Pregnancy after 40

We have reached a point where there is a conflict between the age to be a mother in our current society and the biological age to be a mother.

Although it sounds crazy, from a biological point of view, a woman is ready to become a mother after one year with regular menstruation, around the age of 16.

Her fertility remains intact until she is 27 years old, when she begins to drop a bit and from the age of 35, her oocyte quality drops drastically. However, at the age of 16 we are still in school and we are neither psychologically nor financially prepared to start a family.

Between developing a professional career, having emotional and economic stability and looking for a partner (the one who wants it) we consider being mothers at thirty-something.

In recent years, with the development of assisted reproductive techniques, it is possible that many women seeking to become pregnant over 40 years of age will achieve their goal.

Thanks to treatments such as in vitro fertilization, the probability of pregnancy is increased, when there is still an adequate ovarian reserve, however, if the ovarian reserve is very low, egg donation can be used to achieve your pregnancy goal.

Donors are healthy, young girls who donate their eggs to reproduction centers for use by women with fertility problems. These eggs are fertilized in the laboratory and later the best quality embryos are transferred to the patient, increasing the success rate compared to IVF with own eggs. In this way, many women manage to fulfill their dream, to be a mother over 40.

It is also possible to “cheat” the body by vitrifying (freezing) the ovules at ages with the highest reproductive potential (25-30 years), that is, ages when the ovarian reserve is high, in order to subsequently search for pregnancy through an IVF process.

With vitrification you avoid having to resort to egg donation in the future and thus be able to carry out a fertility procedure with your own oocytes to transmit your genetic descendants.

However, with the vitrification of eggs at young ages or egg donation we solve the problem of infertility related to the ovarian reserve, but we do not eliminate the possible risks derived from age in relation to pregnancy, such as gestational diabetes, and arterial hypertension, among the most frequent.

Regarding risks for the baby, the following may occur:

  • Congenital anomalies such as Down Syndrome, presenting greater risk when fertility procedures are performed in women over 40 years of age with their own ovules, therefore, diagnostic tests such as double marker, amniocentesis or villus analysis are recommended in these patients chorionic to make an opportune diagnosis of chromosomal alterations in the 1st. quarter.

  • Cesarean section, premature birth and spontaneous abortion are types of complications that will also increase as the age of the woman increases.

  • All this can also occur in women under 35 years of age, however, the risk will increase the older you are.

The psychological part is also affected in an important way, since there are many questions about whether we will have enough tolerance to educate a baby, if it will be possible to enjoy a child and be able to see him in his adult stage, if they will have the energy necessary to be able to enjoy together with him the games and pleasures of each stage of his life.

In Vitro 40

It is natural

There are many doubts and uncertainty about what it means to be parents after a certain age, so it is important once you decide to be parents at 40 to seek psychological advice.

“At CREAFAM, apart from having qualified specialist doctors in the field of reproduction, we provide you with psychological support so that both you and your partner accompany you on this path, whether it is managing the stress that assisted reproduction treatments confer, managing emotions , help to be prepared so as not to abandon the treatment when there is still hope of obtaining the expected result, and finally prepare them for the arrival of a new being in the family, no matter how old you are, come with us and we will know how to understand and support you in this important decision in your life as it is to have a living and healthy child at home.”
Dr. Arturo Valdés
Dr. Arturo Valdés
Reproductive Medicine and Gynecological Endocrinology
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