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Iswarya Fertility Centre & Women's Hospital
Iswarya
Fertility Centre
General

Advanced Maternal Age

Advanced maternal age (35+) reduces egg quantity and quality, but IVF with PGT-A and egg donation offer excellent paths to successful pregnancy.

Overview

Fertility and Advanced Maternal Age

Female fertility begins to decline in the early 30s and declines more rapidly after 35. Women over 35 are classified as having "advanced maternal age" (AMA). The primary challenge is egg quality — older eggs have a higher rate of chromosomal abnormalities, leading to lower IVF success rates and higher miscarriage rates. However, many women over 40 successfully conceive with the right approach.

Maximising Success at Iswarya Fertility

Our team of senior IVF specialists offers comprehensive age-related fertility evaluation, personalised stimulation protocols, PGT-A testing to select chromosomally normal embryos (dramatically improving live birth rates), fertility preservation for women who wish to delay childbearing, and donor egg IVF for women with severely diminished ovarian reserve.

Symptoms

Difficulty conceiving after age 35
Irregular menstrual cycles
Reduced ovarian response to stimulation medications
Low AMH or elevated FSH on fertility blood tests
History of miscarriage or chromosomally abnormal pregnancies

Causes

1
Natural depletion of egg supply (ovarian reserve) with age
2
Reduced egg quality with age-related chromosomal errors
3
Decline in hormone production (AMH, oestrogen)
4
Increased prevalence of uterine conditions (fibroids, polyps)

How It's Diagnosed

Serum AMH, FSH, and antral follicle count (ovarian reserve assessment)
Comprehensive hormonal panel including thyroid and prolactin
PGT-A on IVF embryos to assess chromosomal status

Take the First Step

Get a personalised treatment plan for Advanced Maternal Age from our fertility specialists

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Advanced Maternal Age — Causes, Symptoms & IVF Treatment | Iswarya Fertility | Iswarya Fertility