Advanced Maternal Age: TTC and Pregnancy Over The Age Of 35
Vložit
- čas přidán 9. 01. 2024
- 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
------------------------------
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.
COME SAY HI!!!
Blog: nataliecrawfordmd.com
Instagram: nataliecraw...
TikTok: / nataliecrawfordmd
Twitter: ncrawfordmd?lang=en
Facebook: / nataliecrawfordmd
Email: hello@nataliecrawfordmd.com
FORA FERTILITY:
forafertilityaustin.com
715 W 34th Street, Austin, TX 78705
To become a patient: email info@forafertilityaustin.com or call 512-956-5006
Listen to the AS A WOMAN PODCAST here:
ITUNES: podcasts.apple.com/us/podcast...
SPOTIFY: open.spotify.com/show/12IYOLH...
----------
#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.
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 ❤🙏✨
Congratulations! Wishing you all the best!!!
YAY!!! thank you for sharing
@@JennSkywalker. Thank you so much! 🙏❣️🥰
@@NatalieCrawfordMD You’re welcome and thank you for sharing yourself with us as well! 🙏❤️
wow that's amazing I'm so inspired by you already I have 2 healthy children and then I was on birth control for 7 years due to mental health stuff I went off and unfortunately I had 2 miscarriages and im terrified that because of the birth control it's going to take me a long time to have a successful pregnancy I cry all the time cause I feel like I ruined my life and I still want a big family not sure if that's possible now
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! ❤
Goodluck mama bear, all is well🤗
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. 💗
Congratulations... Hope to have a similar outcome😊
I love this!!! having good information, tracking cycles, and controlling what you can are helpful tips. It absolutely can happen. lots of love.
@@NatalieCrawfordMDhi my name is chaya zamir I need fertility advice your videos are so informal thank you I need medical advice I'm really scared that my chances of having a succesful pregnany soon are very low due to being on birth control for 7 years I had 2 miscarriages and im scared because i was on birth control for so long when should I have fertility intervention ive been off the birthcontrol for a year and I'm scared it's going to take a long time to get pregnant
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
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😊
That is awesome! Love taking care of the things you can control (diet, lifestyle) and it can absolutely happen XO
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!
I’m 46yo, low AMH,one failed IVF cycle starting new cycle in a few weeks. 🙏
sending good thoughts your way XO
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.
Love your content! New subscriber ❤️
Such a good & informative video doc, thank you!
TY!!
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
Thank you 4 this video
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 😊
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.
I'm so glad they could help. sending you lots of love that IVF will be the answer
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!
yes absolutely APS should start low dose aspirin when trying to conceive and then add lovenox with positive pregnancy test (or embryo transfer if doing IVF) - should be standard of care.
thank you for your informative video . I would like to know what is the alternative to aspirine if someone is highly allergic to it / for preclamsia?
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.
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.
I am so sorry. hugs
Hello Natalie, thanks so much for all that you share!
I’m hoping you can help myself and others in regard to hormones used during IVF….
Do you prescribe bio identical hormones (prometrium and estradiol for example ) to your ladies in IVF or do you use synthetic hormones (provera and estrofem for example) It seems Bio identical ones are safer and more effective while avoiding MPA’s .
I would have assumed almost like a generic medicine - it would be the same and not an issue to ask for bio synthetic ones but my IVF dr is unfamiliar with them and says he doesn’t have stats in their efficacy and interaction with the fertility medication used in my IVF.
What do you think?
I am confused by this and a bit worried
Thank you so much!
Jodi
Any chance of a video about sperm morphology and how to improve it, if it can be improved ?
this is in the works!
TY
Thanks Natalie - so much good info here again! I however really dont see the benefit of measuring someones AMH - all it does it mess with a patients mental state and I really feel like it doesn't help anyone knowing this info, most importantly the patient. If in western medicine, it cannot be changed, really why put that 'dreaded number' in a woman TTC's head xxxx But I do work with that side of fertility so maybe its just me :/
I think only if you are doing IVF or egg freezing it’s useful
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?
please get a fertility evaluation before doing a reversal even though you haven't TTC. so many people don't have the data they need to make this decision! lots of love.
Another alternative to the reversal is a Testicular sperm extraction, my husband just had that done because a reversal was not successful. Much less invasive and a sure thing almost. But the downside is that it's only enough sperm to use for IVF. So I totally agree, get you tested first.
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)?
Man over 40 have the same association as woman over 35, the sperm is "newly generated" but the "factory" gets old. Just because someone produce sperm doesn't mean is a quality one, the thing is society doesn't view man over 40 as old, as they do woman. Plus drinking, smoking and obesity play a big role. My uncle and his wife lost 5 babies before finally having a boy, he is autistic, his wife was 28 and he was 44. Like when is comes to infertility, is a 50 /50 thing between man and woman, but it always falls under the woman's fault for everyone around.
@@flavialm1 From what I looked up, advanced paternal age is not associated with increased rates of abnormal chromosome numbers (although on second look, there is some increased risk of trisomy 21, but not 13 and 18 and xyy for example). But I see it is associated with other abnormalities and mutations.
actually APA is associated with an increase in imprinting disorders, new autosomal dominant disease mutations, and increase in behavioral disorders (autism spectrum) - however, typically at an older age like 50+
the way I ran to this video.
Can genetic play an effect? Like my paternal grandmother had multiple children all healthy and my mother entered menopause after 50. I had my baby at 34 got pregnant at my 4 cicle after I stopped the pill, and I'm now turning 36, we are still unsure if we are having a second baby.
genetics do impact WHEN you may go through menopause (out of eggs) but not egg quality.
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.
You would want at least 50 per day, and when pregnant should increase the dose at the beginning of the pregnancy
I'm 37 and want to have another baby but my BMI is 47.9 so not only do I need to lose weight but have the clamps removed off my tubes
see a fertility doctor to discuss options, check sperm etc - sometimes IVF can be cheaper than a tubal reversal - losing weight will help too (Ive had patients with great success on ozempic)
So if you never had a child before that lowers your chances of getting pregnant for the first time as you age? My girlfriend has no kids and she’s 41 and we’ve had sex many times unprotected and she’s never gotten pregnant, is it her age? Or is it my lifestyle? I’m 34 but I’ve been a smoker for about 16 years and Idk if that has affected my sperm over the years? Even when I was younger, I was in a relationship from 27 to 31 and we never used protection and she never got pregnant either. So I’m wondering is it me? 🤔
When should you time intercourse after trigger shot ?
What if im allergic to aspirin? Is there any substitute?
I can take ibuprofen and tylenol without problem
no if allergic then don't replace with something else
Lot of women give birth to good babies after 35...
I thought this video was informative until she got into the CRT stuff
I am 46.5 yrs old and still would like to have a child one day but the world fear mongers you. Yes, it’s not the best age, but the world lies to women. 🤷🏻♀️
Do it!!! ❤️
Go for it mama bear, don't give up😊
control what you can and seek help early. sending you good vibes
It’s not impossible but i would definitely take action asap
Any update? I am 46 and just started TTC.
I am 34 I try to have babies 2 dopo a year not had a pried I am a big. Family 5:01
Only Fans ????
Not here
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.