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Fertility in Your 40s

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It seems like every day there’s another story of a celebrity in her 40s getting pregnant with apparent ease. If you are over 40 and trying to conceive, these stories can provide hope and frustration in equal measure.

Getting Pregnant in Your 40s

The reality is, it is rare that women in their 40s naturally conceive—women 40-45 have about a five percent chance of getting pregnant naturally each month. Miscarriage rates are high: a 40-year-old has a 33 percent chance of miscarriage and women over 45 have a miscarriage rate as high as 50 percent or more.

Fertility Treatment in Your 40s

Even with fertility treatments, your odds of getting pregnant overall are not fantastic. But it certainly is not impossible either. In particular, slightly more than 50% of IVF cycles with donor eggs (what many of those celebrities are openly or not-so-openly relying on) result in a live birth, even up to age 50.

For IVF with your own eggs, 17 percent of IVF cycles in 40-year-old women resulted in a life birth. This is because as you get older, the chances of response to ovarian stimulation leading to successful egg retrieval drops. Even when egg retrieval is successful, fewer cycles reach transfer in older women, those that reach transfer are less likely to result in pregnancy, and those that result in pregnancy are less likely to result in live birth. By your mid-late 40s, the chances of all these steps succeeding and leading to life birth is less than two percent of all cycles.

If you are in your 40s and experiencing trouble conceiving, you should consult with a fertility specialist.


Comments (85)

I am 45 and my husband is 50. We have three beautiful children (13, 10 and 6). My husband is convinced our chances of getting pregnant are slim to none and wants me to stop birth control. Can you give us some insight?

I have four children, all healthy. Two of my pregnancies occurred in my 40s, one at 41...I delivered a healthy baby 5 years old. My second son I had at 47, is now a year old was conceived after the Essure procedure (google it)...he too is a healthy baby boy. I am so thankful and forever blessed to have my children, and despite whatever odds, I conceived and carried my babies in my forties with no problems whatsoever. I think if I had have gotten my tubes tied, in spite of the statistics, I'd easily be pregnant again...

Tsr - When a woman is over the age of 40, especially over the age of 42 it becomes increasingly difficult to get pregnant naturally due to diminishing ovarian reserve (egg quality). However, it has happened before. Most women need assistance from a Reproductive Endocrinologist to achieve pregnancy at 45. Most fertility doctors recommend using donor eggs, some clinics have a cut off age for using your own eggs for fertility treatment such as In Vitro Fertilization. If you would like to know if it is possible to conceive I recommend you consult with a Reproductive Endocrinologist to get your ovarian reserve tested. If you need help finding a specialist in your area feel free to email me directly at

My husband has diabetes and I'm almost 44. 3 yrs ago we had a baby that died stillborn fullterm. He has no other children. We really want a baby. We are not well off so I can't afford fertility treatment. Is is possible to get pregnant?

Jill - I am very sorry to hear of your loss. When a woman is over the age of 40 her ovarian reserve begins to decline making it harder to achieve pregnancy naturally. It would be in your best interest to consult with a fertility doctor. If finances are an issue I recommend that you go to to see if there are any free clinical trials being offered in your area.

Tutu - When a woman is over the age of 40 her ovarian reserve (egg quality) begins to decline making it harder to achieve pregnancy naturally. When you enter menopause it means that your ovarian reserve has diminished. Doctors would most likely recommend that you use donor eggs to conceive. I'm very sorry.

Hi, I have done 2cycles of IUI and both ended in bio-chemical pregnancy( the sac was not found even at 5weeks and b-hcg got drop down and ended in Periods.) Now further we are advised to move to IVF. I have PCOS and my husband has motility very low. What are the chances that an IVF would turn out successful ? I'm 27yrs old and he is 30yrs old. Any positive hopeful talks pls.. I'm totally devasted and frusted each month.

My husband and I want to have a baby without donor eggs.. is it possible for me to get pregnant on fertility drugs? my husband went to get himself checked and waiting for results next week.. I have a lot of anxiety because of this.. we been ttc for about 2 years.

