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Too old to conceive?

by Dr Howard Lee

question
I am 37 and trying to conceive. I have taken oral contraception for years and am considering checking into a fertility clinic. After seeing my GP twice, she tells me to give it time and insists I take my temperature every morning for six months. I feel as though my time’s running out. Should I wait six months or ask for tests and treatment now?

answer
It would be a good idea to start some preliminary investigations at this stage. As you say, age is an important factor in pregnancy. The older you get, the less likely you are to conceive. For more information, see our article Fertile at forty?
One of the most important questions couples are asked when they’re trying for a baby is if either partner has had children from a previous relationship. This helps to narrow down possible causes of fertility problems.

Remember that fertility problems are common: 15% of all couples are affected. 50% of couples will conceive in the first 2–3 months, but for 10% it will take a year or more to get pregnancy going.

As you know, some people, male or female, are more fertile than others and for about 1 in 5 cases the problem is caused by poor quality sperm or a low sperm count. Find out if your husband is willing to do a sperm test.

Depending on where you live, you may get treatment on the NHS. But if you feel time is running out consider going privately. Ask your GP for advice and information about clinics in your area. I do wish you both every success.

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