Center for Reproductive and Fetal Medicine

A LOOK AT THE FERTILITY SCHEDULE

A LOOK AT THE FERTILITY SCHEDULE

Many women are born with all the immature follicles they will ever have - about 1 to 2 million. Only about 400,000 of these eggs remain at the beginning of menstruation, which occurs around the age of 12 years.

With each passing season, several hundred eggs are lost. Only the healthiest follicles will become mature eggs. Males, on the other hand, continue to produce new sperm for most of their adult life. As the body grows, it has fewer follicles. This means that the follicles have fewer opportunities to create healthy, strong eggs for fertilization. In adolescence, supply is strong, but in the late 1930s and 1940s it declined. However, this is a time when more and more people are trying to start a family.

Today, the average age of birth for the first time is 26.6 years. This age has been steadily increasing in recent years. Let's take a look at how the decision to wait can affect your fertility.

Ages 18 to 24 years

If there was ever a "better" time to create purely physically, it would be this. The strongest follicles in your body are the first to mature into eggs for ovulation, so the eggs you produce in your later years are more likely to be of high quality.
Having a child at this age will reduce the risk of:
-genetic defects
-chromosomal problems
-some fertility problems
Of course, while it is less dangerous to have children when you are 18 to 24 years old, it is not without risk. This chance of fertility, also known as fertility rate, will decrease in your lifetime. She is the strongest at this younger age. Between the ages of 20 and 30, the natural fertility rate each month is about 25 percent. This drops below 10 percent after the age of 35. Birth rates drop for women aged 18 to 24.

Ages 25 to 30 years

With each passing year, your chances of conceiving a child normally drop. But in the late 20's, your chances of getting pregnant without intervention remain fairly stable. In fact, couples under the age of 30 who are otherwise healthy are able to conceive 40 to 60 percent in the first three months of their effort, according to the Eunice Kennedy Shriver National Institute of Child Health and Human Development. After the age of 30, the chances of getting pregnant start to decrease every year.
If you have not started a family yet, do not worry!

Your body still has a generous supply of eggs to provide for you when the time comes. But if you are trying to conceive and have failed for at least three months, talk to your doctor. While most couples at this age will be able to have a baby without intervention, some guidance can be helpful.

Ages 31 to 35 years

In the early 1930s, the chances of having a baby were still high. You still have a lot of high quality eggs to offer, but your chances will start to decline steadily at this age. The fertility rate gradually decreases until the age of 32 years. At 37, it decreases dramatically. In your 30s, you are about half the fertility of the early 1920s.

Does that mean you can not have children if you are in your 30s? No way. In fact, 1 in 5 women nationwide has their first child after the age of 35, according to the National Institutes of Health. However, 1 in 3 couples in their 30s will experience some kind of infertility problem.

Ages 35 to 40 years

The biggest reduction. The chances of a woman in her late 30s being able to conceive without intervention are about half that of a woman in her early 20s. A 2003 review notes that 60 percent of couples in this age range will be able to conceive naturally within one year of starting their effort, while 85 percent will be able to conceive within two years.

However, at this age, the risks of chromosomal problems with eggs are higher. The risks increase with each passing year. This means that the risks of miscarriage or abnormal pregnancy are higher. This drop in fertility rates coincides with the decade of life when more people than ever are trying to start a family. From 2011 to 2016, the birth rate for women aged 35 to 39 increased each year. For women over 39, the birth rate is even higher.

Ages 41 to 45+

Birth rates for ages 40 to 44 increased by 2 percent between 2016 and 2017. The number of births for women 45 to 49 increased by 3 percent over the same period. In fact, the fastest growing rates of childbearing are in women 40 and older.

It is important to remember, however, that while more people give birth at this age, the overall birth rate in older parents is still much lower than in younger ones. This is partly because it is more difficult to get pregnant if you are pregnant
over 40 years. By this age, your body is preparing for menopause. Your ovaries may have depleted their follicles or are nearing the end of their supply. With each passing cycle, more will disappear. When you reach the early 50's, you will have almost no pockets.

Babies born to people in this age group are also at greater risk for certain genetic defects and complications during pregnancy. Elimination and chromosomal abnormalities increase significantly during this period of life.
Older age also increases the risk of complications for the parent, such as:
-Diabetes
-Hypertension
- Preeclampsia

Today, people are waiting longer to start families. Due to advances in fertility therapies, such as in vitro fertilization, these individuals often manage to achieve a pregnancy at a later stage. While your physical margins gradually close with your age, fertility treatments may be able to extend this period and even increase the chances of a successful conception.

* The content on this blog is not intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of qualified health care providers with questions you may have about medical conditions.

Center for Reproductive and Fetal Medicine

Effective doctor-patient communication is vital to providing high-quality health care. Any communication regarding your medical profile (getting results, instructions, answering questions, concerns) will be done directly with the doctor. This means no midwife or secretary will interrupt your conversations. Instead, if you call with any concerns, they will be there right away to address your needs. Contact us by calling 694 649 8771 or by completing the relevant Contact Form.

Dr. Alexandros Traianos

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REPRODUCTIVE MEDICINE

FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered proof that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "made it" at least once. On the other hand, however, we must be aware that things may have changed in the meantime and a problem may have arisen (e.g. the man may have suffered some inflammation, which affects the quality of his sperm or something has intervened that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.).

In any case, if a reasonable period of time (one year) passes and a couple is unable to achieve pregnancy, then they should, with the help of their doctor, investigate whether there has been a problem causing infertility.