Age is a factor affecting fertility because the reproductive systems change over time. The number and quality of eggs decline over time, and hormone patterns can change. Pregnancy is physically strenuous. The body of the mother must be strong and physically prepared. And to get to that toll, one has to be in good general condition. As age affects our overall well-being, it is in our best interest to understand the relationship between age and pregnancy. It is not that age is the only determinant of the capacity to conceive or a healthy pregnancy. Other significant factors include general health, menstrual health, lifestyle habits, and mood. Natural conception occurs at various ages for many people, whereas others may have difficulties at earlier stages of life.
The fertility of the 20s is usually assumed to be biologically favourable, with reproductive hormones generally more stable and ovulation typically regular.
In general, typical aspects of pregnancy in the 20s are:
Increased quantity and quality of eggs.
Reduced risk of age-related complications.
Quick physical healing of childbirth.
Reduced chronic illnesses in most instances.
But emotional preparedness, economic well-being, and individual ambitions vary. Not all of them are ready to have children in their 20s, and that's nothing to be ashamed of.
A lot of people prefer to conceive in their 30s because of their career ambitions, emotional stability, or simply their situation. Many people continue to experience fertility in their early to mid-30s, although changes can be gradual.
Carrying a pregnancy to the 30s is normal and usually healthy, particularly when prenatal care and lifestyle support are good.
Advanced maternal age is when one becomes pregnant beyond the age of 35 years. Although most women have healthy pregnancies at this stage, some risks may escalate and need more medical care. Gestational diabetes and high blood pressure are more often observed, and complications associated with the placenta can also be experienced. In other cases, the placenta that supports the baby's growth and nourishment may not be effective.
Age can lead to a gradual decrease in fertility, making conception difficult. Some women might need medical help to have a baby. There is also a higher likelihood of chromosomal conditions, including Down syndrome.
Later pregnancies (40 years or older) may be more complicated because egg quantity and quality are lower. There are high possibilities of miscarriage, premature birth and complications during delivery. Moreover, complications like preeclampsia, fibroids and the necessity of caesarean section are more frequent, and these complications emphasise the role of specialised attention and constant observation.
While genetics plays a role in determining fertility, lifestyle and mental preparedness also play a significant role in deciding when to get pregnant. Pregnancy and parenthood can also be significantly impacted by personal well-being and practice stability.
Knowing the right time to seek medical guidance can also help address reproductive problems early on and try to overcome them.
Medical evaluation is recommended when:
An immediate fertility examination can show the problems with hormones, ovulation, tubal factors, or sperm. Early diagnosis enables us to plan the relevant therapy and make informed decisions. Although there is no particular age at which a woman may be considered fit to conceive a child, the timely provision of support may enable one to move on with certainty and precision.
There is no single “right” age for pregnancy. Fertility is influenced by biological factors, but support, lifestyle, mental readiness, and personal health are all necessary. Pregnancy becomes healthy and rewarding at various stages of life when informed decisions are made. The relationship between age and fertility can help individuals plan with confidence, consult when necessary, and choose to be good parents in ways that best fit their circumstances.
Chief Infertility Specialist, MBBS(DU), FCPS(Obstetrics and Gynaecology), Fellowship in Assisted reproduction
Dr. Umme Ruman is a BMDC-registered infertility specialist based in Dhaka. She holds advanced qualifications in assisted reproductive techniques, sexual and reproductive medicine. Dr. Ruman serves as a Chief Consultant at Indira IVF Dhaka, helping patients with personalised fertility care based on her vast experience and expertise. Her knowledge and compassion will support couples navigating reproductive health challenges and guide them effectively towards their parenthood dreams.
IVF specialist, MBBS (SSMC), MS (Obstetrics and Gynaecology), Fellowship in Assisted reproduction
Dr. Rezwana Kabir is a BMDC-registered specialist in obstetrics and gynaecology, and now a part of Indira IVF’s team of fertility specialists in Bangladesh. She combines medical proficiency with a patient-centric approach, offering tailored solutions to couples seeking fertility assistance. She is committed to helping individuals confidently navigate the journey to parenthood through ethical, empathetic, and evidence-based care.
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