Tag Archives: IVF

Fertility at 40

In the last 40 years, fertility has changed tremendously. Scientific advancements such as IVF treatment have made it possible for women to freeze their eggs, receive donor eggs and give birth later in life.

Whether you’ve held off from having children due to professional advancement, relationship status or simply haven’t had the desire until now, when the urge for a child of your own takes hold, it’s difficult to think about anything else.

From genetic testing to donor eggs, discover the various fertility options available to you in this post. Fertility treatment could be your ticket to motherhood.


For those considering fertility over 40, IVF is the most common route. Standing for In Vitro Fertilisation, IVF uses hormone therapy to stimulate the ovary follicles before collecting and fertilising eggs. The fertilised eggs are then placed in a test tube to create embryos; this process is known as the treatment cycle and can take up to 6 weeks to complete.

Next, collected embryos will reside in an incubator for up to 7 days before being examined by a specialist for defects and flaws. The strongest embryos will be selected for transfer into the uterus where pregnancy should ideally occur.

As you approach the age of 40, your chances of getting pregnant naturally dip, this is because you produce fewer eggs and have a higher chance of genetic abnormalities which effect pregnancy and run the risk of miscarriage. While giving birth to a healthy child after the age of 40 is certainly not out of the question, it’s important to be aware of the risks.

Genetic Testing

And this is where genetic testing comes into focus.  As mentioned above, the risk of genetic abnormalities in embryos increases with age and as many as 90% of pregnancies encounter abnormalities past the age of 44.

Therefore, genetic testing provides women with key information on what to expect and will help prepare you for every eventuality. Using sophisticated techniques of aneuploidy screening, the test is particularly useful for women who have had unsuccessful IVF experiences in the past or are approaching their forties.

Genetic testing can help to identify chromosome abnormalities, detect over 100 of the most ubiquitous abnormalities and even help to improve pregnancy and live birth rate transfer as only the strongest embryo with normal chromosome features will be chosen.

Above all, the test serves as a sound indicator of whether or not chromosomes are abnormal, enabling women to make an informed choice about their future.

IVF with Donor Eggs

If you don’t have any of your own eggs available then IVF using donor eggs could be the best course of action. As the ovaries store of follicles begins to run out with older age, many people turn to donor egg IVF as an alternative. If you are approaching menopause and notice your periods are irregular / non-existent it may be time to consider this option.

If you decide that this is the route you wish to pursue then your chosen fertility clinic will be able to assist you with a range of options.

Situated in central London, The Bridge Centre is an established fertility clinic specialising in fertility for the over 40’s. Offering a plethora of fertility boosting treatments to women under and over the age of 40, contact The Bridge Centre to find out about their free open evenings. 

This is a collaborative post.   

Catching The Bus

Sarah Dawnay writes at The Pretty Good Life, a blog about her life as a parent of two. She gave birth to her first child aged 36, and second aged 41. She has a big red bus in her front garden! Here, she talks about the differences between both her pregnancies.



mother with babyWe have a Routemaster in the garden. It is seriously old, rather large, yet if you appreciate a design classic, it is beautiful. The thing about buses is that you think that you leave the house on time, but once you get to the bus stop you wait for ever, when finally the bus arrives, it powers across London more efficiently than any Ferrari. The bus analogy would be better if I had triplets, but it still gives you an idea of my life as an older mum.

We got married when I was 32, then after a few years thought that it was ‘time’. I was relaxed as I knew that it could take a while before we heard the patter of feet, but even so after a year I was concerned. A visit to the specialists dictated that I loose weight: I was over weight (but by no means obese). I am not sure if it was the weight loss or the associated ultra healthy lifestyle, but the consultant said loose a stone and bingo, it was as simple as that, aged 35 I was finally pregnant. It was bound to happen, I had just got my dream job setting up and running a new high profile organisation.

I loved my pregnancy and felt great,  if exhausted. We attended both hypnobirthing and NCT classes and I was ready for the perfect home birth. Then my blood pressure decided to play havoc with my plans; I ended up with a failed induction and an emergency Caesarian. I am not sure if my age (then 36) and high stress job had contributed to my pre-eclampsia but it had certainly helped me focus on my daughter not on her wayward arrival.

After a couple of years it was time to give the Pickle a sibling. I thought it would be easy, but the heartache was about to begin. I had a series of early miscarriages then nothing. We went back to the consultant and I was not eligible for IVF on the NHS, besides, having heard the gruesome stories I was unsure if I could go through it. Discouraged, I felt that we had run out of palatable options. To make matters worse I was on a deadline, the Hubster confirmed that he was fully mortal and that any babies should be born while he was still in his forties.

Our 90th birthday came and went, in a blaze of live music and bunting, celebrating his 50th and my 40th Birthdays. Still no sibling for the Pickle. Rationale told me that I was lucky, I had a wonderful daughter and husband that I adore – but inside I was a mess. I was struggling to mourn the miscarriages in a society when acknowledgment is not the done thing and I felt barren – a lesser class of woman.

By now desperate to give it one last chance we went back to the consultant; he suggested course of clomid to try to help me ovulate.  Still, my body did not kick into action. Finally, as we were seriously considering IVF – despite our ages, the cost and the side effects – the Nursing Sister offered me a flimsy lifeline. She gave me a hormone injection that could work, but it was rated so dismissively by the consultant that he equated it to unscientific witchery. Scientific or not, it worked, I was pregnant aged 40!

At 20 weeks we were hauled in front of the consultant – it felt like the parental equivalent of being sent to the Head Master’s office. She peered over her spectacles and reached for her diary to book me in for a Caesarian at exactly 40 weeks.

Thanks in part to my long daily dog walks, I stayed healthy and my blood pressure behaved. 40 weeks came and went and I was ‘allowed’ to see if I could wait for a natural birth. Age again started to make decisions for me. To go over 42 weeks gestation as a 41 year old  would have greatly increased the odds of having a still born. So after numerous uncomfortable sweeps – DB was firmly holding onto the birthing brakes – I was booked in for a planned Caesarian. DB was born, a healthy boy, and I fell in love again.

There are definite pros and cons to being older parents. I did worry about having a Downs baby, but I was not brave enough to take any of the screening tests. It can feel dispiriting being older than some grandparents at the school gate, and i can get caught out scoffing at the latest celeb Dad in his mid 50’s only to realise my own hypocrisy. But with age can come wisdom. I spent my twenties going out, so staying in and looking after children is a refreshing change and a joy, not a bind. I’m old enough to appreciate the difference between real friends and lovely acquaintances with whom the only thing I have in common is children of the same age. It has been physically tougher throughout the pregnancy and birth, but I am much more self aware than I was in my twenties and I (almost) never take my children for granted,  I laugh lots and and judge less and that works for me.

Ultimately I have the miles on the clock, a few grey hairs and I couldn’t tell the difference between One Direction and a street sign, but I really don’t feel old. As I said, I left at the right time, the bus arrived a little late, but we are happily enjoying our very personal and special journey.

Sarah Dawnay on Twitter