Patient Resources · Fertility Guide

Age and Fertility

Explore the fertility timeline by age and understand how egg quantity, egg quality and hormonal changes affect fertility over time.

Fertility Timeline by Age

  • Late teens to late 20s: Fertility is at its highest. About 85% of women will conceive within one year of regular, unprotected sex. The monthly chance of natural pregnancy is around 25% per cycle.
  • Early 30s (30–34): Fertility remains relatively good, but a slow decline begins. About 75% of women will conceive within a year, and the monthly chance per cycle drops to about 20%.
  • Late 30s (35–39): The rate of fertility decline speeds up significantly. By age 35, roughly 66% of women conceive within a year. Egg quality and quantity decrease faster, and the risk of miscarriage begins to rise.
  • Age 40 and over: Fertility drops sharply. The chance of natural pregnancy falls to about 5% or less per cycle, and about 44% of women can conceive within a year. Chromosomal abnormalities in remaining eggs increase, which raises the risk of miscarriage.

Fertility Declines with Age

  • Egg Quantity: Women are born with a fixed number of eggs (about 1 to 2 million), which naturally reduces to roughly 300,000 to 400,000 by puberty and continues to drop every month.
  • Egg Quality: Older eggs have a higher chance of genetic and chromosomal errors, making healthy fertilization harder and miscarriage more likely.
  • Hormonal Changes: Natural shifts in hormones during a woman's late 30s and 40s can cause irregular cycles and missed ovulation.

Discuss your options with our Fertility Team

Our specialists can review your fertility history and explain your treatment options.