Skip to main content

ABIMS Fertility & Andrology

IVF AT 50YRS+: WHAT MATTERS

`IVF AT 50YRS+: WHAT MATTERS Before starting IVF in your fifties, it’s important to focus on the health and receptivity of your uterus to determine whether it is likely to support embryo implantation and pregnancy. In addition to taking supplements, consider having a thorough fertility evaluation first. Some of the hormone tests that may be recommended include LH (Luteinizing Hormone), FSH (Follicle-Stimulating Hormone), thyroid hormone tests, and estradiol. Once the results are available, have them reviewed and interpreted by a qualified fertility specialist or healthcare professional, who can advise you on the most appropriate next steps based on your individual circumstances.

CAN LOW AMH STOP YOU FROM GETTING PREGNANT

One of the questions I am asked most often is whether AMH (Anti-Müllerian Hormone) levels can be improved. There is also a common misconception that AMH alone is enough to assess a woman’s fertility or determine her suitability for assisted reproductive treatments. Generally, a normal AMH level is considered to be between 1.0 and 3.5 ng/mL, although reference ranges may vary between laboratories. However, AMH should never be interpreted in isolation. A proper assessment should take into account your age, LH (Luteinizing Hormone), FSH (Follicle-Stimulating Hormone), and other relevant clinical findings. One advantage of AMH testing is that it can be performed at any point during the menstrual cycle. For example, consider two women—one under the age of 30 and another over the age of 35—who both have an AMH level of 1.0 ng/mL. Although the AMH values are identical, the interpretation should not necessarily be the same. If the woman under 30 has LH and FSH levels within the normal range (approximately 4–10 IU/mL), her results may suggest an adequate ovarian reserve. However, if the woman over 35 has the same AMH level but significantly elevated FSH and LH levels (above 10 IU/mL), the overall assessment may indicate reduced ovarian function despite the AMH result. This could have implications for fertility treatment planning, including IVF. For this reason, FSH, LH, age, AMH, and other clinical factors should all be considered together when evaluating ovarian reserve and discussing treatment options. These results can also help a fertility specialist determine whether lifestyle changes, supplements, or other interventions may be appropriate, although evidence for supplements improving egg quality varies. If you are planning to undergo IVF, are over the age of 35, and your fertility evaluation shows significantly elevated FSH and LH levels despite a relatively reassuring AMH result, it is worth discussing all available options with your fertility specialist. Depending on your individual circumstances, this conversation may include the possibility of using donor eggs as a backup plan if treatment with your own eggs is unlikely to be successful.

INFERTILITY COULD BE MANIPULATED SPIRITUALLY

Many people have been led to believe that infertility is always caused by spiritual factors, often because of what they have been told by prophets, spiritual leaders, or well-meaning individuals. While some people hold personal or religious beliefs about infertility, it is important to understand that not every case has a spiritual cause. One of the challenges is that some couples place more confidence in these explanations than in seeking medical evaluation. However, many causes of infertility can be identified through proper medical assessment and treated effectively with evidence-based care. I once cared for a couple who believed their inability to conceive was due to spiritual causes. After a comprehensive fertility evaluation, the woman was diagnosed with Polycystic Ovary Syndrome (PCOS). She received appropriate treatment, and within three months, she conceived naturally. This experience highlights the importance of seeking professional medical advice when facing infertility. A thorough evaluation can identify underlying causes, provide appropriate treatment options, and improve the chances of achieving a successful pregnancy. Personal faith and medical care can coexist, and seeking medical help does not diminish one’s spiritual beliefs. Many people have been led to believe that infertility is always caused by spiritual factors, often because of what they have been told by prophets, spiritual leaders, or well-meaning individuals. While some people hold personal or religious beliefs about infertility, it is important to understand that not every case has a spiritual cause. One of the challenges is that some couples place more confidence in these explanations than in seeking medical evaluation. However, many causes of infertility can be identified through proper medical assessment and treated effectively with evidence-based care. I once cared for a couple who believed their inability to conceive was due to spiritual causes. After a comprehensive fertility evaluation, the woman was diagnosed with Polycystic Ovary Syndrome (PCOS). She received appropriate treatment, and within three months, she conceived naturally. This experience highlights the importance of seeking professional medical advice when facing infertility. A thorough evaluation can identify underlying causes, provide appropriate treatment options, and improve the chances of achieving a successful pregnancy. Personal faith and medical care can coexist, and seeking medical help does not diminish one’s spiritual beliefs.