IVF & Treatment Basics
Fertility declines with age, and IVF protocols adapt accordingly. If you're over 35 and considering IVF in Trichy, here's an honest look at what changes and what to realistically expect.
Egg quantity and quality both decline, though not at a uniform rate, some women in their late 30s have significantly better reserves than others their age. AMH and AFC are the best predictors. A higher proportion of eggs may be chromosomally abnormal (aneuploid), leading to lower fertilisation rates, fewer blastocysts, and higher early pregnancy loss. Your stimulation protocol may be adjusted — sometimes higher doses, sometimes modified triggers — to optimize the number of mature eggs retrieved.
However, PGT-A (genetic testing of embryos) takes on more clinical significance after 35 since the percentage of chromosomal abnormalities is significantly higher (approximately 25% in 35-year-olds and 50% in 40-year-olds). Only transferring chromosomally tested and normal embryos can enhance chances for successful implantation and prevent miscarriages. The disadvantage here lies in financial and time investment. It would help if you consulted your doctor to determine whether there is any need for genetic testing in your case.
At Aditi Pluro, women aged 35–37 have per-transfer live birth rates of approximately 35–50% per cycle. By 38–40, this typically falls to 20–35%. These are population ranges your individual chances will be estimated based on your AMH, AFC, and stimulation response. Multiple cycles may be needed, and the cumulative success rate across 3 cycles is considerably higher than a single cycle. Honest, individualised counselling on expectations is part of every consultation.
Q: Is it worth doing IVF at 37 if my AMH is already low?
A: Often yes, AMH predicts quantity more than quality. Some women with low AMH retrieve fewer but high-quality eggs that lead to successful pregnancies. A consultation and baseline scan will give a clearer picture.
Q: Should I do IVF now or wait for the "right time"?
A: Every year after 35 reduces the reserve you are working with. If you are thinking about it, the best time to start the investigation process is now even if treatment is delayed.
Q: What are the risks of IVF pregnancy over 35?
A: Despite the type of pregnancy, the risks associated with it are higher in older women, namely, gestational diabetes, hypertension, and the probability of Caesarean delivery.
Often yes, AMH predicts quantity more than quality. Some women with low AMH retrieve fewer but high-quality eggs that lead to successful pregnancies. A consultation and baseline scan will give a clearer picture.
Every year after 35 reduces the reserve you are working with. If you are thinking about it, the best time to start the investigation process is now, even if treatment is delayed.
Despite the type of pregnancy, the risks associated with it are higher in older women, namely, gestational diabetes, hypertension, and the probability of Caesarean delivery.
