Can I Get Pregnant In My Forties
This is a question that, if you have found this page, you may be asking of yourself and indeed, I also wondered this. I spent a long time investigating this issue when it came into my mind that at the age of 43, I was finally ready to have a child.
Whether it is your first child, or you already have a child or children from a previous or current relationship, the issue is the same: is it too late to have a child in your 40s?
For me it was a case of not really being too bothered about having children when I was in my 20sI was too busy working, having fun and travelling.
In my 30s, I did think about it briefly when I was in a stable relationship, but it turned out not to be the right time and ultimately the relationship ended.
When I was in my early 40s, and was still not in a relationship, I suddenly had a big urge to have a child and wondered if I had left it too late. I did a lot of investigating and started trying for a child at 43.
Start A Supplement Programme
Although a healthy diet is the best way to gain nutrients, a basic vitamin supplement programme particularly one that contains folic acid and vitamin D can help ensure you get what you need.
‘Supplements should be a vital component of a womans conception plan they complement a healthy, balanced diet,’ says Kate Davies , an independent fertility nurse consultant and director of Your Fertility Journey. ‘I recommend the BetterYou Conception Oral Spray to all my patients as it includes essential folic acid, vitamin D and other important vitamins and minerals for optimising good fertility.’
NHS advice is to take folic acid if youre trying for a baby or are pregnant, up until your 12th week of pregnancy. Folic acid is the man-made version of folate, which is essential for healthy red blood cells and to help your baby grow normally, but it’s not suitable for everyone so check with your GP first.
See No. 26 for what you need to know about Vitamin D.
Improve Your And Your Partners Habits To Increase Your Chances
When youre trying for a baby, your partners little swimmers are just as important as your ovulation cycle. There are surprising factors that can negatively impact sperm quality and quantity. As you start to be more mindful of the food and drinks you put in your body, ask your partner to stop smoking and reduce alcohol intake as well, because both can affect sperm quality and function. Also, ask your partner to pay attention to where he keeps his mobile phone. Several medical studies have found that men who kept their phone close to their testicles can have poor sperm count and quality.
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Try Some Recommended Positions
When it comes to the best penis-in-vagina position to get pregnant, it can be hard to separate real advice from myths. But Dr. Williams says the following tips may be worth a try:
- Lie on your back after sex. “Because the vagina naturally slopes downward, resting on your back after sex allows sperm to pool there, which gives them an edge in swimming toward your egg,” says Dr. Williams. Should you keep your legs elevated, too? It can’t hurt, he says, but it probably doesn’t help any more than lying down does.
- Have sex before bed. Though some sources report that sperm count is highest in the morning, the truth is that there’s no optimal time of day to have sex in terms of sperm count. However, having sex before you hit the hay is an easy way to ensure you stay on your back afterward.
- Keep it vanilla. While there’s no single sex position that’s best for conceiving, try sticking to one where you’ll be on your back when it’s over.
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Fertility Treatments After 40
Research has shown that assisted reproductive technology is less effective after age 40, and the rate continues to fall as you get older. For example, intrauterine insemination success rates can be as low as 5% for women in their 40s.
In vitro fertilization has slightly better success rates for older peopleabout 15% per cycle. Still, this rate is not as good as it is for younger people.
The percentage of live births per IVF cycle for women over 40 is only 5.8%.
Egg donation may offer the best chance for someone who wants to get pregnant after the age of 40. In this process, a person can become pregnant using a donated egg that has been inseminated with the sperm of their partner or a donor.
The success rates for IVF using a donor egg can be upwards of 35% in cases of diminished ovarian reserve . While the success rates are encouraging, using an egg donor means that the person who becomes pregnant won’t have a genetic connection to their child.
The decision to use an egg donor can be difficult to make. Some people will consider the option and decide it’s not the right choice for them.
The process can also be costly. The price tag may prevent some people from using egg donation services to become pregnant.
Take A Prenatal Vitamin
Pavone recommends that women who are attempting to conceive start taking a prenatal vitamin even before becoming pregnant. This way, a woman can find one that’s more agreeable to her system and stay on it during pregnancy, she said.
Another possibility is to take a daily multivitamin, as long as it contains at least 400 micrograms per day offolic acid, a B vitamin that’s important for preventing birth defects in a baby’s brain and spine, Pavone said.
