Fertility naturally declines with age, and while pregnancy after 40 is possible. It is advisable to aim for conception before age 40. However, if you are trying at 40+, here are key steps to take:
1. Assess Ovarian Reserve: Check your Anti-Müllerian Hormone (AMH) level to evaluate egg quality and quantity. A low AMH may indicate diminished ovarian reserve, making conception more difficult.
2. Evaluate Hormonal Balance: Test Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH). Elevated levels may suggest reduced ovarian function associated with age.
3. Check Tubal Patency: At least one fallopian tube must be open to allow fertilization. An HSG (hysterosalpingography) can assess this.
4. Assess Semen Quality: Ensure the sperm sample is of optimal quality—both count and motility are essential.
Understanding and addressing these factors early can improve your chances of a successful pregnancy. Always consult a fertility specialist for guided support.