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You Can Overcome Infertility.

Infertility treatment depends on its cause. There are primary and secondary types of infertility. Primary infertility is when a conception has never occurred. Secondary infertility is when a woman has difficulty conceiving after having conceived in the past (had a miscarriage or a successful pregnancy).

Infertility is common, and generally affects one in seven couples. Women become less fertile as they get older. Statistics show that about 94% of women aged 35 will get pregnant having regular unprotected sexual intercourse within three years of trying.  Of women aged 38, however, only 77% of them will do so.  Men's fertility remains high much longer.

Infertility causes:
about 30% are due to men’s problems, 30% are due to women’s health problems, 10% are combined men-women problems, about 25% of cases are unexplained, and the remaining 5% of infertility is attributed to other causes.

Fertility after 35.

Fertility rates begin to decline at the age of 35. They continue to decrease about 10% per month. A woman over the age of 35 who wants to conceive should consult a fertility specialist after only six months of actively attempting to become pregnant. After 35 the risk of abnormal pregnancy is higher due to an increased miscarriage rate and the incidence of genetic abnormality. At 35, the miscarriage rate is 25% and the risk of Down syndrome becomes about 1/350. Genetic testing in pregnancy is first recommended at 35. It is considered that the chance of picking up an abnormality in the fetus is greater than the risk of having the procedure needed to find it.

Fertility after 40.

After 40 there is a sharp decline in a woman’s ability to conceive.  The fertility rate per month is only about 5% and even with In Vitro Fertilization (IVF), the most successful infertility treatment available, the pregnancy rate is only about 10% per try. Why? Because the reduced number of normal eggs remaining in the ovaries means less chance of achieving fertilization.  Therefore, women over 40 who desire a pregnancy should seek help after only three months of trying to become pregnant.  The miscarriage rate is 33% at age 40. Genetically abnormal pregnancies are more common as well, with an incidence of 1/38 at age 40. To reduce the risk of genetic abnormalities, many women over 40 choose to use an egg donor to become pregnant.

Complications of pregnancy that increase with age include elevated blood pressure, gestational diabetes, premature labor and bleeding disorders such as placental abruption.

Fertility after 45.

It is difficult to have a pregnancy after the age of 45. It’s not impossible though, especially with help of modern technology.  According to the most recent statistics, women over 45 have less than a 1% chance of getting pregnant using their own egg. This is because virtually all of their remaining eggs are genetically abnormal. In most cases a successful pregnancy over the age of 45 is the result of an egg donation. Many high-profile women who have become pregnant in their forties, especially after the age of 45, did so with the help of donor eggs.

What are the risks of becoming pregnant after age 45? Statistics show that the miscarriage rate is at least 50% and the incidence of a genetically abnormal pregnancy of 1/12 in women over the age of 45. There is also a significantly higher risk of maternal and foetal mortality as compared to younger women.

It may seem that there are higher rates of multiple pregnancies in older women. This is due to the fact that older women are more likely to seek treatment for infertility and these treatments have higher incidences of multiple pregnancies than natural conception, especially when donor eggs are used. In fact, it is much harder to get pregnant with only one baby as a woman ages. The chances of a multiple pregnancy with a woman’s own eggs is even less. Nearly every woman over the age of forty who delivers more than one baby did so with the help of an egg donor.

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