Uncover all the information you need about getting pregnant at a late age
Getting Pregnant after 30, 35 or even 40, written by a fertility specialist.
According to research over the last 40 years, a healthy 30 year old woman has about a 20% chance of getting pregnant each month. A healthy, ovulatory 40-year-old woman’s chance per month is 5% (1,6). The decline is slow and steady up until the age of about 35. After that the decline becomes steeper. These ranges and time frames have been established through multiple studies and have been consistent for the last 30+ years. Getting pregnant after 40 the decline in fertility is attributed to depletion of ovarian oocyte (eggs) reserve and is determined by genetic, environmental, and lifestyle factors.(2).
What makes it hard to get pregnant after 35 or 40?
Although your changes of getting pregnant after 35 or 40 are decreasing, there are good news. Age at conception does have bearing on time to pregnancy in a healthy, ovulatory woman. In general, fecundity (a woman’s physiological ability to have a child) is reported as age ranges because it is difficult to correlate a specific age to a specific chance of success. There are also factors that can affect reproductive aging. These include other medical conditions that can have an effect such as endometriosis, fibroids, genetic conditions (errors in number of chromosomes), environmental influences, obesity, smoking, thyroid gland dysfunction, history of sexually transmitted diseases (STDs), and ovulatory dysfunction, to name a few (2,3).
PCOS stands for Polycystic Ovarian Syndrome, it is the most common form of ovulatory ovarian dysfunction. The pathology of PCOS makes ovulation irregular and unpredictable, making the timing of intercourse for conception difficult and mostly trying to get pregnant after 40.
There could also be issues with male fertility such as erectile dysfunction and sperm quality issues. Male evaluation initially consists of a semen analysis and potentially other endocrine blood testing to evaluate any severe sperm abnormality.
How can fertility specialist can help to conceive after 35 or 40?
Most of the factors other than extreme reproductive age are usually treatable. When you start you journey to get pregnant after 40, the first step is a comprehensive evaluation of both you and your partner (if applicable). We test your ovarian reserve to gauge likelihood of adequate number of eggs produced per cycle, prolactin levels since the elevated levels can affect regularity of ovulation, and PCOS testing. If there are any positive findings, we can offer prescription medications or supplements beneficial for conception (5).
There are supplements that both partners can take that have been shown to be beneficial for conception and getting pregnant after 40. Lifestyle modification and diet changes (such as following the Mediterranean diet) can also positively impact your chances to get pregnant after 40. Controlling your stress and regular moderate exercise also confer benefits (3,4).
The journey
Getting pregnant after 40 years old, especially in the face of infertility challenges, is a complex and emotional journey that many individuals and couples find themselves navigating. The desire for parenthood does not diminish with age, and the longing to conceive and welcome a child into one’s life remains strong. While fertility may decline with age, it’s essential to acknowledge that getting pregnant after 40 is not impossible, and there are various avenues to explore on this remarkable path.
In the midst of infertility concerns, it is crucial to seek expert guidance and remain informed about the available options. Fertility treatments, such as in vitro fertilization (IVF) and the use of donor eggs, have proven to be successful for many individuals in their 40s, offering renewed hope and possibilities. Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can positively impact fertility, no matter one’s age.
Moreover, the importance of emotional support cannot be overstated. The emotional toll of facing infertility and the challenges of getting pregnant after 40 can be overwhelming. Finding a support network, whether through friends, family, or support groups, is crucial in navigating the ups and downs of this journey.
Conclusion
In conclusion, while getting pregnant after 40 may present unique challenges, it is a goal within reach for many. Infertility should not be a deterrent, but rather a call to explore the many available options and seek professional advice. With perseverance, emotional support, and the right approach, individuals can overcome obstacles and realize their dreams of parenthood even at an age when conventional wisdom might suggest otherwise.
Please click the link below for a consultation with an experienced Reproductive Endocrinologist. You can also follow us on Facebook or return to our website for updated information about your fertility journey.
References
1. Menken J, Trussell J, Larsen U. Age and infertility. Science. 1986;233:1389-1394.
2. Utting, D., & Bewley, S. (2011). Family planning and age-related reproductive risk. The Obstetrician & Gynaecologist, 13(1), 35–41. https://doi.org/10.1576/TOAG.13.1.35.27639
3. Collins GG, Rossi BV. The impact of lifestyle modifications, diet, and vitamin supplementation on natural fertility. Fertil Res Pract. 2015 Jul 25;1:11. doi: 10.1186/s40738-015-0003-4. PMID: 28620516; PMCID: PMC5424364.
