More Americans are waiting longer than ever to start families. In fact, birth rates among women in their early 30s have surpassed those of women in their late 20s for the seventh straight year in 2022. The number of births among women aged 40 and older is also on the rise, government data shows. This trend challenges the long-held belief that getting pregnant becomes nearly impossible or too risky with age. However, fertility specialists say the truth is more layered. To understand it better, we spoke with Dr. Akta Bajaj, Obstetrics & Gynaecology, Ujala Cygnus Group of Hospitals, who helped clear up some of the biggest misconceptions.Can Age Really Affect Your Fertility?For many years, experts have blamed declining egg quality as the main reason for reduced fertility with age. But new findings from UC San Francisco and the Chan Zuckerberg Biohub San Francisco suggest that there’s more to it. The study, supported by the National Institutes of Health (NIH), reveals that the cells and tissues surrounding the egg also play a major role in how eggs mature and how fast fertility declines.According to Dr. Randi Goldman, Program Director of Reproductive Endocrinology and Infertility at Northwell, while fertility naturally drops with age, it’s a gradual change rather than a sudden one. Many women in their 30s are still capable of conceiving without assistance. Data shows that the odds of pregnancy in a single menstrual cycle are around 25% for women in their 20s, about 20% by age 30, and roughly 15% by age 35 — which Dr. Goldman notes is still quite reasonable.Myths Around Age and FertilityDr Bajaj told us that fertility comes with its own set of facts and myths, and she told us some myths around fertility that everyone should note:Myth 1: Fertility Declines Only After 35Fact: Fertility doesn’t suddenly drop at 35, it starts to dip slowly in the late 20s and early 30s. By the mid-30s, this decline becomes more noticeable, and after 37, it tends to speed up. While chances of conception decrease gradually, many women in their 30s still conceive naturally and have healthy pregnancies. It may take a little longer, but it’s often still achievable.Myth 2: Modern Medicine Can Reverse Age-Related Fertility DeclineFact: Treatments like IVF can improve the chances of pregnancy but can’t completely undo the effects of aging. As a woman ages, egg quality drops, which affects embryo growth and lowers IVF success rates. IVF relies on a woman’s own eggs, and if those eggs are older, embryos may not develop as well. Donor eggs can increase success rates, but no medical procedure can reverse the natural aging of the ovaries.Myth 3: Men’s Age Doesn’t MatterFact: Men also experience age-related fertility changes, though more slowly. Sperm count, movement, and DNA quality begin to decline after 40, which can make conception harder and slightly raise the risk of miscarriage or certain developmental disorders. The risk remains small but becomes more visible as men get older.Myth 4: You Can Always Freeze Eggs and Conceive LaterFact: Egg freezing gives women flexibility but is not a guaranteed path to pregnancy. Success largely depends on the age at which eggs are frozen. The ideal time is before 35 when eggs are typically healthier. Freezing eggs at an older age can result in fewer viable embryos and lower chances of success. It’s a helpful option, but not a sure solution.Myth 5: If You’re Healthy, Age Doesn’t MatterFact: Good health supports fertility but can’t completely overcome the effects of aging. Regular exercise, nutritious eating, and avoiding smoking or heavy drinking can help reproductive health, but they don’t stop the biological changes that occur in eggs and sperm as we age.In short, while age does play a role in fertility, it doesn’t mean pregnancy is impossible after your 30s. Experts agree that understanding your body and seeking timely guidance can make all the difference when planning parenthood later in life.
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