The Truth About Fertility in Your 40s
It’s essential to be honest about the realities of ageing and having children. The truth is, being older can make it harder for a woman to conceive a baby. It also affects male fertility.- Women are born with all the eggs they will ever have, and they don’t grow new ones
- Each menstrual cycle, one egg typically matures and is released, while the rest naturally die off
- At birth, a woman has around 1–2 million eggs; by age 40, only 5,000–10,000 eggs remain
- Egg quality declines with age, affecting fertility over time
Chances of Conception
- At 30, a woman can get pregnant, but successful conception occurs about 2 times out of every 10 tries each month
- By age 40, the chances of pregnancy drop to around 5%
Risk of Miscarriage
- The risk of miscarriage is around 15% in your 20s, but increases to about 40% by age 40.
Male Fertility Also Declines
- Sperm quality and testicular function decrease
- Increased risk of chromosomal abnormalities and genetic conditions
- Sometimes, when a couple can’t have a baby, it’s because of the man. It happens about one time out of three tries
10 Tips for Improving Fertility in Your 40s
If you’re trying to have a baby by yourself or with help from doctors, there are things you can do to help it work better. They’re rooted in scientific understanding and practical lifestyle support.1. Try to Do Intercourse Consistently
- It sounds basic, but consistency is key
- With ovulation becoming less predictable, frequent sex increases the chances of catching your fertile window
2. Enjoy Moderate Exercise
- Helps maintain hormonal balance and reduces stress
- Avoid intense workouts that may disrupt cycles
- Swimming, walking, and cycling are great ways to stay active
3. Get Quality Sleep
- Sleep boosts hormone production and aids cellular repair
- Quality sleep enhances overall health and well-being
- Prioritise sleep for physical and mental rejuvenation
- Wind down a couple of hours before bed
- Avoid screens
- Create a calming sleep environment
4. Stop Drinking
- Alcohol consumption has been linked to reduced fertility
- Consider going alcohol-free when trying to conceive
5. Quit Smoking and Vaping
- Smoking is strongly linked to infertility
- Vaping is newer, but many chemicals in aerosols can also affect fertility
- Quitting both is essential when trying to improve fertility
6. Limit Chemical Exposure
Everyday products like plastic containers and air fresheners may release endocrine-disrupting chemicals.You don't have to eliminate everything, just take small steps:
- Use plant-based cleaning products
- Don’t microwave food in plastic containers
- Avoid plastic coffee cups
- Use foil instead of cling film
7. Manage Existing Health Conditions
- Things like diabetes and high blood pressure can make it harder for someone to have a baby
- Get a thorough health check-up
- Managing your health overall is part of the fertility puzzle
8. Prioritise Nutrition and Supplements
- Lots of people don’t have enough good stuff in their bodies, like vitamin D, folate, and B12
- Consider fertility-friendly supplements
- Whole grains
- Fruits and vegetables
- Lean proteins
- Seafood
9. Men, Keep Things Cool
Sperm quality can be affected by heat. It's better to- Avoid a hot bath
- Wear loose boxer shorts
- Keep laptops off laps
10. Get a Fertility Check
- If you are a woman in your 40s or older and haven’t had a baby after trying for 3 months, you should visit a doctor for consultation
- Don't wait longer, whether you plan to conceive naturally or need assistance
- Both partners should be tested
- Egg count and quality
- Sperm health
- Hormonal levels
- Underlying issues that may need addressing
If you’re in your 30s and not yet ready to start a family, consider preserving your fertility. Options include egg freezing if you are single, embryo freezing if you are in a committed relationship. Take advantage of modern cryopreservation techniques. The quality of frozen eggs and embryos is maintained. Using eggs frozen at a younger age often has higher success rates than trying to conceive with fresh eggs later in life.
Disclaimer: Talk to your doctor before choosing any test. Your doctor will guide you based on your health and fertility plan.
Whether you’re trying to conceive or navigating IVF, you’re not alone. Join our supportive communities to connect, share, and find strength with others on the same journey.
FAQs on Fertility After 40: What to Expect and How to Prepare
- Is it harder or too late to conceive once you're over 40?
No, but it may be more challenging. Many people successfully conceive and carry pregnancies in their 40s, both naturally and with help. - Can lifestyle changes really make a difference?
Absolutely. While lifestyle changes aren’t a guarantee, they can significantly improve your overall health and fertility. - Should both partners get tested?
Yes. When two people hope for a baby, they go on the journey together. Checking both helps the doctor see the full picture. - How long should I try before seeing a fertility doctor at 40?
Don’t wait longer than 3 months. If you're ready, consult a fertility specialist sooner rather than later.
