As society continues to change, more people are choosing to marry and start families later in life. But at what age is a pregnancy considered to be at “advanced maternal age”? Is there a specific age when fertility begins to decline significantly? Can women still get pregnant at 30, 40, or even 45?

In this article, Sunshine Surrogacy will explain the definition of advanced maternal age, the potential pregnancy risks to be aware of, and what women can do to improve their chances of a healthy pregnancy.

What Is Advanced Maternal Age?

Advanced maternal age generally refers to pregnancy in women who are 35 years of age or older. As women age, ovarian function gradually declines, along with both the quantity and quality of their eggs.

However, being over 35 does not mean that pregnancy is impossible. With advances in reproductive medicine, fertility treatments, prenatal screening, and maternal healthcare, many women of advanced maternal age are still able to successfully conceive and give birth under appropriate medical supervision.

What Should Women Over 40 Know About Pregnancy?

Pregnancy after age 40 may be associated with a higher risk of pregnancy-related complications, premature birth, and miscarriage. As women age, certain gynecological conditions may also become more common and can affect embryo implantation and overall fertility.

Natural fertility also declines significantly with age. For women around age 40 and older, the chance of becoming pregnant naturally during each menstrual cycle may become very low, depending on individual ovarian reserve, egg quality, reproductive health, and other factors.

So, what can women of advanced maternal age do to improve their chances of pregnancy?

How Can Women of Advanced Maternal Age Improve Their Chances of Pregnancy?

1. Get a Preconception Checkup

A preconception health evaluation is important for anyone planning a pregnancy, especially women of advanced maternal age.

Ideally, both partners should undergo appropriate health assessments. In addition to routine examinations, reproductive health and fertility evaluations may also be recommended to better understand factors such as ovarian function, reproductive health, and overall physical condition.

A comprehensive evaluation can help determine whether there are any factors that may affect conception and whether additional fertility support should be considered.

2. Attend Regular Prenatal Checkups

Women of advanced maternal age should follow their healthcare provider’s recommendations for prenatal examinations throughout different stages of pregnancy.

Regular prenatal care allows doctors to monitor both maternal health and fetal development. Once fetal cardiac activity can be detected, appropriate monitoring and prenatal screening can help identify potential abnormalities or pregnancy complications as early as possible.

Depending on the individual situation, doctors may also recommend additional prenatal screening or diagnostic testing.

3. Maintain a Healthy Lifestyle and Manage Stress

Pregnancy at an older age can sometimes bring additional emotional pressure. Some expectant mothers may feel anxious about fertility, fetal development, or potential pregnancy complications.

Maintaining a regular daily routine, getting enough sleep, eating a balanced diet, staying physically active as recommended by a healthcare professional, and managing stress can all contribute to overall health during pregnancy.

Rather than focusing only on age, it is important to maintain healthy habits and follow individualized medical advice throughout the pregnancy.

4. Avoid High-Risk Physical Activities

During pregnancy, women should choose physical activities that are appropriate for their individual health and pregnancy condition.

Women with high-risk pregnancies may be advised to avoid strenuous exercise, heavy lifting, or other activities that could place excessive physical stress on the body. Whether sexual activity or exercise should be restricted depends on each pregnancy and should be discussed with an obstetrician or healthcare provider.

Following individualized medical recommendations can help reduce avoidable risks and support a safer pregnancy.

What If Embryo Transfer Fails? Choosing a Surrogacy Agency in the U.S.

For intended parents who have experienced repeated embryo transfer failure or are unable to carry a pregnancy safely, surrogacy may be one of the family-building options they consider.

The cost of surrogacy in the United States is generally higher than in many other destinations. However, the U.S. remains a popular choice for international intended parents because of its established reproductive medicine system, access to experienced fertility specialists, insurance options, and clearer surrogacy laws in certain states.

Surrogates in the United States typically undergo a comprehensive screening process. Depending on the agency, fertility clinic, and legal requirements, screening may include a review of previous pregnancy history, medical evaluations, psychological assessments, background checks, and other eligibility criteria.

After embryos are created through a fertility clinic, intended parents may also need to wait for a suitable surrogate match. This waiting period can add significant time to the overall surrogacy journey.

Sunshine Surrogacy provides a one-stop service designed to help intended parents navigate these different stages more efficiently. Based on each family’s individual circumstances, our team can assist with fertility clinic recommendations, help intended parents evaluate medical teams and treatment options, and begin the surrogate matching process during the medical preparation stage.

Intended parents can also receive relevant health, pregnancy, family, and psychological screening information about potential surrogates to support a more informed and secure matching process.

Sunshine Surrogacy is a California-based surrogacy agency with extensive experience serving international and Asian intended parents. With Chinese-speaking team members and access to Chinese-speaking professionals within our partner network, intended parents can communicate in Chinese throughout their journey.

From fertility treatment and surrogate matching to pregnancy coordination and related support, a dedicated point of contact helps guide intended parents through each stage of the process.

Ready to learn more about your options? Contact Sunshine Surrogacy via WhatsApp to speak with our team.