Many Indian women begin to feel anxious about pregnancy after the age of 35. It’s true that fertility naturally declines with age — but that doesn’t mean hope is lost. In fact, many women in their late 30s and even early 40s successfully conceive, either naturally or with medical assistance.
In a society where cultural beliefs and social pressures often surround late pregnancy, this concern can feel even heavier. But understanding the facts can ease that worry.
Dr. Madhu Singh, a trusted OB/GYN and fertility specialist based in Sitamarhi, Bihar, offers reassuring guidance to women navigating this phase of life.
“Your age is one factor but not a sentence. With modern care, many women over 35 have healthy pregnancies.” -Dr. Madhu Singh
Dr. Singh believes that every woman deserves not only expert medical care but also empathy and encouragement. At her clinic, women are supported at every step — from fertility evaluations and treatment options to emotional reassurance and pregnancy care.
Common Myths and Facts
- Myth: “It’s impossible to get pregnant after 35.” Fact: Not true. Fertility does decline slowly, but it doesn’t drop to zero. At age 35 the chance of conceiving each month is still around 15% (versus about 20–25% at 30). Many women over 35 become pregnant naturally; for others it may take a bit longer or require help. According to Dr. Singh, “Many of my patients conceive perfectly well in their late 30s — often with simple guidance or fertility support.”
- Myth: “Only the woman is to blame for age-related infertility.” Fact: Both partners matter. In India, about 40% of infertility cases involve male factors and 40% female factors. Men’s fertility also slowly declines (especially after age 40). A couple’s evaluation should include both partners – sperm count and motility tests for the husband as well as hormone or egg reserve tests for the wife. Dr. Singh notes that “in our community, it’s important to remember that fertility is a team effort — we always check both partners.”
- Myth: “IVF or other treatments always guarantee a baby.” Fact: Treatments help but don’t ensure success. IVF (in-vitro fertilization) and IUI significantly improve chances, but their success rates depend on many factors like age and egg quality. In India, IVF success rates are roughly 30–50% per cycle. In other words, many women do become pregnant with IVF, but some may need more than one cycle. The good news is that advanced technologies (ICSI, genetic screening, donor eggs) are available if needed.
- Myth: “Every pregnancy after 35 is high-risk or doomed.” Fact: Pregnancy risks do increase slightly with age (for example, slightly higher chances of gestational diabetes or high blood pressure), but most pregnancies are healthy with proper care. For instance, while fertility starts to decline after 35, it’s still quite possible to get pregnant, and Dr. Singh regularly cares for healthy older moms. He explains, “We monitor all pregnancies carefully. Many women 36–39 deliver perfectly healthy babies; extra tests just help us keep mom and baby safe.” Screenings (ultrasounds, blood tests) can catch and manage issues early, so age 35+ often means extra vigilance, not guaranteed problems.
- Myth: “If I haven’t conceived yet, nothing will work.” Fact: Don’t lose hope. Experts recommend seeing a doctor sooner rather than later. For women over 35, if there’s no pregnancy after about 6 months of trying, it’s wise to talk with a specialist. A fertility evaluation (blood tests for hormones like AMH/FSH, ultrasound) can identify any issues. Even a failed cycle or delay isn’t the end of the road—doctors can adjust treatment plans. As one fertility guide notes, “If you’ve been trying for a year (or six months if over 35) and haven’t succeeded, you can turn to treatments like medications, IUI or IVF to help”. In short: early check-up is key.
Fertility Facts & Tips
- Fertility declines gradually: A woman’s egg quantity and quality slowly decrease over time. This means it may take longer to conceive or carry a pregnancy to term after 35, but it doesn’t become impossible. For context, about 85% of women under 30 conceive within one year of trying, while at age 35–39 the one-year rate is lower but still substantial. Getting accurate information helps: Dr. Singh points out, “Statistics show many women do get pregnant in their late 30s. Each case is unique — let’s look at your health, and we’ll make a plan together.”
