Fertility naturally declines with age, especially after 35, leading to challenges for women trying to conceive and embrace motherhood. This article explains the factors that affect fertility after 35 and how to manage reproductive health during this time. If you are over 35 , then it is a good idea to consult an expert and clear all the doubts if you want to plan a pregnancy.
Many women today are choosing to have children later in life, often due to career goals, personal choices, financial planning, or even cancer. While this is completely natural and understandable, it’s important to be aware of the changes that occur in a woman’s body after the age of 35, mainly when it comes to fertility. Age plays a pivotal role in a woman’s ability to conceive, and understanding these changes can help in making informed decisions about starting a family.
This is why fertility declines after 35
As a woman becomes older, the number and quality of their eggs go down. This process tends to start in the early 30s but becomes more noticeable after 35. By this age, not only are fewer eggs available, but the chances of chromosomal abnormalities also increase, which can affect the chances of conception and the risk of miscarriage. Moreover, hormonal changes may also impact ovulation. Even conditions such as fibroids, endometriosis, or thyroid disorders can also hurt a woman’s fertility. It is imperative to be aware of these factors and consult the doctor for pregnancy planning.
Signs and challenges
Women over 35 may notice irregular menstrual cycles and heavier or lighter periods, which can indicate reduced fertility. Older maternal age is also associated with conditions like gestational diabetes, high blood pressure, and a higher chance of cesarean delivery, miscarriage, and other complications. It is essential to understand these signs and report to the expert.
What to keep in mind
The good news is that many women over 35 can conceive and have healthy pregnancies. The key is proper pregnancy planning. Visiting a fertility specialist can help evaluate egg quality and hormone levels, which are crucial for pregnancy. Furthermore, lifestyle modifications like a balanced diet, avoiding junk and processed foods, regular exercise, managing stress, and quitting smoking or alcohol can also support fertility. Even fertility treatments such as Invitro fertilization (IVF) and Intrauterine Insemination (IUI) may be recommended to improve the chances of conception. With proper care and expert support, it is now possible for women over 35 to successfully achieve pregnancy. So, no need to panic, if you are above 35, you can still get pregnant.

Shared by: Dr. Varsha Agarwal,
Consultant – Fertility & IVF Specialist, Motherhood Fertility & IVF, Noida