23 Jun 2014

Getting pregnant after 40


If you've put off pregnancy because of work or relationship concerns or because you simply weren't ready, you may feel like the woman on the 1980 cartoon who laments, 
"Oh my God, I forgot to have children!" There's no denying your odds of getting pregnant are now far lower than just a few years ago. After 45, experts say, it's almost 
impossible to get pregnant using your own eggs. At the same time, many 40-plus women do get pregnant, some using fertility treatments and some not. And recent studies 
have shown there may be benefits to waiting to have children, for both you and your child. No matter how old you are when you get pregnant, you'll find your timing has both 
advantages and disadvantages. We checked in with fertility specialists, financial consultants, relationship gurus, and 40-something moms to provide a realistic picture of 
what it's like to have a child in your 40s. the greatest advantage of waiting to have children is that you've had time to grow and to see the world; you're presumably more 
secure financially and more comfortable in your career. You and your partner have had the chance to get to know each other in a variety of circumstances, which will provide 
a solid foundation for raising a family. There's some evidence that older mothers, who are, in general, better educated than young mothers, make wiser parenting decisions. 

They're more apt to breastfeed and, according to one recent study published in the Journal of the American Dietetic Association, to make healthier nutritional choices such 
as opting for whole fruits rather than sweets or sugary drinks. The biggest downside to putting off pregnancy until your 40s is significant: It's harder to get pregnant the longer 
you wait. The principle reason: a woman's egg supply decreases significantly as she ages and any eggs that remain are more likely to have chromosomal problems that 
raise the risk for miscarriage and birth defects.
There's a big difference in egg viability between the early 40s and the mid- to late 40s. "There's a steep drop in fertility in the 40s," says Julia Johnson, chair of the 
reproductive endocrinology and infertility department at the University of Massachusetts. "Your odds of getting pregnant at 41 are much better than they are at 43."
A recent study in the medical journal Fertility and Sterility confirms Johnson's point. Researchers found that 40-year-old women treated for infertility had a 25 percent chance 
of achieving pregnancy using their own eggs. By age 43 that number dropped to 10 percent, and by 44 it had plummeted still further, to 1.6 percent. Among women who did 
get pregnant, the miscarriage rate was 24 percent for 40-year-olds, 38 percent for 43-year-olds, and 54 percent for 44-year-olds.
Fertility expert James Goldfarb says that in his 30 years on the job, he has never seen a woman get pregnant with her own eggs after age 46. "It's like buying a lottery 
ticket," he says. "Yes, someone wins every once in a while, but you shouldn't bank on it."
Using a donor egg boosts the odds of getting pregnant considerably, and according to Goldfarb, that's how most of the older celebrity moms are doing it whether they admit 
it or not. "The fact that they don't talk about it openly does a real disservice to other women," he says. "We get at least one patient a month who comes in with the false 
hope that she can get pregnant using her own eggs." Pregnancy complications are another concern. In your 40s you're far more likely to develop problems like high blood 
pressure and diabetes during pregnancy, as well as placental problems and birth complications. Women over 40 have a higher risk of delivering a low-birth-weight. Stillbirth rates are also higher, and studies show that children born to older mothers may be at increased risk of type 1 diabetes and high blood pressure (though this 
association isn't strong).And don't forget about your partner. Although men are physically capable of fathering children in their 60s and even their 70s, sperm quality 
deteriorates with age, and there's a higher rate of genetic defects than there is with the sperm of younger men. In recent years clinical trials have suggested links between 
the father's age and genetically related conditions such as Down syndrome and schizophrenia.All these downsides can be disheartening but don't forget that some women 
do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. And while older mothers may be at higher risk for negative 

pregnancy results, the overall number of such incidents is low. One more caveat: While there are financial advantages to waiting to have children, there may be liabilities as 
well. "If you wait, you're likely to have to continue working to an older age, for one thing," says Marnie Azner, a financial planner in Morris Plains, New Jersey. "You'll still 
have financial responsibilities at a time when many of your friends are beginning to retire. If you haven't been putting aside money for retirement up until now, it's going to get 
even harder to do so after you have children. Other things become more expensive too, like life insurance and healthcare. Finally, if you have trouble getting pregnant, the 
cost of fertility treatments can really add up". About half of women over 40 have fertility problems, according to the American Society for Reproductive Medicine (ASRM). 

