Facing The Challenges of Being Pregnant After Age 35

Women today often put off starting a family until careers are established or after they pursue educational objectives. Delaying parenthood until age 35 or after can bring with it many challenges including perhaps infertility: reproductive issues as a result of age, or for other fertility issues. Other conception challenges include uterine disorders that need to be addressed, and the fact that as we age we tend to be at higher risk for the development of more diseases, some of which can affect the ability to conceive.

Age-related challenges to conceiving after age 35 are not just about egg and sperm quantity or quality. Many factors can have an impact on the couple's ability to successfully become pregnant including prior infections and surgeries, endometriosis, uterine disorders or the presence of uterine fibroids. As a woman ages she also experiences a decrease in cervical fluid which changes the environment for sperm, which can effect her fertility. A woman over age 35 is also more likely to have high blood pressure or have been diagnosed with diabetes. The risk for having a miscarriage also increases as the woman ages due to the increased probability of chromosomal abnormalities. Statistics show that women who are between the ages of 35 and 45 have a miscarriage rate of 20 to 35%.

The woman over age 35 can increase her change for successfully conceiving by following the guidelines below:

She can schedule herself for what is called a, "pre-conception appointment". This is a very important opportunity to assess her general physical condition and her body's preparedness for conception and for the ability to carry a pregnancy to term. Her obstetrician/gynecologist can review her medical history, go over the current medications (non-prescription, prescription and street drugs), she is taking, and diseases status, and her current lifestyle. A thorough physical examination will give the doctor a good idea of the health condition and her reproductive condition by conducting an internal examination. A woman who takes note of her current physical, mental and emotional readiness to conceive and is willing to make any necessary improvements or changes is much more likely to successfully conceive.

Conception is more likely if any current diseases are under control, if her body is in good health, if she is of optimal weight for her height, if she is mentally and emotionally stable and if she has a support system that is healthy and stable.

Women in their 30s and 40s can successfully become pregnant and carry healthy babies to full-term. It is important for them to understand the conception process, to be as healthy as possible before trying to conceive, to take prenatal vitamins at least one to two months prior to conception for maximum health benefit for both mom-to-be and the future baby, and to educate herself and her partner concerning her ovulation cycle and the best time to conceive. Her gynecologist can help her to learn her ovulation cycle and there are also many ovulation kits on the market today which can also help her to pinpoint the days in her cycle that she is most likely to conceive.



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