<s>[INST] I normally have very heavy periods, which last 10 days. I had a miscarriage last year and have been trying for a baby. I was recently diagnosed with polysistic ovaries and am awaiting an appt with a gynaecologist . My period started 5 days ago and was extremely light, very little blood, except once small piece of red clotting. This period started on day 26, instead of day 30-31. My periods are quite regular. I am 39 years old and desperate for another child. I am worried that I may be approaching the menopause [/INST] Dear user, welcome to Chat Doctor. You are right to worry because there is a decline in fertility Adler the age of 35, and the decline is rapid after age 40. I mean you should not waist time if you really want a child. You should go to someone specialized in infertility and assisted reproduction. I suggest 3 cycles of ovulation induction with folliculometry and timing of intercourse, and if no pregnancy occurs the next step will be 3 cycles of controlled ovarian hyperstimulation followed by intrauterine insemination. If no pregnancy occurs the next step will be invited fertilization OC intro cytoplasmic sperm injection till you are pregnant. I wish you getting pregnant soon and good luck. </s>