Your Chances of Getting Pregnant at Every Age

Getting familiar with these pregnancy statistics by age can increase your odds of conceiving in your 20s, 30s, 40s, and beyond.

Pregnant Women Sitting on Bed Holding Sonogram and Socks
Photo: Natalia Deriabina/Shutterstock

If your period is the only time you pay attention to your fertility, you're not alone. For many people, the basics of how conception works and the chances of getting pregnant at different ages are huge question marks. Consider this your crash course in Reproduction 101.

First, let's start with the basics: If you have ovaries, you were born with 1 to 2 million eggs, and the eggs you have at birth are all the eggs you're going to have in your lifetime. By the time of your first period, you'll have about 300,000 eggs.

"If someone ovulates 500 times between the ages of 12 and 52, and if not all of those eggs are considered to be healthy, what you're left with is a select few eggs that are truly viable for pregnancy," says Alan Copperman, M.D., director of Reproductive Medicine Associates of New York and co-director of the Division of Reproductive Endocrinology and Infertility at The Mount Sinai Hospital in New York City.

Adding insult to injury, human reproduction isn't all that efficient. There is only one week in your cycle during which your odds are really favorable—and goodness knows that few of us can devote a whole week each month to nonstop boot-knocking in the name of babymaking. So, it helps to know your odds of conception at every age so you can make an informed decision.

Early 20s (20 to 24)

"[When a person is] 21, 90% of [their] eggs are chromosomally normal, which helps your chances of conceiving a healthy baby," says Dr. Copperman. You also have age on your side. For people with ovaries, fertility peaks at the age of 24 on average.

People with ovaries under age 25 have a 96% chance of conceiving in a year if they're trying each month. If the male partner is under 25, the odds drop to 92%. That's because many fertility issues among younger couples are on the male's side. Most are easily treatable and don't require help from a specialist unless conception is taking longer than one year.

Mid-Late 20s (25 to 29)

From age 25 to 34, you have an 86% chance of conceiving after trying for a year. Your chances of miscarrying are 10%, only a little higher than they were in your early 20s. Keep doing what you've been doing and you'll be likely to have a baby within a year. There's no need to consult a specialist until you've been actively trying for more than 12 months without success.

Early 30s (30 to 34)

Your odds of conceiving are still high—up to an 86% success rate for couples that try for a full year. The only major change is that your chances of miscarriage by age 30 have risen to 20%.

Conventional wisdom says that you don't need to seek fertility treatment in your early 30s until you've been trying for a year with no luck, but some doctors recommend consulting your OB-GYN or primary care physician if you're still having trouble after nine months.

"That way, they can pinpoint any problems and treat them before your fertility starts to decline more rapidly after 35," Dr. Copperman says.

Mid to Late 30s (35 to 39)

"You still have a good outlook for getting pregnant in this window, particularly before age 37," says Kelly Pagidas, M.D., a fertility specialist and chair of Medical Education for the TCU School of Medicine in Fort Worth, Texas. At 35, most females have a 15% to 20% chance of getting pregnant in a given month. That could mean a 78% chance of conceiving within the year.

But 35 seems to be the point where fertility for people with ovaries does decline. "The most common reason is reduced egg quality," Dr. Pagidas explains. "You may have plenty of eggs to work with, but they're likely to have more chromosomal defects that affect their viability." You're also at a little greater risk of miscarriage, a pregnancy complicated by chromosomal abnormalities like Down Syndrome, or an abnormal pregnancy with things like preeclampsia and diabetes.

Roughly 30% of females age 35 may take a year or more to conceive. Doctors don't want you to wait that long to find out if you're one of them. Time is of the essence, and if you're having trouble conceiving after six months, see your OB-GYN right away to undergo some testing. Intrauterine insemination (IUI) is a less invasive assisted reproductive technology that may work, especially in cases of sperm abnormalities, but in vitro fertilization (IVF) may be an excellent treatment option as well.

Finally, this is your last chance to freeze viable eggs for use at a later date, should you prefer not to get pregnant right now. "A woman can freeze her eggs up until age 40; then she can come back years later and have a good chance of pregnancy even into her mid-40s," says Steven R. Bayer, M.D., a reproductive endocrinologist at Boston IVF fertility clinic.

Early 40s (40 to 44)

With advancing age, egg quality and quantity go down. At this stage, you're facing a few challenges that may make it harder to conceive and stay pregnant.

"By the time she's in her 40s, 90% of a woman's eggs are chromosomally abnormal," Dr. Copperman says. Assistance from reproductive technologies becomes more common at this time, and not just because of the egg issue.

There may be more issues with older male partners, and some people report an increase in uterine lining issues with age. The uterine lining thins and the blood supply to it decreases with age, making it more difficult for the egg to implant.

People approaching menopause may also see their cycles shorten. (The onset of menopause is generally between ages 40 and 60.) "That means as the cycle shortens, ovulation occurs earlier in the cycle, as soon as day nine," explains Dr. Bayer. "You need to make sure you adjust the timing of intercourse around ovulation accordingly."

The rule of thumb at this age for natural conception is to have sex every other day around the time of ovulation. A good sign that you are getting close to ovulation is an increased production of clear, slippery, and stretchy cervical mucus (what some describe as the consistency of raw egg whites). An ovulation predictor kit (OPK) may also help with the timing of sex. If conception is taking more than three months, see your doctor right away.

For females over the age of 40, conservative treatment with inseminations carries a low success rate; the best option is IVF.

45 and Older

At 45, a female's likelihood of getting pregnant is no more than 3% or 4%. That's not to say it's impossible, but assisted reproductive technologies (ART) are almost always necessary, with IVF being the most common.

"The few eggs you have left may have chromosomal abnormalities, so screening before IVF is critical," says Dr. Copperman. Success rates are between 0% to 1%, and most clinics recommend using eggs donated by a younger woman for those who want to conceive between ages 46 and 50.

For a female in their mid-40s who wants to have a biological pregnancy, using a donor egg is the best bet. "It's fairly easy for a healthy woman to achieve and sustain a pregnancy if the egg is from a healthy 25- or 30-year-old," Dr. Bayer says. "Even if she's in menopause, success rates are about 60% to 65%."

How to Increase Your Chances of Getting Pregnant at Any Age

Regardless of your age, you can maximize your chances of conceiving each month by figuring out exactly when you ovulate.

"Ovulation generally occurs 14 days before your next period, no matter how long your cycle is," says Dr. Bayer. For instance, if you have a 34-day cycle, you ovulate around day 20; a person with a 26-day cycle would ovulate on day 12. Whatever your date of ovulation, plan to have penis-in-vagina sex in the five days prior to that day and for two days after.

"You'll know you're nearing ovulation when you start producing clear, slippery cervical mucus which starts one to four days before egg release," says Dr. Bayer. Another good predictor is an ovulation kit. "When it shows you're getting ready to ovulate, have intercourse over the next two days to catch the fertile window. You have 24 to 36 hours to have sex to make it in the optimal window," explains Dr. Bayer.

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