Find a Doctor
Age and the Fertility Question

Age and the Fertility Question


Many modern women are choosing to wait before starting a family, focusing first on attaining their educational, career, and personal goals before making the leap into motherhood. What many women don’t realize is that their age is one of the single most significant factors in their ability to become pregnant. Any woman who is free from reproductive problems and has not gone through menopause can conceive and bear children; however, as a woman’s age advances, her chances for reproductive success inevitably decline.

A woman’s fertility is at its peak when she is between 20 and 24 years old. As she gets older, the capacity to conceive begins to diminish, with the most substantial decline beginning at age 30. Between ages 30 and 35, a woman is 15 to 20 percent less likely to conceive. This trend continues with increases in age. The conception rate among women between 35 and 39 years of age is only 25 to 50 percent. A woman between 40 and 45 will likely experience a 50 to 95 percent drop in her ability to have children, with nearly half of any successful conceptions ending in miscarriage.

Very early in her development, a woman already has the full complement of eggs she will ever produce. The typical woman produces around a million eggs, but as she grows older, that number begins to decrease. It is reported that by the time a woman begins menstruation, only about 400,000 eggs remain that are viable for fertilization. By the time she reaches menopause, she may have only a few hundred eggs remaining in her ovaries. This decline in the number of eggs over time can significantly reduce a woman’s odds of achieving a successful pregnancy.

In contrast, age does not appear to affect the fertility of males to the same degree. Though their sperm counts may fall, their ability to fertilize eggs does not appear to be affected. Indeed, a man’s potential to father children well into the latter stages of his life is less likely to be influenced by age than by a loss of sexual desire. This may explain, in part, why there are not more sexagenarian fathers.

For couples deciding to become pregnant later in life, even the success of fertility treatments is influenced by age. Beyond her fortieth year, a healthy woman has an approximately 5 percent chance of becoming pregnant each month regardless of whether she relies on natural conception or fertility therapy. This is compared to a woman at age 30, who enjoys a 20 percent chance of becoming pregnant in any given month.

Either directly or indirectly, the success of conception is profoundly influenced by an individual’s age. It is a factor that should be taken into serious consideration by anyone who isn’t yet ready to have children but might want to start a family in the future.

Want More Information?

Contact a Doctor Near You.