Fertility Treatments for Older Women: Myths and Realities

The relation between age and fertility

The world is changing constantly. One of the newer societal trends is that of more women choosing to have children later in life. To cater to this societal shift, fertility treatments for older women have become increasingly important and relevant. However, it is significant to recognise that this area is also clouded by myths and misconceptions. Understanding the realities of fertility options and outcomes is essential for women over 35 who are considering starting or expanding their families. Let’s take a look at a few of the prevalent myths.

“Fertility treatments can completely reverse age-related infertility”

This is an incorrect assumption. While fertility treatments can improve the chances of pregnancy, they cannot and do not entirely overcome the natural decline in fertility that comes with age. A woman’s egg quality and quantity begin to decline more rapidly after the age of 35. This is even more pronounced after the age of 40. While treatments like IVF (in vitro fertilisation) can help, success rates tend to go down with age. For example, IVF success rates for women over 40 using their own eggs are significantly lower compared to those under 35.

“Using fertility treatments guarantees a baby”

The inescapable truth is that there are no guarantees with fertility treatments at any age. The success of assisted reproductive technologies (ART) depends on several factors, including age, overall health and the underlying cause of infertility. While donor eggs increase the chance of success for older women, there are quite a few obstacles in the way such as implantation failure or miscarriage.

“You can just freeze your eggs and wait until you’re ready”

While it is true that egg freezing is invaluable for preserving fertility, it’s most effective when done earlier—ideally before the age of 35. While it offers a backup option, it does not guarantee a successful pregnancy later in life. Also, not all frozen eggs survive thawing or result in viable embryos.

“Fertility treatments are only about having a baby”

While this is the common perception and belief, fertility care often includes holistic evaluation and support. Hormone levels, uterine health and even lifestyle factors like stress, diet and weight are assessed and managed. Many clinics now also include mental health support, recognizing the emotional toll the process can take, particularly on older women.

What are the options for older women?

For women over 40, several options are available. These include:

• IVF with own eggs: Still possible, especially in the early 40s, but with reduced chances of success.
• Donor eggs: Offers much higher success rates as egg donors are typically in their 20s.
• Embryo adoption: Using donated embryos from other couples.
• Surrogacy: Especially useful when uterine health is compromised.

The hope of motherhood

Thanks to advancements in fertility treatments, hope abounds for older women to conceive, but age remains a significant factor in determining success. It’s crucial to break the myths and make informed decisions based on medical facts and personal goals. Consulting a reproductive endocrinologist early is invaluable in assessing fertility potential and exploring appropriate options. It is vital to keep expectations realistic and plan carefully for a successful outcome.