29.03.2014

Can i still get pregnant at age 40

Consider this chart[1]which shows how the likelihood of a woman getting pregnant decreases from about an 86% chance between the ages of 20 and 24 years to about 35% between the ages of 40 and 44 years.
It's important to note that for couples trying to conceive naturally, we typically give women over the age of 35 only about six months of actively trying to get pregnant - which means monitoring ovulation monthly and having regular intercourse -  before we recommend that both partners have a thorough work up to evaluate fertility. Fortunately, there are a number of fertility options that we can offer older women who are having trouble getting pregnant naturally including assisted reproductive technologies like Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF). Additionally, for couples who come to the Vasectomy Reversal Center of America considering a vasectomy reversal, we make sure to educate them about the chances of conceiving naturally when the woman is over the age of 35. For women trying to conceive after age 35 or even age 40, education and understanding the effects that age has on fertility is truly important. If the number of days between when you ovulate and when your next period starts is too few (less than 10), this can mean that although you may conceive, the fertilised egg is expelled before it can implant in the lining of the womb. Once you have reached menopause, pregnancy is not possible, and in the lead up to menopause (the perimenopause) it can be very difficult to become pregnant. These are abnormal growths of muscular tissue in the womb that can block the Fallopian tubes or stop a fertilised egg implanting. Being underweight or overweight can alter your menstrual cycle and reduce your chances of conception. Sometimes all clinical tests will be reported as normal, but after years of trying, you're not pregnant.
So while it's harder for older women to get pregnant, and the chance of a chromosomally abnormal child increases, these problems do not increase as sharply as we fear - except perhaps for those trying IVF or artificial insemination."Those statistics are more discouraging for older women," explains Twenge. David Fenig talked about advanced maternal age and how fertility decreases after age 35, and again after age 40.
This likelihood decreases even further by age 45 to a mere 5% chance of getting pregnant spontaneously.


Many women believe that if they are getting a regular period, that means they are ovulating (true) and there's no problem with fertility or conceiving (not always true).
But, it's important to note that even these fertility treatments are not as effective after age 38 and into the early 40's because of the woman's aging eggs.
Because it can take six to 12 months for the man's sperm count to reach an optimal stage for natural conception following a vasectomy reversal, women of advanced age often don't have the luxury of time. I'm happy to answer any questions you may have about getting pregnant after 40 and to discuss the best options for you when it comes to conceiving a child…please feel free to leave your comments here. If your mother had an early menopause your chances are much higher, so try to find out at what age your mother started menopause. This can be very frustrating and distressing because there is nothing to focus on that can be rectified or treated. They put together all these church birth records and then came up with these statistics about how likely it was [someone would] get pregnant after certain ages." These are women who had no access to modern healthcare, nutrition or even electricity. But as we know from some notable celebrity cases, it is not impossible to get pregnant in the early or indeed late 40s," says James.And, he adds, there is evidence that female fertility is improving. It's possible that this has been overstated too, in James's view.The chance of any chromosomal abnormality at the age of 20 is one in 500, he says. It's a fact that the spontaneous pregnancy rates for women over 40 are much lower than women under the age of 35.  Today, so many women are putting off having children to pursue career and education, yet are many times unaware how age affects fertility.
The chart also demonstrates how infertility rates rise significantly as a woman reaches age 40.
However, older woman can have problems with eggs being fertilized, or fertilized healthily. If she had an early menopause it may be worth talking to a healthcare professional about your future plans for pregnancy.


It is estimated that around one third of couples with unexplained infertility will get pregnant naturally within three years without intervention4.
If you are aged over 35, you should seek help after 6 months of trying, and immediately if you are over 40. The most widely cited is a paper by David Dunson published in 2004, which found that 82% of women aged between 35 and 39 fell pregnant within a year.
The latest update of the Nice guideline on fertility recognises that "the chances of women naturally conceiving at the age of 40 are much higher now than they were when the original guideline was written [in 2004]," James says. The likelihood of infertility is about 15% between the ages of 35 and 39 and then rises sharply to 32% at age 40.
In fact, for women over the age of 35, and especially over age 40, the risks of congenital birth defects also increase significantly.
Symptoms can include weight gain, excess hair growth as well as problems trying to conceive. Smoking is very bad for the health of your unborn baby and it is best to stop smoking before you become pregnant. Less is known about fertility in older men but it's thought to decline from around the age of 40 too. And in the 1700s, people aged more quickly than today.Another finding of the Dunson study was that, while fertility declines with age, it does not appear to do so as quickly as we have been led to believe. Among women aged 27-34, the study showed that 86% will have conceived within a year of trying.



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