The Truth About Fertility After 40; Why Women Should Think Twice Before Having Children

Age affects fertility. In the years following puberty, both males and females become reproductive. Ovulation and menstruation are the first signs of a girl entering her reproductive years. Becoming pregnant after menopause is often thought to be impossible for women. Fertility can be anticipated to end 5 to 10 years before menopause because women’s reproductive capacity declines as they age. Age-related infertility is becoming increasingly prevalent in today’s society as many women put off starting babies until their 30s for a variety of reasons. Although women are healthier and take better care of themselves than ever before, the normal drop in fertility that comes with aging is not mitigated by better health in later life. It’s critical to realize that a woman’s fertility decreases with age since their ovaries naturally produce fewer eggs as they age. The majority of women may not realize how quickly this drop may occur.Pregnancy

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Fertility in the lifetime of a female

Women who are in their reproductive years ovulate frequently each month, which results in regular monthly menstrual periods. Within “follicles,” which are fluid-filled spheres, eggs develop. A set of follicles on both ovaries are stimulated to grow more quickly at the start of each menstrual cycle when a woman is having her period by a hormone generated in the pituitary gland, which is located in the brain. One of the follicles will typically mature and release an egg (ovulate), with the others progressively ceasing to grow and beginning to degenerate. If the egg is fertilized and implants in the uterine lining(endometrium), pregnancy results. If there is no pregnancy, the endometrium is lost during the menstrual flow, and the cycle starts over. Until a woman is in her late 30s or early 40s, her menstrual cycle will typically last 26 to 35 days. At that point, she may start to notice that her cycles are getting shorter. As time goes forward, she will start skipping ovulation, which will cause missing periods. Eventually, periods grow less frequent until they disappear altogether. A lady is said to be in menopause when she hasn’t had a period for a complete 12 months.

As women age, fertility declines due to normal, age-related changes that occur in the ovaries. Unlike men, who continue to produce sperm throughout their lives, a woman is born with all the egg-containing follicles in her ovaries that she will ever have. At birth, there are about one million follicles. By puberty, that number will have dropped to about 300,000. Of the follicles remaining at puberty, only about 300 will be ovulated during the reproductive years. The majority of follicles are not used up by ovulation but through an ongoing gradual process of loss called atresia. 

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In a woman’s 20s, her prime reproductive years occur. Throughout the 30s, fertility gradually decreases, especially around age 35. Less than 5 out of every 100 women are anticipated to be successful each month by the time they are 40 because their chance of success is less than 5% per cycle. Women lose their fertility after menopause. Although menopause typically occurs at age 51, most women already start having trouble getting pregnant in their late 30s.

Pregnancy at 40

Experts refer to a pregnancy that occurs after 35 as occurring at an “advanced maternal age.” It is now feasible to safely give birth to a child at the age of 40 thanks to developments in the fields of conception, pregnancy, and delivery. However, any pregnancy after the age of 40 is regarded as high risk. Pregnancy-related problems such as gestational diabetes, high blood pressure, and preeclampsia become more likely. According to a 2016 study, women over 40 who became pregnant had a risk of gestational diabetes of 8.5%, which is more than double that of women under 35. Pregnant women with gestational diabetes are more prone to experience low blood sugar, cesarean delivery of a big baby, and high blood pressure. Preeclampsia is a high blood pressure condition that can cause life-threatening issues for both the birth mom and the unborn child. Gestational diabetes and high blood pressure increase the risk of acquiring it. Furthermore, studies reveal that the prevalence of birth defects or genetic disorders in babies also rises. The likelihood of having a child with Down syndrome increases from 1 in 100 to 1 in 30 by the time the mother reaches the age of 45. 

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Conclusion

Despite the fact that it may be difficult to conceive after age 40, advances in reproductive technology, such as IVF and the use of egg donors or surrogates, can help make pregnancy and childbirth possible for older parents.

References

https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/age-and-fertility

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266997/

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