Hi there, I'm 45 and trying to have a baby using my own eggs. I am lucky and have a good reserve. I've tried one cycle if IVF which was unsuccessful. I have been seeing a naturopath and having acupuncture and am now ready to try another cycle. Was very deflated after hearing that in NZ only 1 person over 45 has conceived via IVF. However I am aiming to be the second. The answer to your question is it is possible for a woman over 45 to get pregnant with her own egg. Have you had your AMH tested? Its a simple test and may give you an idea on how many eggs you may have left. It's very stressful. I am now looking at what other things may also help e.g. Melatonin, DHEA, Reservatrol and CoQ10. Not much data out there though. My guy hasn't been tested but has 2 children in their teens. We have been trying for just over 6 months. Best advice would be don't wait before checking out your options with a fertility clinic. Wishing you all the best.

Hi Christine,

The only way to know for sure if you can use your own eggs to conceive is with an AMH (anti mullerian hormone) test or FSH (follicle stimulating hormone) test. It is very likely that the doctor will recommend an egg donor as most fertility doctors do so for women over the age of 42. Please give us a call if you would like to connect with a doctor in your area. 1-855-955-BABY (2229).


I consulted Gyn doctor.have undergone examination of ovary.But still not ovulating properly. I am under treatment to increase size of ovary and ovulation to take place normally. I am 42 now.But i wish to have a child too soon.I missed my menstrulation period this month.But had gone for urine test but it is showing that i am not pregnant.but still i did'nt get my period since a how will i know that i am pregnant or if not pregnant why my period is delayed .please suggest and guide me.

If you are 42 and trying to get pregnant, you should really see a fertility doctor. In order to accurately determine your egg quality and quantity, you need to have some blood tests to evaluate certain hormone levels. If you'd like more information or a referral to a doctor, please contact our patient care advocates at 855-955-2229 or Best, Claire

Permalink Submitted by Ravi on Mon, 1/272014-5:42 Hi I am a 45 years old I remarried and we would like to have a child together. I saw an infertility doctor but he said I didn't have any eggs, and I have a normal cycle every month like clock work. I don't know what to believe. Is it possible that I do have eggs? My husband doesn't want a donor because the child wouldn't be only our DNA, which I understand. But we still are praying to get pregnant and hoping for a miracle. Please advise, thank you

I'm sorry to say thhat most women are not successful getting pregnant in their mid 40s due to quantity and quality of eggs. You should examine the results of your fertility workup to determine next steps. If you'd like a second opinion, our Patient Care Advocates can help . Call or email us at 855-955-2229 or Best, Claire

To get pregnant after a tubal ligation, your options are a tubal reversal or IVF. Keep in mind that at 45, most doctors would recommend IVF with donor egg. If you would like more information, please contact our Patient Care Advocates toll-free at 855-955-2229 or I wish you all the best, Claire

I saw a couple of you mention that you were doing TTC, can I ask you to explain what that is? I am 45 but I had a tubal ligation 17 years ago and my fiance and I would like to try to have a child. Im not sure of my options yet but I am kind of scared but excited that I could have another baby!!! Any advice from anyone would be great. l still have regular periods, have not missed any so Im not sure what that means as far as still being fertile. What is the best option, IVF or tubal reversal?

TTC is an abbreviation for Trying To Conceive. If you've had a tubal ligation, your options for getting pregnant would be a tubal reversal or IVF. Given your age, and the fact that egg quantity and quality declines with age, most doctors would suggest IVF with donor egg. You really should speak with a fertility doctor. Our Patient Care Advocates can help you schedule a consultation. Call or email us at 855-955-2229 or Best, Claire

Hia, i am 44 this year, and i have 8 fab children,,, my las One just 3 years ago, i am so wanting another as i love being a mum and its all ive ever ben lol, i am very active and fit, i have normal periods, is it likely to happen for me??? X

You need to get your hormones tested to determine your egg quantity and quality. That will give you information on your ability to get pregnant. Our patient care advocates can help you find a fertility doctor. 855-955-2229 or Best, Claire

