Fertility After 35: AMH, Egg Quality & Real Options — honest expectations.

Many women have healthy pregnancies after 35. Still, it helps to know what changes with age, which tests matter, and what treatments truly help.

What changes after 35?

• Egg quantity drops: you release one egg a month, but the “reserve” shrinks with time.

• Egg quality drops: more eggs carry chromosome errors, so chances per cycle go down and miscarriage risk goes up.

• Male factors matter too: sperm count, shape, and DNA quality also affect success.

AMH made simple

AMH (Anti-Müllerian Hormone) is a blood test that estimates egg reserve.

• Good for: planning next steps, choosing treatment timing.

• Not for: predicting natural pregnancy this month or baby chances on its own.

• Low AMH ≠ zero chance. It means “move sooner, not later,” and consider stronger options.

Other useful tests

• AFC ultrasound: counts resting follicles in the ovaries.

• Day-3 hormones: FSH/LH/E2, thyroid (TSH), prolactin.

• Semen analysis: simple, high-value test for your partner.

• Uterus/tubes check: ultrasound; HSG or HyCoSy if needed.

Your action plan (quick timeline)

• Try naturally + track ovulation (6 months if 35–39; 3 months if 40+).

• If no pregnancy, get basic tests (both partners) and a plan.

• Move faster if periods are very irregular, AMH is low, or tubes/sperm show issues.

Real treatment options

• Ovulation induction ± IUI: good when tubes are open and sperm is near-normal.

• IVF/ICSI: best when age, low reserve, tube block, or male factor make timing critical.

• Add-ons (case-by-case): PGT-A to select chromosomally normal embryos, endometrial testing when there are repeated failures.

• Donor eggs/embryos: highest chance for very low reserve or 40+ with repeated failed cycles.

What actually helps your chances

• Healthy weight, strength training, and brisk walking improve insulin sensitivity and egg/uterine environment.

• Protein, plants, whole grains, omega-3s; limit ultra-processed sugar and excess alcohol.

• Quit tobacco; sleep 7–9 hours; manage stress (breathing, short walks, journaling).

• Start folic acid when trying to conceive (dose as your doctor advises).

When to seek care now

• Periods missing for 3+ months (not pregnant)

• Severe pain, very heavy bleeding, or known fibroids/endometriosis

• Repeated early miscarriages

How Matrutvam supports you

• Fast, clear work-up for both partners (AMH, AFC, hormones, semen).

• Personalised plan: natural timing, IUI, IVF/ICSI, or donor options—no pressure, just facts.

• Transparent counselling on likely timelines and costs.

• Mind-body care: nutrition, yoga, and counselling to keep you resilient.

Ready to talk through your options? Visit matrutvamhospitals.com.

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