At what age is it hard for a man to get a woman pregnant?

Male fertility generally starts to reduce around age 40 to 45 years when sperm quality decreases. Increasing male age reduces the overall chances of pregnancy and increases time to pregnancy (the number of menstrual cycles it takes to become pregnant) and the risk of miscarriage and fetal death.

betterhealth.vic.gov.au - Women's age and fertility - Better Health Channel

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Age affects the ability to conceive and have a healthy baby for both men and women.

Women's age and fertility

A woman is born with all the eggs she is going to have in her lifetime. Her eggs age with her, decreasing in quality and quantity. Age is the single most important factor affecting a woman 's fertility. While good health improves the chance of getting pregnant and having a healthy baby, it doesn 't override the effects of age on a woman 's fertility. A woman in her early to mid-20s has a 25–30% chance of getting pregnant every month. Fertility generally starts to reduce when a woman is in her early 30s, and more so after the age of 35. By age 40, the chance of getting pregnant in any monthly cycle is around 5%.

Women's age and IVF

It's a common misconception that IVF treatment can overcome age-related infertility. A woman's age also affects the chance of success with IVF. In Australia, the chance of a live birth from one complete IVF cycle (which includes all fresh and frozen-thawed embryo transfers following one ovarian stimulation) is about:

43% for women aged 30 to 34 years

31% for women aged 35 to 39 years

11% for women aged 40 to 44 years.

For older women the chance of having a baby increases if they use eggs donated by a younger woman.

Women's age and pregnancy complications

The risk of pregnancy complications increases with age too. The risk of miscarriage and chromosomal abnormalities in the fetus increase from age 35. Complications such as gestational diabetes, placenta previa (when the placenta covers all or part of the cervix, which increases the risk of the placenta detaching), caesarean section and still birth are also more common among older women than younger women. Conditions that may affect a woman 's fertility include endometriosis and polycystic ovary syndrome (PCOS).

Men's age and fertility

While the effects of female age on fertility have been known for a long time, more recent studies have found that the age of the male partner also affects the chance of pregnancy and pregnancy health. Male fertility generally starts to reduce around age 40 to 45 years when sperm quality decreases. Increasing male age reduces the overall chances of pregnancy and increases time to pregnancy (the number of menstrual cycles it takes to become pregnant) and the risk of miscarriage and fetal death. Children of older fathers also have an increased risk of mental health problems (although this is still rare). Children of fathers aged 40 or over are 5 times more likely to develop an autism spectrum disorder than children of fathers aged 30 or less. They also have a slightly increased risk of developing schizophrenia and other mental health disorders later in life.

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Does the dad choose the gender?

It's all about Dad's genes When I tell patients there's about a 50/50 chance for either sex, I also tell them the father's genes determine the baby's sex since some of his sperm carries X chromosomes and some carries Y chromosomes.

utswmed.org - Is it a boy or a girl? The father's family might provide a clue

Is it a boy or a girl? That’s the most common question I hear during ultrasounds. Many couples want to know before the 20-week ultrasound. And there are plenty of old wives' tales that patients reference when guessing the sex of their baby. My general response is that it's a 50/50 chance that a woman will have a boy or a girl. But that's not exactly true – there’s actually a slight bias toward male births. The ratio of male to female births, called the sex ratio, is about 105 to 100, according to the World Health Organization (WHO). This means about 51% of deliveries result in a baby boy. While the sex ratio can be distorted by populations that selectively value male over female births, there could be another explanation. Research suggests the slight natural skew of the sex ratio could be nature’s way of adjusting for higher death rates in males due to injuries, accidents, and war. For example, in England around 1900, 50.8% of births were boys. Following World Wars I and II, the rate of male births increased to 51.6%. This may not seem like a big difference, but it resulted in 32 more boys than girls born for every thousand births. Similar changes were seen in other European countries as well following these wars. It seems like sex ratio shifts should be a random phenomenon. But from a medical standpoint, perhaps there’s a genetic explanation to changes in the numbers of boy and girl babies at different times in history.

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