We have two children agdd 21 & 18. Two years ago we had mmc at 13 weeks. Been ttc ever since. Af is regular as clockwork every month. I'll be 45 in Jan. Hubby doesn't want to go down the road of doctors and tests. He thinks if it happens it happens & if it doesn't ah well never mind. I'm so enjoying spending time with him since the kids are working and in college and I'm just not needed as much but another baby keeps niggling in the back of my mind. I think if it was going to happen it would've happened by now so I should try forget about it but the thought just won't go away. I actually want to stop thinking about it all the time but my brain just keeps going :(

I'm so sorry to hear about your loss, and it sounds like you and your husband are not on the same page right now, which can be frustrating. (That's actually quite common) You really need to keep the dialogue going with him, to make sure this resolves and you are both happy with the outcome. If you don't want to see a fertility doctor, but would like some support, you might want to check out our online forums: There are a lot of women there ready to share support and information. I wish you all the best. Claire

Hi there!. I am 43 years old. I am blessed with two children. my daughter is 19 years old and my son is 15 years old..My husband & I wish to have 1 more baby...I was diagnosed of Endometriosis...can i still conceive? pls. cycle is regular. God bless to all

I would suggest you have a fertility workup. As you probably know, getting pregnant naturally at 43 is not going to be as easy as it was when you had your son 15 years ago. And endometriosis can complicate it. Let me know if you would like a referral to a fertility doctor. You can call our patient care advocates toll free at 855-955-2229 or email Best, Claire

hi I am a 50 year old and remarried my first huband died we had two beautiful children my second husband has never had children of his own and we would love to have at least one healthy active couple still get my mensral on a regular basis and had my tubes tied 17 years ago after a misscarriage

IVF is a fertility treatment that is successful for many women who have had their tubes tied. However, fertility clinics will genreally only treat women up to their early 40s, unless they would consider using donor eggs. If you'd like a consultation with a fertility clinic in your area to discuss these options, please call one of our patient care coordinators at 855-955-2229 or email at

Most fertility clinics have an age cut off for treating women with their own eggs, due to declining egg quality and quantity as we age. Unfortunately, success rates for IVF for women in their mid-to-late 40s is less than 2%. You can certainly get a second opinion - let me know if you'd like more information. Best, Claire

Hi, I'm 48 and have my tubes tied for 26 yrs. now. I remarried and we would like to have a child together. I saw an infertility doctor but he said I didn't have any eggs, and this was maybe 5 yrs ago. I have a normal cycle every month like clock work. I don't know what to believe. Is it possible that I do have eggs? My husband doesn't want a donor because the child wouldn't be only our DNA, which I understand. But we still are praying to get pregnant and hoping for a miracle. Please advise, thank you

Hi everyone! I got pregnant naturally after 40, giving birth at 41 and 44 years of age. I am now an advocate for women on the journey of motherhood after 40, from fertility to parenting. I disagree that it is "rare" for women to conceive naturally after 40: I've heard from countless women who've done so, a few even right up to the age of 50; and there's some recent research suggesting that fertility statistics for women over 40 may be negatively skewed (Google Atlantic Monthly magazine). However, I completely agree with seeing your doctor if you're over 40 and wish to get pregnant. You should also consider methods of enhancing your fertility naturally. Here's a ref. article that outlines some natural therapies:

We have just turned 44 with my husband and we are about to start ivf . I have a son 20 from my previous relationship and my husband has recently told me that he has a 10 yr daughter and that makes him to have 3 kids from his relationships. I would love to have a child with him. We have been married for 11 yrs now but he has soft erection due to his diabetes and I am not getting my menses regularily .After hearing all the positive stories of older women falling this site I a willing to try.

Hello so glad I found this site. I will be 40 in August an my husband just turned 42. We both have chidlren (18,13) for him and (12, 4 yr old twins) for me. Last night he voiced how much he would like to have a son as his other children are girls, but he feels that he is getting old. This site really gives me hope that there is chance we can still conceive naturally. My cycle is currently here,,,, so this will be our first month trying. Good Luck to everyone!

Hi, me and my 27 year old husband has been trying to conceive for 3 months now. But no success. I believe I have a blocked left fallopian tube and a small fibroide, HOWEVER I GET MY PERIOD EVERY 27 DAYS. Oh p.s. right now I'm currently overweight. I am 5"8 at 212 pounds. I was 236 pounds and lost 24 pounds. Does being overweight effect my chances of getting pregnant at 43? Or should I just shoot for IVF regardless of weight?

