15.05.2015

Getting pregnant at 35 risks

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).
Having made the exciting decision to start your own family you are sure to be wondering how long it will take to get pregnant. You may find it encouraging knowing that the number of women over the age of 30 having babies has risen in recent decades (ONS 2010) . Most women will be able to conceive naturally and give birth to a healthy baby if they get pregnant at 35 years old.
The average age at which women have in vitro fertilisation (IVF) treatment in the UK is rising. About half of the women who don't get pregnant in the first year conceive during the following year, giving a pregnancy rate of 92 per cent within two years. Age aside, there are some steps you can take to give yourself the best possible chance of conceiving and having a healthy pregnancy.
Learn more about getting pregnant in your 20s, 30s or 40s, or get tips, advice and support in our friendly community of mums and mums-to-be. While women are physically capable of carrying a child into their 40s, their chances of a healthy pregnancy decrease around age 35 with a much faster decline after 40. Elective Egg Freezing should be a consideration for women who want to preserve their best chances of a health pregnancy but are not yet ready for children. A recent study in the medical journal Fertility and Sterility found that 40-year-old women treated for infertility had a 25% chance of achieving pregnancy using their own eggs.


The risk of chromosomal abnormalities also increases as women age with Down’s syndrome being the most common outcome. At IVF New England, we specialize in helping women over 35 become pregnant with their own egg or with donor egg, if appropriate, using a treatment plan that best suits their individual needs.
Using donor egg boosts the odds of getting pregnant considerably, and, that’s how most of the older celebrity moms are doing it — whether they admit it or not.
Given the range of assisted reproductive technology treatment options (ART) available to protect fertility and help older women try to get pregnant, now is the time to be proactive and take control of your fertility potential.
The average age of women at their first birth has also risen over the past 4 decades, and since 2000, 46 states and DC have experienced a rise in the first-birth rate for women over 35. 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). 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. For some women having a multiple pregnancy brings them their dream family in one pregnancy.
But if you are over 35, and finding that positive pregnancy test elusive, it is important to seek help sooner rather than later (NCCWCH 2013:6). Yet the downside of delaying pregnancy is declining ovarian reserve, which makes it harder to get pregnant and increases the risks, especially for miscarriage and chromosome abnormalities.
This condition is characterized by a low number of eggs in a woman’s ovaries and a greater likelihood that the remaining eggs will have chromosomal abnormalities that increase the risk for miscarriage and birth defects. Once pregnant, eating well, gaining the right amount of weight and abstaining from harmful behaviors like smoking also make a big difference.


For instance, the risks of having a child with a genetic disorder rise after 40, says Starck.
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.
As women grow older the likelihood of getting pregnant falls while the likelihood of infertility rises. This could prevent fertilisation altogether or increase the likelihood of an ectopic pregnancy (CKS 2007, NCCWCH 2013:129, Utting and Bewley 2011). The chances of a woman using her own eggs to achieve pregnancy are greater the earlier there is an assessment of her ovarian reserve. Among women who did get pregnant, the miscarriage rate was 24% for 40-year-olds, 38% for 43-year-olds, and 54% for 44-year-olds.
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.



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