4. Dimitrios Karayiannis, Meropi D Kontogianni, Christina Mendorou, Minas Mastrominas, Nikos Yiannakouris. Adherence to the Mediterranean diet and IVF success rate among non-obese women attempting fertility. Human Reproduction, 2018; DOI: 10.1093/humrep/dey003
5. Unfer, V., Nestler, J. E., Kamenov, Z. A., Prapas, N., & Facchinetti, F. (2016). Effects of Inositol(s) in Women with PCOS: A Systematic Review of Randomized Controlled Trials. International journal of endocrinology, 2016, 1849162. https://doi.org/10.1155/2016/1849162
6. Sozou PD, Hartshorne GM (2012) Time to Pregnancy: A Computational Method for Using the Duration of Non-Conception for Predicting Conception. PLOS ONE 7(10): e46544. https://doi.org/10.1371/journal.pone.0046544
Unexplained infertility can be a frustrating and confusing diagnosis for couples who are struggling to conceive. Often, when no specific cause can be identified for their fertility issues, they may feel like they are facing an insurmountable challenge. However, it’s important to remember that there are still options and approaches to explore. In this article, we will dive deeper into the topic of unexplained infertility, including its definition, misconceptions, emotional impact, medical approaches, lifestyle changes, and alternative therapies. By the end of this article, you will have a better understanding of how to navigate the journey of getting pregnant with unexplained infertility.
Understanding Unexplained Infertility
When a couple has been trying to conceive for over a year without success, they are usually diagnosed with infertility. However, in some cases, medical tests may not reveal any apparent reason for their inability to conceive. This is when the diagnosis of unexplained infertility is given. It’s important to understand that unexplained infertility does not mean that there is no possibility of getting pregnant—it simply means that the underlying cause has not been identified.
Unexplained infertility can be a complex and multifaceted issue that involves a combination of factors. While it may be frustrating to receive this diagnosis, it’s essential to remember that it does not necessarily indicate a permanent inability to conceive. Many couples with unexplained infertility have gone on to have successful pregnancies through various treatments and interventions.
Defining Unexplained Infertility
Unexplained infertility is a diagnosis given when a couple has been unable to conceive despite having regular, unprotected intercourse for at least 12 months and all fertility tests appear normal. This can be a frustrating diagnosis as it leaves couples without a clear explanation for their difficulties.
It’s important to note that the term “unexplained” does not imply that there are no underlying issues causing infertility. Rather, it signifies that current medical knowledge and testing methods may not have identified the specific factors contributing to the couple’s inability to conceive. This can make the journey towards parenthood more challenging, as treatment options may be less straightforward than in cases where a clear cause is identified.
Common Misconceptions about Unexplained Infertility
There are several misconceptions surrounding unexplained infertility that can add to the emotional burden experienced by couples. One common misconception is that unexplained infertility means the couple is infertile forever. However, this is not the case as many couples with unexplained infertility eventually go on to conceive naturally or with assistance. Another misconception is that unexplained infertility is solely a female issue. In reality, both male and female factors can contribute to unexplained infertility.
It’s crucial for couples facing unexplained infertility to seek support from healthcare professionals who specialize in fertility issues. By exploring various treatment options and addressing any underlying concerns, many couples can overcome unexplained infertility and fulfill their dreams of starting a family.
The Emotional Impact of Unexplained Infertility
Receiving a diagnosis of unexplained infertility can have a significant emotional impact on couples. It is normal to experience a range of emotions, including frustration, sadness, anger, and even guilt. Coping with the diagnosis and maintaining emotional health and relationships are crucial aspects of the journey towards getting pregnant.
Understanding the complexity of unexplained infertility can add another layer of emotional weight to the situation. The lack of a clear cause can lead to feelings of confusion and helplessness, as couples grapple with the uncertainty of their fertility challenges. This ambiguity can intensify the emotional rollercoaster that many couples experience during this time.
Coping with the Diagnosis
Coming to terms with the diagnosis of unexplained infertility can be challenging. It’s important for couples to allow themselves to grieve and acknowledge their feelings. Seeking support from loved ones, joining support groups, or even consulting with a mental health professional can provide valuable guidance and assistance in coping with the emotional aspects of the diagnosis.
Exploring different coping mechanisms is essential in navigating the emotional turmoil that often accompanies a diagnosis of unexplained infertility. Some couples find solace in journaling their thoughts and feelings, while others may turn to creative outlets such as art or music to express their emotions. Each individual and couple must find what works best for them in processing and accepting their reality.
Maintaining Emotional Health and Relationships
The journey of trying to conceive can be mentally and emotionally draining. It’s essential for couples to prioritize self-care and focus on maintaining a healthy emotional state. This can include engaging in stress-reducing activities, such as meditation or engaging in hobbies. Additionally, couples should communicate openly with each other, expressing their emotions and supporting one another throughout the process.
Building a strong support system is crucial in safeguarding emotional well-being during the challenges of unexplained infertility. Seeking out counseling services or couples therapy can offer a safe space for couples to navigate their emotions and strengthen their relationship. By fostering open and honest communication, couples can weather the storm of infertility together, emerging stronger and more connected on the other side.
Medical Approaches to Unexplained Infertility
While the exact cause of unexplained infertility may be unknown, there are several medical approaches that can increase the chances of pregnancy. Understanding the various options available can provide hope and guidance to couples navigating the complexities of fertility challenges.
Unexplained infertility can be a frustrating diagnosis, but advancements in medical science offer a range of solutions to help individuals achieve their dream of starting a family. From fertility drugs to assisted reproductive technologies, there are tailored approaches to address different aspects of infertility.
