How to get pregnant at 40: tips and risks

How to get pregnant at 40: tips and risks
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How to get pregnant at 40

Magazines tell us more and more often about women in show business who got pregnant at 40 and beyond. We ourselves, on the threshold of the fateful 40, feel and see each other in great shape and do not imagine that we may have difficulty conceiving a child. Yet there is no doubt that the chances of success gradually drop already from the age of 30. Here, then, are some tips on how to get pregnant at 40.

In this article

Female fertility

As explained by the Ministry of Health, women's fertility is highest between the ages of 20 and 30, then undergoes a first gradual decline around the age of 32 and a second, more rapid decline after the age of 37. In the years leading up to menopause, around the age of 50, the chances of conceiving are almost zero. This is because the woman is born with a number of follicles default and therefore, with the passing of the years, the ovarian reserve decreases more and more.

However, it is not impossible get pregnant at 40, while taking into account that at this age it will be necessary to deal not only with a reduced probability of conception, but also with different problems, such as:

  • irregular cycle,
  • uterine fibroids,
  • increased incidence of endometriosis,
  • hormonal disorders,
  • ovarian cysts.

However, gynecologists advise not to wait to go to the specialist: if you have 40 years and you are unable to conceive, it is good to have a checkup after a few months of unsuccessful attempts (after the age of 35, it is recommended after six months of unprotected targeted intercourse).

How many attempts to get pregnant at 40?

What are the odds of getting pregnant at 40?? According to the experts of the British Fertility Society, about 50% of women who try to conceive naturally before the age of 45 will succeed. But in light of the data, 95% of women under 38 with regular ovulation and a partner without fertility problems will be able to get pregnant within two years, while half of 40-year-old women trying to conceive will not. will succeed at all.

Read also: The tricks to get pregnant

Why is it difficult to conceive at 40?

The most common obstacles to the conception after the age of 40 They include:

  • egg quality
  • perimenopause
  • high-risk pregnancy.

Egg quality

Eggs also age and will more frequently have chromosomal abnormalities or problems that prevent nesting in the uterus, increasing the risk of Down syndrome and miscarriage.


L'average age of menopause is about 51 years, but there is a phase lasting even years, which starts right after the age of 40, called perimenopause, or Fertipausa, characterized by anomalies and irregularities in ovulation. In this phase, women tend to ovulate less frequently and menstruation is more distant: this reduces the chances of conception, but you can still get pregnant.

High-risk pregnancy

Le donne about 40 are more likely to suffer from high blood pressure in pregnancy, gestational diabetes, and other complications. It also increases the risk of miscarriage as well as having a baby with Down syndrome: a 35-year-old woman has about a one in 350 chance of having a baby with Down syndrome; the risk rises to 1 in 100 at 40 years to reach 1 in 30 for 45-year-old women.

Cryopreservation of eggs

In recent years the use of cryopreservation of eggs, a practice that involves freezing the eggs in the fertile years and then implanting them in the uterus even at 40 years of age. It is a choice that is made not only by women who want to wait for mature times to be fulfilled at work or to find the right partner before becoming a mother, but also by women who have cancer and must undergo medical treatments that can impact on their ability. to procreate in the future.

How to improve ovulation after 40

There are some tweaks and lifestyle changes that can increase ovulation naturally.

Here 5 tips to increase your chances of getting pregnant at 40:

  1. keep in physical shape
  2. quit smoking
  3. take folic acid and vitamin D.
  4. monitor the menstrual cycle
  5. having sex every other day.


Keeping fit

Exercising, eating right, and maintaining a stable body weight are all common sense rules that can improve health and even ovulation. Obese women can have too high levels of estrogen and this can contribute to having fertility problems; on the contrary, being too thin can cause an interruption of ovulation.

Stop smoking

Smoking ages 10 years in terms of fertility and undoubtedly also has negative effects on health and future pregnancy.

Take vitamin D and folic acid

Both are recommended for women who are looking for a pregnancy. Folic acid should be taken from the first days of pregnancy - so it is essential to start taking a supplement while trying to get pregnant - to avoid neural tube malformations in the fetus, such as spina bifida; while several studies have shown that a vitamin D deficiency it can favor the onset of various problems that can affect fertility, such as premature ovarian failure, polycystic ovary syndrome, myomas, endometriosis.

Monitor your menstrual cycle

increase the chances of getting pregnant at 40 it is important to keep a diary or a calendar of the menstrual cycle trying to evaluate its regularity and to identify the fertile days of the month, those in which she is ovulating. In a regular cycle lasting 28 days, ovulation occurs around the 14th day. The egg can be fertilized for 24 hours, while the spermatozoa can be viable for up to 4 days, so the ideal is to have intercourse on the day of ovulation and in those immediately preceding it.

Having frequent sexual intercourse

Experts recommend having intercourse every other day, especially if your period is irregular. In this way it will be easier to increase the chances of success.


  • British Fertily Society
  • Ministry of Health
  • The Role of Vitamin D in Fertility and during Pregnancy and Lactation: A Review of Clinical Data
  • PubMed

  • ovulation
  • pregnancy age
  • conception problems
  • mom over 40
  • fertility
  • infertility
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