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.