Fertility Drugs and Their Role
Fertility drugs, such as clomiphene citrate, are often prescribed to women with unexplained infertility. These medications help stimulate ovulation and increase the chances of conception. It’s important to consult with a fertility specialist to determine the most appropriate medication and dosage for individual circumstances. Monitoring the body’s response to these drugs is crucial in optimizing their effectiveness and minimizing potential side effects.
Additionally, lifestyle factors such as diet, exercise, and stress management can play a significant role in enhancing the efficacy of fertility drugs. A holistic approach that combines medical interventions with healthy lifestyle choices can create a supportive environment for conception to occur.
Intrauterine Insemination (IUI)
Intrauterine insemination (IUI) is a procedure that involves placing washed sperm directly into the uterus during a woman’s fertile window. This can increase the chances of successful fertilization. IUI is often recommended for couples with unexplained infertility who have been trying to conceive for an extended period without success. The procedure is relatively non-invasive and can be a stepping stone for couples exploring different fertility treatment options.
Furthermore, the emotional aspect of infertility should not be overlooked in the journey towards parenthood. Support groups, counseling, and open communication with healthcare providers can offer valuable emotional support and guidance throughout the treatment process.
In Vitro Fertilization (IVF)
In vitro fertilization (IVF) is a widely known assisted reproductive technology. It involves the retrieval of eggs from the woman’s ovaries, which are then fertilized with sperm in a laboratory. The resulting embryo is then transferred back into the woman’s uterus. IVF is commonly recommended for couples with unexplained infertility when other less invasive treatments have not been successful. The success rates of IVF continue to improve with advancements in technology and research, offering new possibilities for individuals facing fertility challenges.
Before embarking on any fertility treatment, thorough discussions with healthcare providers about the potential risks, benefits, and alternatives are essential. Each individual’s journey towards overcoming unexplained infertility is unique, and a personalized approach to treatment can maximize the chances of a successful outcome.
Lifestyle Changes and Unexplained Infertility
Healthy lifestyle changes can significantly impact overall health and increase the chances of getting pregnant, even when facing unexplained infertility. Taking proactive steps to enhance your well-being can play a crucial role in optimizing fertility and improving your reproductive health.
When it comes to addressing unexplained infertility, focusing on nutrition, exercise, and stress management can be key components of a holistic approach to increasing your chances of conceiving.
Nutrition and Diet for Fertility
Eating a well-balanced diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can support reproductive health. Specific nutrients like folate and iron play essential roles in fertility optimization. Consulting with a nutritionist or healthcare provider can provide you with tailored dietary recommendations to support your fertility journey.
In addition to essential nutrients, staying hydrated and avoiding excessive consumption of processed foods and sugary beverages can further contribute to your overall well-being and fertility.
Exercise and Its Impact on Fertility
Regular exercise is not only beneficial for maintaining a healthy weight but also for improving circulation and reducing stress levels, all of which can positively impact fertility. Engaging in physical activities that you enjoy, such as walking, swimming, or yoga, can help support your reproductive health.
It’s important to strike a balance with your exercise routine, as excessive or intense physical activity can have adverse effects on fertility. Listening to your body and incorporating rest days into your workout schedule is crucial for ensuring that your exercise regimen supports, rather than hinders, your fertility goals.
Stress Management and Its Role in Fertility
Stress can significantly impact fertility by disrupting hormonal balance and ovulation. Incorporating stress management techniques into your daily routine, such as mindfulness practices, deep breathing exercises, or seeking support from a therapist, can help reduce stress levels and increase your chances of conception.
Creating a supportive environment that prioritizes self-care and relaxation can not only benefit your mental and emotional well-being but also enhance your fertility journey. Remember that taking care of yourself is an essential part of preparing for the possibility of welcoming a new life into your family.
Alternative Therapies for Unexplained Infertility
Alternative therapies can be considered as complementary approaches to conventional medical treatments for unexplained infertility.
Acupuncture and Fertility
Acupuncture is an ancient Chinese therapy that involves the insertion of thin needles into specific points on the body. It is believed to regulate the flow of energy and promote overall well-being. Some studies suggest that acupuncture may improve fertility outcomes, including pregnancy rates in couples facing unexplained infertility.
Herbal Remedies and Their Potential Benefits
Herbal remedies, such as chasteberry, maca root, and red clover, have been used for centuries to support female reproductive health. While scientific evidence is limited, some women report positive effects on their menstrual cycle and fertility after incorporating herbal remedies into their daily routine. It’s important to consult with a knowledgeable herbalist or healthcare provider to determine the appropriate herbs and dosages.
In conclusion, while facing a diagnosis of unexplained infertility can be challenging, it’s crucial to remember that there are various options and approaches to explore. Understanding the condition, managing the emotional impact, considering medical interventions, adopting healthy lifestyle changes, and exploring alternative therapies can all contribute to increasing the chances of getting pregnant. By taking a holistic approach and seeking professional guidance, couples can navigate the journey of unexplained infertility with hope and resilience.