Today's woman is giving birth late. Pregnancy is delayed for reasons such as having a career first, creating a healthy relationship, providing economic security for the future. They are expected to have children until they are in their 30s or even 40s. However, this expectancy significantly reduces the chance of pregnancy. In fact, 35-year-old women, even in vitro fertilization can only compensate for half the chance of pregnancy lost with age.
Acıbadem Maslak Hospital IVF Center Specialist Gynecology and Obstetrics Specialist Assoc. Dr. Dr. Özkan Öztürk and Obstetrics and Gynecology Specialist Canan Genim listed the most frequently asked questions:
- How much time do I have to make a baby?
- Can I know my ovary reserve?
- Can I slow the ovarian aging?
To find out how to get pregnant: // www. / How-is-pregnant-pregnant-this big stay-onerileri /
Ovaries are dynamic organs with lifelong changes. The number of eggs that women will have during their lifetime is already coded on the day of their birth, even in the womb. In the fourth month, the number of eggs reaches the highest number in the womb. The number of these eggs, which is 6-7 million, decreases up to 1-2 million at birth, 300,000 in puberty, At age 37, it goes down to 25,000. In a menopausal woman, this figure is about 1000. Egg aging is a reflection of the relationship between genetic and environmental factors. Two natural consequences of egg aging are reduced chance of pregnancy and menopause.
At what age and at what rate does fertility decrease?
- With the decrease in the number of eggs in women, the fertility rate decreases at the age of 30-33.
- This decrease has been shown to accelerate at the age of 35-38.
- A 30-year-old woman has a 20% chance of becoming pregnant every month.
- At 38 years of age, the live birth rate decreases by 50%.
- At the age of 40, this reduction increases to 75%.
Beyond the natural aging process, about 10 out of every 100 women have ovarian aging and loss earlier than expected. One out of every 100 women develops early menopause. The average age of menopause in our country is 46-48 years. Genetics is very important at the age of menopause. A woman's age at menopause is usually close to that of her mother. Smoking gives the average age of menopause two years. As menopause age comes forward, the chance of pregnancy decreases starting from 8 to 10 years and the rate of infertility increases.
How is the Ovarian Age Determined?
In some women, even in advanced age, ovarian functions are as in their youth, or vice versa. So the number and quality of eggs at a young age may decrease very quickly than expected. This has resulted in the term ovarian reserve or ovarian age. The age of the ovary may not always match the calendar age. Ovarian reserve may decrease at any age. In this case, even if the person continues to have regular menstruation, the likelihood of conception is very reduced. Increased pregnancy losses are more common in these women.
Are there tests to show the aging of the ovaries?
With the help of some tests it is possible to understand the ovarian reserve and the possibility of conception.
- The number of eggs in the ovaries can be counted by ultrasonography and the hormone tests taken on the third day of menstruation are examined.
- These tests are called FSH, E2, AMH, INHIBIN-B.
- The response of the ovaries to a single dose of drug cure is measured.
Infertility Treatment Methods by Age
To review early infertility treatments: // www. / Male-sterility of-treatment-success-rate-artiyor /
Medical options are limited in the treatment of age-related infertility. Specifically, women over 30 years of age who want to become pregnant at a later age, reproductive health centers necessarily recommend that they measure the age of ovarian Assoc. Dr. Ozkan Ozturk:
She emphasizes the importance of conducting these investigations at a younger age for women under 30 years of age, smoking, having a family history of early menopause, having menstruation every 21-24 days or having endometriosis (chocolate cyst).