Once you pass 40, time is pitiless. You have about a 5 percent chance of getting pregnant in any single ovulation cycle, according to leading fertility specialist Sherman 
Silber, director of the Infertility Center of St. Louis at St. Luke's Hospital in Missouri and author of four best-selling fertility books, including How to Get Pregnant. At 40 your 
chance of conceiving within a year of beginning to try is about 40 to 50 percent, compared to a woman in her mid-30s, who has a 75 percent chance. By age 43, a woman's 
chance of pregnancy plummets to 1 or 2 percent. Why the steep drop-off? Silber says it's all about the eggs. From the time you reach puberty, with your eggs numbering 
between 300,000 and 400,000, you'll lose about 13,000 eggs a year. Over the years this steady drop in egg supply will leave you with about 25,000 eggs by age 37. At 37 
comes a precipitous drop in fertility. "By age 43, you're really at the end of your egg supply," Silber says, "and your chances of pregnancy are slim."
Miscarriage rates begin to skyrocket in your 40s as well. From age 40 to 44, the rate is 35 percent, and it rises to more than 50 percent for women 45 and older (compared 
to 10 percent at age 20 and 12 percent at age 30). After age 40, the risk of pregnancy complications, such as high blood pressure and diabetes is twice as high as it is for a 
woman in her 20s. The odds of genetic problems also jump as you get older: At 40, your chance of carrying a child with Down syndrome is one in 100; at 45 it's one in 30. 
Since risks of genetic problems increase in this age group experts routinely recommend detailed fetal screening such as advanced ultrasound, amniocentesis, or chorionic 
villus sampling during pregnancy for women this age. Mothers over 40 also have a 48 percent chance of having a cesarean (versus about 30 percent for mothers in their 20s) 
as a result of delivery complications. Incidents of low-birth-weight and stillborn babies are higher as well. One very positive fact on your side: There's no better time in history 
to try to get pregnant as an older mother, given the range of new assisted reproductive technologies (ART) methods now available. While in vitro fertilization (IVF) success 
rates fall significantly after age 35, the chance of success using donor eggs remains high, with a pregnancy rate of about 50 percent. For women in their 40s whose eggs are 
donated by a woman in her 20s or 30s, the risk of miscarriage and chromosomal problems is consistent with the age of the egg donor. Age aside, to give yourself the best 
chance for a normal pregnancy and a healthy baby, you should consider taking a few important steps before heading down the road to conception. 

Read some tips to help 
you prep for pregnancy. If you're in your early 40s, your healthcare provider will likely advise you to wait until you don't get pregnant after having frequent (about two or three 
times a week) unprotected sex for  six months before referring you to a fertility specialist. Others advise seeing a specialist right away particularly if you know of specific 
reasons you may have extra trouble getting pregnant, such as ceased or missed periods, no ovulation, or a partner's problems with sperm production.
Most specialists start by conducting tests to determine if there's a problem with the way your ovaries function, then they'll check to see if there're problems with your 
fallopian tubes or your partner's sperm. These issues are easy to test for and often easy to resolve. If no such problems are found, then it's likely your infertility is a result of 
age and declining egg quality. Your physician will advise you about your options depending on your individual circumstances.

Do not let comments from a frustrated people makes you feel sad, if your health and the baby is all ok? blessings with your pregnancy (even if you're over 40). 
Having a child is a best blessing from God but must be prepared to have it right, with control of your doctor, a healthy diet, control your blood and health ... everything will be positive 

Not have fears or doubts to be a mother if your heart desire this .. 
being feel blessed !!!

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