Older women who want to conceive all share the core issues of ovarian reserve and egg quality, in addition to any other fertility problem they may have. While it’s impossible to increase ovarian reserve, it is possible to improve egg quality. Pregnancy rates, the health of children and the risk of miscarriage all revolve around the issue of egg (and sperm) quality.
When a couple wants to get pregnant naturally, we suggest they both commit to an agreed plan that maximises their chances of success. This plan is based on improving the health of their personal fertility profiles (PFPs), appreciating personal nutritional needs and getting supportive treatment. Not all couples will get pregnant naturally, but they will be healthier, and if they choose to pursue an IVF option, the process will improve their chances of success, which may involve donor eggs.
The recruitment process from an immature egg in a primordial follicle to a mature egg at ovulation takes a year. During this time, the egg and follicle grow massively, but very few reach the last stages of growth, and fewer eggs reach the last stages of growth after a woman’s mid-30s. This is partly due to lifestyle factors, the eggs being less “fresh” as they’re older, nutritional deficiencies, and the accumulation of toxins.
The plan is to improve what you have by minimising the things that reduce egg quality and maximising the things that enhance it. The advice assumes money and access to tests aren’t issues, and although they may be, this is much less expensive than any IVF option.
The other crucial factor is your man; his sperm contribute 50% of the baby, and half of a couple’s infertility is statistically down to the man. Getting him “onboard” will make a huge difference in improving the health of his sperm and the pregnancy. It’s a lot easier to measure male fertility and how it changes with supplements etc. The same principles apply to female fertility, and how it works is explained in older men.