fertility-for-couples-who-are-35-and-above - Dr. Chaitra

Fertility Treatment for Older Couples

Fertility treatment for older couples — those above the age of 35 — largely depends on the underlying cause of infertility. As fertility naturally declines with age, timely evaluation and intervention become even more important. Treatment options can range from relatively simple approaches such as ovulation induction combined with timed intercourse, to more advanced assisted reproductive techniques like IVF (In Vitro Fertilization) and ICSI (Intracytoplasmic Sperm Injection). In this article, we aim to explore the various treatment choices available to older couples, helping them understand which options may offer the best chance of success.

What are the common causes for Infertility in older couples?

Common causes of infertility in older women include poor ovarian reserve. Similarly it is common to see male factor infertility in couples over the age of 35.

Why is there a higher risk of Infertility in older couples?

This is required as there is a decrease in fertility with age in both partners. In women, age results to a decrease in the quality and quantity of eggs produced. In men, age may cause a decrease in sperm count, motility, morphology and quality.

When should a couple above the age of 35 see a fertility doctor?

A couple who is above 35 should see a fertility specialist if they are unsuccessful in conceiving after trying for 6 months. Women above 40 must see an infertility specialist sooner.

A specialist would perform a through evaluation to identify the reason for infertility. A specialist can decide on the right treatment based on the results.

What are the options for Fertility Treatment for Older Couples

Doctors use higher levels of interventions for the treatment of infertility in couples who are above the age of 35. Options for fertility treatment in individuals above the age of 35 include:

Ovulation induction and timed intercourse
Intra uterine insemination (IUI)
In-Vitro Fertilization with intracytoplasmic sperm transfer (IVF-ICSI) and frozen embryo transfer. Natural cycle IVF programs, minimal stimulation programs and pooling programs have a role in couples who are older
Donor gamete programs
Surrogacy based programs
Use of advanced techniques such as preimplantation genetic testing (PGT), laser assisted hatching, embryo glue, time lapse based embryo morphometry for embryo selection and assessments for endometrial receptivity
Experimental techniques such as Platelet Rich Plasma (PRP) for endometrial rejuvenation may be used

Selection of the right technique for the right patient is important for success