TheCenters for Disease Control and Prevention urges women to take 400 mcg of folic acid every day for at least one month before getting pregnant, to help prevent birth defects.
Getting a head start on folic acid supplementation is a good idea because the neural tube develops into the brain and spine three tofour weeks after conception occurs, before many women may realize they’re expecting.
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In Vitro Fertilization :
If IUI is not recommended or was not successful after several cycles, your reproductive endocrinologists will likely recommend progressing to IVF. IVF has become the gold standard of fertility care and boasts the highest success rates per cycle of any Assisted Reproductive Technology . It successfully eliminates many female and male factors that may be contributing to your inability to conceive.
Women who switch from IUI to IVF sooner or begin with IVF get pregnant quicker than those who stick or start with IUI. found that undergoing immediate IVF resulted in superior pregnancy rates with fewer treatment cycles compared to those who did two rounds of IUI before switching to IVF. While the immediate IVF group got pregnant quicker, the overall success after up to 6 IVF cycles was similar.
During an IVF cycle, eggs are removed from the females ovaries and fertilized using partner or donor sperm in a laboratory . Embryos are allowed to develop for several days at which point, one embryo is transferred back into the womans uterus. IVF is used in conjunction with many different medication protocols to produce more eggs, higher quality sperm, embryos, and improve the uterine lining.
Therefore, if IVF is not successful after several cycles and egg quality is believed to be a likely cause, your reproductive endocrinologist will likely suggest using an egg donor.
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Learn Your Family History
Find out how easily your female relatives got pregnant and if there’s a family history of hereditary medical conditions. “If you or your partner have Jewish, French Canadian, or Hispanic ancestry, for example, or a family history of Down syndrome, you may want to seek genetic counseling before trying,” says Steven R. Bayer, M.D., reproductive endocrinologist at Boston IVF fertility clinic in Boston. “It’s much better to find out if you’re both carriers of complications like cystic fibrosis before you conceive.”
Benefits Of Having A Baby After 40
While having a child when you’re older comes with challenges, there are also some unique benefits to being a parent later in life.
Some possible benefits of having a baby after 40 include:
- You might be more emotionally prepared. Being older does not always equate with maturity, but many people feel more emotionally settled by this point in their life. If you’re in a supported, strong, emotional place, you’ll be better prepared for the ups and downs of pregnancy, birth, and child-rearing.
- You might have more financial stability.After several decades of working, saving, and investing, the cost of raising kids might not feel as overwhelming as it did when you were younger.
- You might be more ready to focus on family. By midlife, you’ve probably checked off a lot of goals, from education and career to travel and forming lasting relationships with others. You may feel free to be more focused on building a family. You might have a home of your own or at least be settled into a community that you care about. If you have a partner, you’re hopefully feeling secure and stable in your relationship and are excited about parenting with them.
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Positions Orgasms And Lube
There are a lot of myths about sex, fertility, and how to make pregnancy more likely. Some of these recommend different positions or keeping the hips elevated after sex for a period of time.
Others claim that if the woman orgasms , conception is more likely. Unfortunately, there are no studies that support these claims.
The one thing you should think about is your lubricant. Certain products can decrease sperm motility and viability. These are important when trying to get pregnant.
Youll want to avoid:
- Astroglide
If you need to use a lubricant, try:
- Pre-Seed
These products wont interfere with your partners sperm.
Are My Eggs Bad After 40
All women have a percentage of eggs that are genetically abnormal. This means that even if those eggs are fertilized, the pregnancy will not end in a live or genetically normal baby. The percentage of normal eggs a woman has decreases as she ages. At age 25, a woman has approximately 75% normal eggs. By age 35, that number drops to around 45%, and by 40, its around 20-30%. This is one reason why most physicians recommend genetic testing for conditions such as Trisomy 21 in a pregnancy over age 35.
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Schedule Your Annual Exams
In addition to your Pap smear, mammogram , and regular physical, make sure to visit the dentist regularly for cleanings. Certain infections may not be treatable while you’re pregnant and could result in reproductive delays. “Some people believe that gum disease may cause more complications later in pregnancy,” Dr. Pagidas says.
Getting The Timing Right
The best way to increase your odds of getting pregnant quickly is to make sure that youre having sex at the right time in your cycle.
