Fertility in women: Does Age Affect Female Fertility? | Does it Affect the Woman’s Health? | Right Age to Get Pregnant | मां बनने की सही उम्र क्या है ?

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  • 1 year ago
Dr. Heena Chawla
Apollo Clinic Chandigarh Gynecology

Fertility in women: Does Age Affect Female Fertility? | Does it Affect the Woman’s Health? | Right Age to Get Pregnant | मां बनने की सही उम्र क्या है ?

Fertility in Women,In this video, SimpliHealth expert, Dr. Heena Chawla, Consultant Gynaecologist Laparoscopic Surgeon at Apollo Clinics and CHD City Hospital, Chandigarh talks about  fertility in women through the ages. 

 

Does age affect female fertility

Age is a very sensitive issue for every woman. Neither female wishes to disclose their age nor wants to discuss it. But if we talk about fertility, age is a prime and essential factor. 

If I talk about the lifespan of females, after 11 -12 years, periods start commencing. After 18-21 years, one can plan pregnancy. Biologically, females attain maturity at 18-20 years of age. Still, they are ready for pregnancy by 22-23 years. But if we consider social factors like financial factors and job security, the females reach 26 -29 years of age when they think about marriage and pregnancy. But I’d like to talk about all these factors. 

What is female fertility? 

The essential thing for females is that they are born with a fixed number of eggs. The female child is born with 1-2 million eggs. However, there is no further egg formation after birth. The number of eggs remains the same. As the periods start commencing, the eggs start decreasing with age, and the females have only 3-4lacs eggs. By 40, the egg count reduces to 5k -10k. And by the time of menopause, the egg count had reached to 1000. 

Critical factors 

There are two critical factors in this: one is the count of eggs, and the other is an ovarian reserve. At how much time we can maintain our eggs or fertility window. Often in females, the fertility ovarian reserve starts reducing by 30. And decrease in the fertility reserve increase the risk of miscarriage. In addition, by the age of 35, there is an increase in the chances of congenital malformation in babies.

Risk factors 

Another thing is that if there is no risk factor involved in females, one can easily plan the pregnancy after 30 years. One is the egg number, and the other is the quality of the eggs. One can determine the genetic quality of eggs during the time of ovulation. If we talk about the age of 25, the monthly pregnancy rate is 20-25% if the female is trying to conceive. This percentage of females conceiving in a month reduces to 15% by 30 years. By the age of 40, it drops to 5%.

Diagnosis 

We can do an ultrasound, a critical test to determine the ovarian reserve. In this, we do antral follicle count (AFC). In this, we see the reserve of eggs. We can also do blood tests to determine the levels of hormones like LH, FSH, and anti -Mullerian hormone. Estradiol levels are also used to assess ovarian reserve. If the female doesn’t have a good quality of egg reserve, the doctors try to improve it by using some medicine and dietary modifications. But still, I would like to tell you that age plays a significant factor while conceiving. 

 

If the female is planning a pregnancy over-aged, they must consult with their doctor first, and if they need any supplement, they must take them. Also, one should take a proper blood test and take medicine accordingly, thank you. 

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