Infertility: Advances In Treatment

Age and Infertility are Linked

Infertility affects roughly 12% of women. By the time a woman is in her early 40s, her chance of infertility rises to 20%.  It’s a particularly difficult problem for the older woman because the quality of her eggs deteriorated as she aged.  A woman in her 20s would typically have genetic abnormalities that would cause an egg to be unviable in 60% of her eggs.  In her 40s, that same woman is likely to have 95% of her eggs be unviable. Realistically, the older a woman gets, the more problematic conception becomes.

 

IN VITRO FERTILIZATION (IVF) is not a Panacea

Your patients may have read stories about movie stars in their mid-50s giving birth to twins. Unfortunately, the popular press perpetuates the myth that you can be fertile forever. However, it’s not so. IVF is not quick, easy, or reliable.  Further, it will typically cost in the $14,000 to $19,000 range for each attempt and insurance may not cover that. The success rates range from 5% to 60%, depending on the age and health status of the woman.

 

Freezing Eggs Can Be a Valuable Option

In the case of a woman who knows she will be delaying childbearing, there is a way of sidestepping the problem of her eggs becoming less viable as she ages.  Normally her eggs will age much faster than her reproductive organs. If she chooses to freeze her eggs, she can stop the aging process for her eggs. Her reproductive organs will continue to change, but importantly, their rate of aging is slow enough that she’s highly likely to be able to carry a fetus to term in her 40s.   The downside is the cost, typically in the $15,000 range, and she can’t be sure she’ll get a baby at the end.  Her success is likely to be around 65%, but keep in mind that this means that 35% will not get a baby.

 

New Advances in IVF Increase The ODDS of Having a Healthy Baby

Women generally will have many good eggs and many infertile eggs.  Recently we have made enormous strides in identifying which eggs have the chromosomal abnormalities that would result in miscarriages. By the time an embryo is five days old, we’ve found that it’s safe and reliable to take one of the 40 to 80 cells that are present and test that cell for chromosomal abnormalities. The way we can do this is, we take the individual cell that we harvested and cause it to produce enough copies of itself so that we can test for all the known chromosomal abnormalities. With this process, we can find the embryos that are destined to make a healthy baby, as opposed to ones that would result in failure to implant or an early miscarriage.

 

Miscarriages are Remarkably Common

About 15% of women miscarry. The good news for a woman who has miscarried once or even twice, is that she’s no more likely than someone in the general population to miscarry again. It’s nature’s way of making up for its errors, which, by the way, are frequently chromosomal errors. The odds of a serious underlying problem don’t really increase until there’s a third miscarriage.  However, when a woman goes through a miscarriage, even for an unplanned pregnancy, it is a devastating experience, and both the woman and her loved ones need to recognize that asking her to be “strong” is probably not the best approach. Expressing her grief and disappointment can speed the process of getting over it.

Search Blogs

Latest Posts

Prosecute or Move On?

https://www.psychologytoday.com/us/blog/to-end-human-trafficking/202404/prosecute-or-move-on Publication – psychologytoday.com

read more

Subscribe to Updates

About Author

Mitzi Perdue is the widow of the poultry magnate, Frank Perdue.  She’s the author of How To Make Your Family Business Last and 52 Tips to Combat Human Trafficking.  Contact her at www.MitziPerdue.com

All Articles

Redefine Failure

Redefine Failure

Redefine FailureIf we met in person, I can’t know how I come across, but I’d make a guess that you’d see me as someone who’s self-confident, enjoys being with you, and who’s maybe had some successes in life. But I think you’d be completely shocked if you had known me...

read more
Hell With The Lid Off – Workbook

Hell With The Lid Off – Workbook

Hell With The Lid Off - WorkbookSometime in your work life you have had, are having, or will have a “You’re about to go down in flames experience.” It might be your company, your project or your job. What can you do? I’ve watched a number of successful people,...

read more
Tending Your Flock Ten Ways To Nurture Family Cohesiveness

Tending Your Flock Ten Ways To Nurture Family Cohesiveness

Tending Your Flock Ten Ways To Nurture Family CohesivenessIn theory, you can’t put a price on family happiness. In practice, I think I can put a price on it. I know a woman who inherited a billion dollars. Once, when I was mentioning that I was going home for...

read more
Diabetes During and Past The Reproductive Years

Diabetes During and Past The Reproductive Years

Diabetes During and Past The Reproductive YearsABNORMAL GLUCOSE IN PREGNANT WOMEN: A WINDOW INTO FUTURE RISKS Pregnancy is an insulin-resistant state, so future problems with diabetes may show up during this time. Although a pregnant woman with abnormal glucose may...

read more
Migraines

Migraines

Migraines MIGRAINES ARE A GENDER-RELATED DISORDER In the course of a year, 18% of American women will have at least one migraine headache while the corresponding percentage for men is 6%. There are strong hormonal links to migraine, with the incidence of migraines...

read more