- Healthy lifestyle helps: Take care of your body to boost fertility and pregnancy health. Maintain a healthy weight and balanced diet, avoid tobacco and limit alcohol or excessive caffeine. Exercise moderately, manage stress through yoga or family support, and take prenatal vitamins with folic acid. These steps don’t guarantee pregnancy, but they improve egg and womb health. For example, one fertility specialist recommends visiting a doctor for a pre-conception checkup and ensuring you’re generally healthy before trying.
- Track your cycle: Knowing your fertile window can help timing. Dr. Singh advises women to have intercourse regularly (about 2–3 times per week) during the fertile part of the cycle, rather than waiting for an ovulation test alone. Simple apps or ovulation kits can guide you, but remember that regular cycles don’t always mean high fertility as egg reserve declines. Getting any medical evaluations (like hormone tests AMH/FSH, thyroid) can reveal your unique fertility profile.
- Emotional support: Trying later can be stressful, especially with family or social pressure. It’s okay to feel anxious or sad sometimes. Counseling and support groups (even online communities) can help relieve anxiety. Dr. Singh notes that “we always listen to our patients – if you’re worried or tired, let us know. We include family if needed, and counselors can assist.” Sharing concerns with a spouse or close relative can also reduce stigma and strengthen support.
Support and Treatment Options
- Medical evaluation and monitoring: Visit Dr. Singh (or a gynecologist) for a thorough fertility work-up. Simple blood tests and an ultrasound can assess ovarian reserve, hormone levels (AMH, FSH), and check the uterus and tubes. Men should get a semen analysis. This information guides treatment decisions. For example, if egg reserve is low, options like IVF or donor eggs might be discussed. If tests are normal, simple fertility medications (like ovulation-inducing drugs) or IUI (intrauterine insemination) may be tried first.
- Fertility treatments: Sitamarhi and nearby cities have access to IVF/IUI centers. As noted above, IVF success rates for women over 35 are still encouraging (~30–40% per cycle). Donor eggs or sperm are options if needed, but often couples use their own. Dr. Singh emphasizes that “we offer whatever level of treatment fits you – from oral medications to IVF. We tailor the plan to your health and budget.” Local clinics (e.g. in Patna or nearby towns) can be recommended if advanced care is needed.
- Counseling and planning: A fertility specialist can explain each step and set realistic expectations. For example, Dr. Singh might refer a woman to a dietitian to improve nutrition, or to a mental health counselor if anxiety is high. He often reminds patients, “We’re here to answer all questions. It’s normal to feel scared, but knowledge is power – knowing your options helps you make choices.” In India, where family involvement is common, he encourages involving your partner and elder family members in consultations for support.
- Prenatal care and safety: Once pregnant, age 35+ pregnancies get extra monitoring. This usually means more frequent check-ups, gestational diabetes testing, and ultrasounds. These precautions manage any added risks. Dr. Singh explains: “We keep a closer eye on blood sugar and blood pressure after 35. But most risks (gestational diabetes, pre-eclampsia) can be controlled with diet, medicine or early treatment.” With the right prenatal care, many older moms give birth to healthy babies.
- Positive mindset: Try to stay positive and informed. Avoid falling prey to rumor or blame. Research shows there are many routes to parenthood even after 35. As Dr. Singh reminds his patients, “We have advanced science and a caring team on your side. Every situation is unique – let’s focus on solutions, not fear.”
Support is available. Whether it’s lifestyle advice, medical treatment, or simply someone to talk to, Dr. Singh’s clinic in Sitamarhi is ready to help. You can count on expert guidance (Hindi and English spoken) and a respectful, understanding approach. Don’t hesitate to reach out early – the sooner you get a plan, the better your chances. “With a clear plan and timely care,” Dr. Singh says, “many women after 35 go on to have happy, healthy babies. We’re here to support you every step of the way.”