Fertility Injections and Age: What You Need to Know
In recent years, there has been a significant increase in the number of women seeking fertility treatments, including fertility injections. These injections, also known as gonadotropins, are used to stimulate the ovaries and increase the chances of ovulation and pregnancy. While they can be a helpful option for women struggling with infertility, there are some important factors to consider when it comes to age and fertility injections. In this blog post, we will discuss the impact of age on fertility, how fertility injections work, and what you need to know if you are considering this treatment option.
The Impact of Age on Fertility
One of the most crucial factors to consider when it comes to fertility is age. As women age, their fertility naturally declines due to a decrease in the number and quality of eggs in their ovaries. This decline begins in the late 20s and becomes more significant after the age of 35. By the age of 40, a woman’s chance of conceiving naturally is only around 5% per cycle. This decline in fertility is due to a process called ovarian aging, where the supply of eggs in the ovaries decreases, and the remaining eggs are of lower quality.
In addition to the natural decline in fertility, age also increases the risk of certain fertility issues, such as endometriosis, blocked fallopian tubes, and uterine fibroids. These conditions can make it more challenging for a woman to conceive and may require fertility treatments, including injections.
How Fertility Injections Work
Fertility injections contain hormones, such as follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are responsible for stimulating the ovaries to produce and release eggs. These hormones are typically produced by the pituitary gland in the brain, but fertility injections provide a higher dose of these hormones to increase the chances of ovulation and pregnancy.
The injections are typically given daily for around 10-12 days, starting on the second or third day of the menstrual cycle. During this time, the woman’s hormone levels are closely monitored through blood tests and ultrasounds to ensure the right dosage is being given. Once the eggs have reached maturity, a trigger shot of human chorionic gonadotropin (hCG) is given to induce ovulation. After the trigger shot, the couple is advised to have intercourse or undergo an insemination procedure to increase the chances of pregnancy.

Fertility Injections and Age: What You Need to Know
Fertility Injections and Age: What You Need to Know
While fertility injections can be an effective treatment option for women of all ages, there are some important considerations to keep in mind for women over the age of 35.
1. Lower Success Rates: As mentioned earlier, age plays a significant role in a woman’s fertility. As women age, their chances of getting pregnant naturally or with fertility treatments decrease. The success rates of fertility injections are also lower for women over the age of 35, as their ovarian reserve and egg quality continue to decline.
2. Higher Dosage: Women over the age of 35 may require a higher dosage of fertility injections to stimulate their ovaries effectively. This is because their ovaries may not respond as well to the lower doses that are typically prescribed. The higher dosage can also increase the risk of multiple pregnancies and ovarian hyperstimulation syndrome (OHSS).
3. Increased Risk of Complications: Women over the age of 35 are at a higher risk of developing certain complications from fertility injections, such as OHSS and multiple pregnancies. OHSS is a potentially serious condition where the ovaries become enlarged and painful, and fluid can build up in the abdomen. Multiple pregnancies can also lead to an increased risk of miscarriage and other pregnancy complications.
4. Time Sensitivity: For women over the age of 35, time is of the essence when it comes to fertility treatments. As a woman’s fertility declines with age, it becomes more challenging to conceive, and the window of opportunity for treatments like fertility injections may be shorter. It is essential to consult with a fertility specialist as soon as possible to determine the best course of action.
5. Consider Other Options: For women over the age of 40, fertility injections may not be the most effective treatment option. In vitro fertilization (IVF) may be a better option, as it involves retrieving eggs from the ovaries and fertilizing them with sperm in a laboratory. This bypasses the need for the ovaries to respond to fertility injections and can increase the chances of pregnancy.
In conclusion, age is a crucial factor to consider when it comes to fertility and fertility injections. While these injections can be a helpful option for women struggling with infertility, it is essential to understand the potential challenges and limitations that age may bring. Consulting with a fertility specialist is the best way to determine the most appropriate and effective treatment plan for each individual.