With a growing number of women seeking pregnancy at older ages, especially after age 40, timely evaluation and diagnosis of in-fertility are becoming ever more important. However, timely in-fertility diagnosis remains elusive for many patients, according to Norbert Gleicher, MD, a prominent fertility specialist and expert on ovarian aging.
It's not that every woman needs fertility treatment to get pregnant once she hits age 40, says Dr. Gleicher, Medical Director of the Center for Human Reproduction (CHR), a New York-based fertility center. However, as the
fertility center of last resort for older women, explains Dr. Gleicher,
CHR sees a large number of women over 40; Many, unfortunately, have wasted precious time pursuing endless tests and treatments that make little sense.
As women get older, their ovarian reserve (a measure of ovaries' ability to produce good-quality eggs) declines. Because this process of ovarian aging speeds up significantly after age 40, timely diagnosis of in-fertility becomes crucial. Every fertility treatment loses efficacy rapidly with declining ovarian reserve.
Dr. Gleicher continues:
There isn't a day when we don't hear our patients say 'doctor, I wish I'd known about your center years ago, when I was doing such and such...' The earlier we can start treatment, the better, of course, our chances of helping our patients!
According to Dr. Gleicher, there are a number of tips women who are trying to get pregnant after 40 can follow in order to receive timely in-fertility diagnosis and effective treatment:
• Recognize the urgency of aggressive fertility treatment when you are above 40.
• Insist on rapid diagnosis and a structured treatment plan.
• Insist on specific treatment goals that meet your expectations: for example, do not agree to treatment with clomiphene citrate and intrauterine insemination (IUI) if the expected pregnancy chance sounds ridiculously low.
• Do not agree to endless testing to
wait for the right results; Time is not on your side, and results will only get worse!
• It never hurts to get a second opinion.
About Center for Human Reproduction
Center for Human Reproduction, or CHR, is a leading fertility center in the United States with a worldwide reputation as a
fertility center of last resort, specializing in treatment of in-fertility in women with diminished ovarian reserve, including younger women with premature ovarian aging (POA) and older women with physiological ovarian aging. Dr. Gleicher is available for additional comments.
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More "Pregnancy Over 40" blogs to visit:
• Life Begins... - Pregnancy stories of loss, hope and help
• Pregnancy Stories by Age - Daily blog of hope and inspiration!
• You Can Get Pregnant in Your 40's - Sharing articles, discussing options and suggestions
• Stories of Pregnancy and Birth over 44 - sharing news stories I find online, for inspiration!