests.  Initial ultrasonography will give some clue and will guide for the further investigations which may include Hysteroscopy, endometrial biopsy, etc. 2. After bilateral tubal block, the tubal reconstruction surgery can be performed. However, the success rate of such surgery in terms of pregnancy is hardly up to 50% in a woman in childbearing age group. If the tubes were blocked by some infection, the success rates are still low as the tubal lining is affected by infection. You are in your menopausal age group; so the success rate will be considerably low. 3. Since you have menopause, even though the tubes are reconstructed, the million-dollar question is whether you would be producing any eggs? Most probably not. However, AMH levels in your blood will give scientific information about it. Considering all these odd facts for you to become pregnant, I would advise you to opt for an adoption if the natural pregnancy is not possible. I hope this clarifies all your doubts. 