Wednesday, February 6, 2008

Infertility Options for Older Women

As men and women continue to marry and have children later in life because of social and financial reasons, they may pay the price by being unable to conceive and have children. As there is a decrease in fertility with advancing age, women over 35 are at a higher risk for miscarriage and other gynecological problems.

A woman’s fertility declines gradually over her life span. Although there are occasional occurrences of pregnancies in women in their late 40s and older, most women lose all fertility by age 45. There is a noticeable difference in the fertility of a woman at age 20 compared to a woman at 30, and an even noticeable decline in fertility in women between ages 35 and 40. This occurs because a woman’s eggs age as she ages. Most women start with 300,000 eggs at puberty, but by the age of menopause (50-55 years) only a few thousand eggs remain. These eggs are older, thus making fertilization and implantation less possible. In addition, the older the woman, the greater the risk for miscarriage, chromsomally abnormal children, and other medical problems associated with pregnancies and deliveries.

However, with modern technology older women have more options and success at conceiving. Although they usually do not respond as well as younger women to in vitro treatment (IVF), clinics are continually improving the success rate of IVF treatment in older women. Some clinics recommend assisted hatching, blastocyst embryo transfer, and preimplantation diagnosis.
Other fertility treatments include egg donation, embryo donation, and surrogacy. Egg donation allows implanting a younger woman’s egg in your uterus.

This is particularly popular for older women and has a higher success rate than fertility drugs and other implantation methods. Embryo donation is used if the male partner also has a fertility problem associated with his sperm. If pregnancy is not possible, a surrogate may agree to become pregnant and carry your baby using your partner’s implanted sperm. Whatever the fertility problem, technology has found a way to treat it. Older women now have many options available to them to fulfill their dream of having children


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