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Are You Fertile in Your Forties?

Studies have shown that women grossly overestimate their number of fertile years, and who could blame them? Celebrities make getting pregnant at 40 look like a walk in the park! Turns out your most fertile years are in your 20s, long before you’ve even given thought to family building.

If you’re over the age of 35, you should contact a fertility doctor if you have not gotten pregnant after 6 months of trying to conceive with well-timed intercourse. Your fertility doctor will conduct a comprehensive fertility work up complete with family history, blood work, and ultrasound. Here are a few predictors of your fertility that will tell you your best chances of trying to conceive:

  • Anti Mullerian Hormone (AMH), Follicle Stimulating Hormone (FSH), and Antral Follicle Count (AFC). Having a low AMH and high FSH tells your fertility doctor that your ovarian reserve may be declining. Keep in mind that your FSH fluctuates from month to month and day to day within each cycle while AMH remains mostly stable. Your AFC also provides insight on ovarian reserve in that your fertility doctor can estimate the number of follicles expected to produce mature eggs in an in vitro fertilization (IVF) cycle. Current research states AMH, FSH, and AFC are the three best indicators of ovarian reserve, therefore, response to ovarian stimulation with IVF.

  • Your mother’s age at onset of menopause. A study published in the journal Human Reproduction says a mother’s age at onset of menopause is a predictor of her daughter’s fertility. If mom went through menopause at an earlier age, you are likely to notice an early decline in ovarian reserve.

  • The regularity of your menstrual cycles. If your cycles are irregular, it could mean your ovarian reserve has diminished and you are no longer ovulating. Only a fertility doctor who specializes in reproductive medicine can best answer your questions regarding your chances of getting pregnant in your 40s.

Our Patient Care Advocates can connect you with a fertility doctor in your area who specializes in age-related fertility conditions. Contact them at 1-855-955-BABY (2229) or by filling out the Contact Fertility Doctors Near Me form.

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