If you have regular cycles, you will ovulate around two weeks before your period. This means your fertile window will be the seven days before your expected ovulation.
If you have irregular cycles, it can be a little more difficult to predict when you will ovulate and when your fertile window will be.
There are a number of techniques that you can use to more precisely pinpoint your ovulation and fertile window.
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How Many Eggs Does A Woman Have At 40
When girls are born, their ovaries contain all the eggs they will ever have about a million in total! This number declines as they age. Women lose about 30 immature eggs a DAY! This means that by the time a woman reaches puberty her ovaries contain 300,000 eggs by age 30 shes down to 100,000. Estimates say that by age 40 women only have about 20,000 eggs remaining.
Ovarian reserve can be tested by a physician with a blood test called the Anti-Mullerian Hormone. AMH is a hormone produced by the follicles in a womans ovaries where egg cells develop, and it declines through a womans reproductive lifespan. The lower a womans AMH number, the fewer eggs remain in her ovarian reserve.
However, its important to remember that a womans AMH test results are just one piece of data that her doctor will look at when discussing her fertility health. They dont tell anything about the quality of the remaining eggs.
Use An Ovulation Predictor Kit
When I was trying to get pregnant, I found a home ovulation predictor kit to be the best way to time sex to improve our chances of conceiving a baby. Even though I was a 42 year old woman, I didnt know when I was ovulating or how to measure my basal body temperature which many fertility experts recommend. I found the ovulation predictor kit to be much easier.
An ovulation predictor kit measures luteinizing hormone or LH surges, and helps you know when to have intercourse. Ideally you should have sex the day before you ovulate in order for the sperm to meet the egg and happily join for a healthy pregnancy.
Another type of home ovulation predictor kit is the Ovulation Fertility Scope Saliva Based Lady Q Microscope that looks just like a lipstick tube. But this is no tube of red paint! This fertility scope is a precision, state-of-the-art, hand-held mini-microscope.
You simply look at your dried saliva through the Lady-Q, and youll accurately determine your fertile period. All you have to do is lick the Lady-Q lens, allow your saliva to dry for 2 to 3 minutes, and then read the result. This ovulation monitor is a fertility test that can be done confidently anytime and anywhere. Youll get accurate and in-depth test results for your baby-bearing period and ovulation period.
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Can You Get Pregnant Naturally At 43
Female fetuses have over six million eggs in their ovaries while still inside their mother’s uterus. When a fetus is about five months old, her eggs start disintegrating. At birth, girls typically have about two million eggs in their ovaries. Atrophy of eggs continues throughout puberty, leaving women of reproductive age with around 300,000 eggs. During the final years of perimenopause , many of a woman’s remaining eggs cannot be fertilized because they are not viable. In addition, some of these last few eggs have begun atrophying. That’s why the chance of miscarriage or having a child with a chromosomal disorder increases significantly for women in their 40s. Enhancing fertility with ovulation induction, IUI or IVF are three popular assisted reproductive technologies older women to rely on to get pregnant.
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Maintain A Healthy Lifestyle
In addition to taking those prenatal vitamins, opt for a balanced diet. Youll want to plan on eating several servings of fruits and vegetables every day. You should also up your calcium intake.
Making smart choices about how you fuel and care for your body can set you up for conception and pregnancy.
Stay away from processed meats during this time. Youll find pre-packaged meats are loaded with extra sodium and preservatives.
Fresh meat and produce, on the other hand, are packed with great vitamins and health benefits. Eat fish in moderation and choose fresh whenever possible.
In addition to your healthy diet, youll want to exercise regularly. Getting fit and staying strong will help prepare your body for the stress of pregnancy and labor.
You dont have to join an aerobics class to reap the benefits. You can easily get your heart rate up and some quality health benefits from a simple walk after dinner.
Its worth mentioning a few other items youll want to give up during your journey to try to conceive. Some of them may be more difficult than others, but theyll make for a healthier pregnancy and may make conception easier.
Getting and staying healthy also means managing any existing health conditions you might have. Diabetes, high blood pressure, polycystic ovary syndrome, thyroid conditions, and autoimmune diseases can make conceiving and pregnancy difficult.
You may even be on medication thats contraindicated for pregnancy.
