Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor,Im 32 yrs. and have two childern ages 10 & 12. I was diagnos with a mild case of Von Williebrands disease and I have always have had Irregular periods. When I was younger in my teen years I hardly ever had my periods and now it wont stop. I have been on my cycle for 2 months at times light and at times very heavy. I have also been trying to have another child for the last 9 yrs. and no luck. I do realize my weight needs to drop at least 50lbs but this has been a problem since before I gained weight. I really want another child. What test would you recommend me doing no one seems to know anything please help...thank you!!
[|AI|]  On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level.  And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant.