Advanced Maternal Age: TTC and Pregnancy Over The Age Of 35

Dr. Natalie Crawford helps you understand what it means to be advanced maternal age or over the age of 35 and trying to conceive. It’s important to know the risks but also know how you can advocate for yourself.

Questions Answered:
What happens to your eggs as you age?
What are your chances of getting pregnant over age 35?
Is your pregnancy more high risk over age 35?
What are the recommendations during pregnancy to decrease the risks?
Who should take baby aspirin during pregnancy?
What genetic screening is recommended?
What is the rate of still birth?
What extra surveillance and fetal monitoring should be done?

Resources:
Pregnancy at Age 35 Years or Older: ACOG Obstetric Care Consensus No. 11. Obstetrics & Gynecology 140(2):p 348-366, August 2022. | DOI: 10.1097/AOG.0000000000004873

Steiner AZ, Jukic AM. Impact of female age and nulligravidity on fecundity in an older reproductive age cohort. Fertil Steril. 2016;105(6):1584–1588.

Steiner AZ, Pritchard D, Stanczyk FZ, et al. Association Between Biomarkers of Ovarian Reserve and Infertility Among Older Women of Reproductive Age. JAMA. 2017;318(14):1367–1376.

#advancedmaternalage #ttc #pregnancy
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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.

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FORA FERTILITY:
715 W 34th Street, Austin, TX 78705

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#fertility #fertilitydoctor #nataliecrawfordmd #doctor #asawoman

Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

[divinahabibi]

Thank you for your videos! It’s possible to have healthy babies over the age of 35, don’t be discouraged mommas ❤ i was pregnant at 22 gave birth at 23. Pregnant again at 24 and gave birth at 24. Pregnancy again at 35 gave birth at age 36 and now I am over 40 and I am 8 weeks pregnant and I’m vibing and thriving, AND I THANK GOD ❤🙏✨

[christineo]

I had my first baby in july, 41 yrs. I’m not saying anyone should wait that long, it’s really to gamble and it’s stressful to try to concieve at that age. But I watched ALL of these videos when I was trying to get pregnant, and found it really encouraging to read successful stories.
We tried for 7 months, and got pregnant naturally. I have the most beautiful 5, 5 month old baby girl sleeping in my arms as I type this. I could do it, and many with me can. Wishing you all good luck. 💗

[voicedbird]

I'm 43 and currently 36 weeks pregnant with a scheduled c-section coming up at 38 weeks. I watched all your videos while I was TTC, (I started at 41) and got as much fertility testing done as possible. My baby girl has also thankfully passed all tests & screenings throughout this pregnancy so far. I deeply appreciate all the information you've provided that I relied on while on this journey, now just hoping and praying to make it to the finish line with a healthy baby girl in 2 weeks! ❤

[scal]

Been trying a couple of months with the love of my life she is 34 now. Turning 35 in august. Praying we will be blessed with a child as these lucky families and women have been on here. 🙏🏻. Congrats

[mrs.m]

I appreciate your video's so much as they kept me going during my TTC journey. I had my baby two weeks before turning 44. He is the most adorable baby boy🥰 so it is possible ladies. I changed my diet to Mediterranean and I cut red meat/ sugar completely. Took alternative protein source. It took me 10months to conceive😊

[EverEdenAuthor]

this vid was more uplifting than others on this topic. I'm tired of hearing negative stuff and making you feel it's impossible. You tell the facts/stats without the emotional dooming out. This helps with a person's positivity on the subject and that also helps with getting their mental state and body in a better place to support this

[TaraSteadman]

I’m 41 and gave birth to my beautiful son seven weeks ago via planned C-section, he’s perfect and the pregnancy wasn’t bad at all no more issues this time than with my first son when I was 26, I might even do it again Lord willing! Don’t give up ladies it’s possible!

[Vale-kgvd]

I had my 2nd healthy baby at 39. It's genetics in my opinion. All women in my family had many babies young but also well after 35. Myself is one..I was also born when my mom was 38 and I was a surprise. But it's important to know that that might not be the norm.

[nelsieguzzetti]

I’m 46yo, low AMH, one failed IVF cycle starting new cycle in a few weeks. 🙏

[Love_Safiya]

I had my twins at 33 and now I’m pregnant at 37. Both surprises and naturally. At 33 they said I was AMA because I was having twins.

[TheHipReview]

Thanks, Natalie. I loved this video. I will be doing IVF this year and I have learned so much from watching your videos. I have had all tests for chromosomal and genetic issues. Everything came back great. I had 3 miscarriages in 2022 and turned out I had PCOS. Very low progesterone and high testosterone.

[dancingappaloosa]

Love your videos, Dr. Natalie, they're so informative and upbeat. Your energy is so positive that I find your videos really uplifting to watch. There are other doctors who make videos on this topic that I cannot watch because they're so negative and condescending.
I'm 41 and just been trying to conceive for 2 months, and would love it if you could make a video about cervical mucus and how it changes through one's cycle. I'm finding now that I'm paying attention that my cervical mucus is different at different times in my cycle.
Thanks again 😊

[JennSkywalker.]

Such a good & informative video doc, thank you!

[nics]

How i wish i could have a consult or even a chat with you. I'm 39 and struggling to conceive and i have many questions. It's all very overwhelming to me. The fertility doctor i saw was ok but not welcoming at all. If only i didn't live in Australia. I appreciate your informative videos.

[laurabaker]

I submitted this question to your email awhile back but it seems to also be applicable to this video. You listed the reasons why someone would take low-dose aspirin, and I don’t think you mentioned individuals who have been diagnosed with antiphospholipid syndrome. I would love if you developed a video on APS, as it affects 1 in 5 women with recurrent pregnancy loss. I’ve tried searching for information on the efficacy of treatment (low-dose aspirin + heparin injections) but the few videos I’ve found are medical conference recordings that are full of so much medical jargon it was impossible to get through. I realize this topic is probably more specialized to high-risk pregnancy doctors, but I love your videos and the way you explain complex topics to your audience. Thank you!

[NelaB]

Could you please speak about pregnacy at advanced maternal age post stillbirth. I'm 41 and lost my baby november 2023. I've been told by my doctors to start trying after 3 regular cycles... so we've been trying for 4 cycles now at no luck and success and it's so discouraging. I would appreciate any feedback. Thank you! I love your videos.

[jdothman]

Any chance of a video about sperm morphology and how to improve it, if it can be improved ?

[videofilm]

It's so interesting that advanced paternal age is not strongly associated with increased chromosomal abnormalities, but I suppose that's because the sperm are newly generated whereas eggs are older. Are there any significant recommendations for TTC with advanced paternal age specifically (either alone or with advanced maternal age)?

[ankoorsen]

Hi Doctor, My wife(29 yrs) is 10 weeks 4 days pregnant and her TSH is 7.29, T4 : 0.86 ng/dl. Blood Group B-, BP-120/70, B.W - 59 Kg. Hemoglobin : 9.80 gm/dl. ICT - negative. This is our first pregnancy, and we are worried about her elevated TSH levels. She was prescribed Thyroxine 25 mcg/day. Is this the right dosage? (cause we googled 2 mcg/kg/per is avg requirement), As we mentioned it is our first pregnancy we are really worried, So we would be really appreciate more insight on this issue.

[rachelm_curlysue]

I’m 39 and have never tried to get pregnant. My husband had a vasectomy in his first marriage and we are considering a reversal, before him I was always on birth control. Now I’ve been off it 12 years. I really have no idea about my own fertility since before him I was exceptionally careful with my BC. We’ve done tons of research about reversals and have a good idea about the odds for the success of that. I read some specialist like to see the female partner’s tests before agreeing to do a reversal, but I’m not sure what testing I should seek out. Most of the information I find talks about infertility testing, but I don’t meet that criteria since I’ve never TTC. Is there any specific testing I could start with to assess our situation?