When should I start thinking about fertility?

Fertility is a journey that often involves careful planning, especially if you’re thinking about starting or expanding your family. Age, lifestyle, and overall health can all influence your fertility. Knowing when to start thinking about fertility and understanding your options can help you take control of your reproductive health.

Understanding age-related fertility decline

Fertility naturally declines with age, especially after 35. Women are born with a finite number of eggs, and as they age, both the quantity and quality of these eggs decrease. According to studies, women are most fertile in their 20s to early 30s. After age 37, the decline in fertility becomes more pronounced. By 40, the chances of conceiving naturally are lower, and fertility treatments like IVF (in vitro fertilization) or IUI (intrauterine insemination) may be considered​. The success rates of IVF and IUI also decrease as you get older.

This decline is due to fewer eggs remaining eggsand an increase in chromosomal abnormalities in those eggs, which can lead to difficulties in conceiving or higher chances of miscarriage.

Fertility options for delayed parenthood

If you’re not ready to have children yet, there are fertility preservation options to consider, such as egg freezing. Egg freezing allows you to store your eggs at a younger age, which could increase your chances of a successful pregnancy later on. It’s an excellent option for women who want to delay motherhood but are concerned about age-related fertility decline​.

Lifestyle factors that affect fertility

Apart from age, lifestyle choices also play a crucial role in fertility. Here are some key factors to consider:

Diet: A balanced diet rich in vitamins and minerals supports reproductive health. Foods high in antioxidants, such as fruits, vegetables, and whole grains, help protect eggs and sperm from oxidative stress.

Exercise: Regular physical activity promotes a healthy weight, which is essential for fertility. However, too much exercise can negatively affect ovulation.

Weight: Both underweight and overweight individuals may face fertility challenges. Maintaining a healthy weight can help regulate your menstrual cycle and improve your chances of conception​

Avoid Harmful Substances: Smoking, excessive alcohol, and caffeine intake can reduce fertility. Quitting smoking and limiting alcohol and caffeine consumption are crucial steps toward improving fertility

Managing Stress: Chronic stress can negatively impact ovulation. Finding healthy ways to manage stress, such as yoga or meditation, may support fertility.

When to seek help

If you’re under 35 and have been trying to conceive for over a year without success, it may be time to see a fertility specialist. For those over 35, it’s recommended to seek help after six months of trying. A fertility evaluation, which can include hormone testing, ultrasounds, and semen analysis, will provide insights into your reproductive health and guide your next steps​.

Fertility is influenced by a range of factors, including age and lifestyle choices. Whether you’re planning to conceive soon or want to preserve your fertility for the future, understanding your options and taking proactive steps can make a significant difference. By staying informed and consulting with a fertility specialist when necessary, you can optimize your chances of success.

For those interested in learning more, or if you are seeking support and expertise to guide you through your fertility journey, we invite you to visit the Mount Sinai Fertility website today.


This content is intended for informational purposes only and is not intended to be used or relied upon for any diagnostic or treatment purposes. It does not replace the need for consultation with a health-care professional. Please speak with your health-care professional for questions about your health.