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Infertility/Fertility/Wanting to get pregnant at 46


Martin Thomas wrote at 2016-05-02 10:53:50
At 40, your chance of conceiving is about 20 per cent (based on the average annual rate of pregnancy per cycle), falling to less than five per cent by the mid-40s .

After 45, you're far less likely to fall pregnant naturally. As early as 15 years before you go through menopause, the number of your eggs begins to decline.

Your reduced fertility is not just about the number of eggs you have, though. It's also about their quality. By your 40s, the eggs that your ovaries release each month are more likely to have structural problems (chromosomal abnormalities).

Chromosomal abnormalities in your eggs can raise the risk of miscarriage and birth defects. This is why both these complications are more common in older women.


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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