Hi Precious, Both age and weight could be an issue here, but only a fertility doctor can tell you for sure. Give us a call at 1-855-955-BABY (2229) or email and we will gladly help you find some treatment options near you. Best, Kim

45 years old, 46 yrs soon had a tubal 18 yrs ago. My husband and I would like to have a baby. I wold like to know what the best chance for us to have a baby would be Invetro whith my own eggs, or tubal reversal.

Hi Alicia, It is difficult to say whether you will be a candidate for IVF or tubal reversal and if you can use your own eggs. Your best bet would be to consult a fertility doctor. Give us a call at 1-855-955-BABY (2229) or email and we will help you connect with a fertility doctor near you. Best, Kim

I am 57 years old and my wife is 41. We have been tring to get our own baby naturally for the past one year. What are our chances, her circle is normal

Hi Nduka, It would be best for you and your wife to consult a fertility doctor. The doctor will perform a complete evaluation including blood work to check hormone levels and ultrasound. Many fertility doctors recommend that a woman use donor eggs after the age of 42, but this really depends on her ovarian reserve. If you would like to connect with a fertility doctor near you, give us a call at 1-855-955-BABY (2229) or email and we would be happy to assist! Best, Kim

my partner and I have been going to fertility the last 5 months now they have all failed, I just got my next period why won't my egg open up. and I am nearly 43yrs old and really would like another baby my partner has never had children I have a 20 yr old daughter to a previous relationship.

Hi Karen, After several failed cycles of fertility treatment, you might consider a second opinion. Give us a call at 1-855-955-BABY (2229) or email and we can help you connect with a fertility doctor near you. Best, Kim

Hi Im a lady and 40yrs now, I started to try falling pregnent since 25yrs and know good results always doctors telling me that there is nothing wrong with me, now i decided to do IVF and now the doctor tell me that im over 35yrs and my hormones blood results are 0,16, and can make a child is there any other option that i can take i dont want an egg donor.

I already went to 2 doctors who said the same things times running out I need to be a baby oven donor sperm and eggs hubbies sperm count very low my overies are not in great shape this sounds costly is there anyway to avoid the high cost and chance of being let down if I do go though with this I have 2 frown children I their twenties but I just want another so badly so does my hubbies leas can anyone offer some advice for me so confused family members think I nuts to want this army age help

I am 42 and have had my tubes tied for 8 years. I have started seeing a man and things are going great. He is younger than I am by 8 years and has asked if I would be willing have one more. I really want one more and have before I started seeing him. I am not sure if reversal would be worth it or if we should just go straight to trying IVF. I know that I want to do this before I turn 45. Any suggestions

Hi Scarlette, Your best bet is to consult with a fertility doctor to see if you are a candidate for tubal ligation reversal or IVF. Give us a call at 1-855-955-BABY (2229) or email and we will help you connect with a fertility doctor who specializes in tubal reversal. Best, Kim

I am a 44 years od, had 2 IVF with no luck. I m about doing the third one but wit an egg donor. I have 3 questions: 1- what is the difference in my case if we use my husband's frozen sperms or it is better to use fresh once. 2- for the high cost of this procedure and because I m out of money what is the chance of getting pregnant if I am sharing the eggs with other recipient versus not sharing. 3- what are my chances in both cases, I m desperate to have a child.

Hi Rosy, Does your husband have male factor infertility? There isn't much of a difference between using fresh or frozen sperm, though I believe fresh is preferred. You can definitely do a shared donor egg cycle to save some money. Any time you use frozen donor eggs over fresh, you save money and time. A fertility doctor could tell you the odds of you getting pregnant. We actually know several fantastic fertility doctors who specialize in egg donation. Give us a call at 1-855-955-BABY (2229) or email and we can help you connect. Best, Kim

please help me how to have a baby so soon, my menstration is normal, then my husband is diabetes,can i bear a child?

Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You obviously know what youre talking about, why throw away your intelligence on just posting videos to your blog when you could be giving us something informative to read?


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