Friday, August 7, 2020

AGE MATTERS-Declining Fertility with Age

Age is the single most important factor affecting the woman’s fertility and her chances of having a child. We have to understand a fact that ovaries have a life span. Women are born with all the eggs they will ever have. At birth there are about one million eggs. By puberty that number will have dropped to about 300,000. Of the follicles remaining at puberty, only about 400 will be ovulated during the reproductive years. A woman’s best reproductive years are in her 20s. Fertility gradually begins to drop in the late 20s or early 30s and falls more rapidly after the age of 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant. By age 40, a woman’s chance is less than 5% per cycle, so fewer than 5 out of every 100 women are expected to be successful each month. In addition today’s modern world shows a fertility decline among women has increased because of multiple factors early menarche, their life style, pollution and exposure to many environmental toxins.

The age-related decline in female fertility happens because both the quality and the quantity of eggs gradually decline. A significant increase in the rates of aneuploidy and spontaneous abortion are seen in women with advanced age. The success rate of infertility treatment including IVF is also low for the same reason. As age increases, the risks of other disorders that may adversely affect fertility, such as fibroids, tubal disease, pelvic inflammatory disease, endometriosis and others also increases. A couple who fail to conceive after one year of regular unprotected intercourse (without contraception) are said to be infertile. If the woman is more than 35yrs, the time period is limited to 6 months.

The women are advised to utilize the right age (20s) for pregnancy to prevent difficulty in conception later. It is prudent for the young women or couple to consult their gynecologist for fertility screening tests before they plan contraception to postpone their pregnancy. Fertility screening involves semen analysis of the male partner, hormonal tests and ultrasound to check the ovarian reserve of the female partner. Ovarian reserve is the capacity of the ovary to provide egg cells that are capable of fertilization resulting in a healthy and successful pregnancy. There are multiple tests to know the ovarian reserve but the most reliable ones are Baseline antral follicle count, Anti mullerian hormone and Day 3 FSH.

Ageing is not in our hands but protecting our fertility is definitely in our hands. So girls be aware and utilize the time when it is best.

Dr. Mohamad Al Halabi

Obstetrics & Gynecology/ IVF Consultant

Bahrain Specialist Hospital (BSH)

Email:  mohamad.halabi@bsh.com.bh

MOST READ

UAE becomes first Arab country to develop nuclear energy plant to generate safe, clean electricity

The Emirates Nuclear Energy Corporation (ENEC) today announced that its operating and maintenance subsidiary, Nawah Energy Company (Nawah) has successfully started up Unit 1...

Fe AlDarb: Winner of INJAZ Bahrain- High School Best Social Impact Award

INJAZ Bahrain has recently conducted the 12th edition of Young Entrepreneurs Competition that witnessed student entrepreneurs from around the Kingdom competing to obtain the...

Netflix is letting people watch things faster or slower with new playback speed controls

Netflix is letting people choose the speed at which they want to watch something on their phone or tablet with new playback controls. Netflix will...

Diyar Al Muharraq Partners with Spectrum Co. W.L.L.

Diyar Al Muharraq, one of the largest real estate developers in Bahrain, announced the signing of a joint agreement with Spectrum Co W.L.L, which...

Shrimping ban to be lifted

The Agriculture and Marine Resources Department at the Works, Municipalities Affairs and Urban Planning Ministry has announced that the ban on shrimping will be...

2nd edition of King Hamad Chair in Interfaith Dialogue and Peaceful Co-Existence summer programme to be held on August 31

The 2nd edition of the summer programme of the King Hamad Chair in Interfaith Dialogue and Peaceful Co-Existence will be held from August 31 to September 5...

The Government Directory App

Planning a virtual event? Need to reach government officials in specific directorates? The Government Directory App is your essential guide to the numerous governmental...

King Fahd Causeway to reopen for Bahraini trucks on Sunday

Bahraini trucks and their drivers will be allowed to resume their trips to the Kingdom of Saudi Arabia via the King Fahd Causeway today,...

Education Minister Praises ‘AGU’ Leading Position

The Arabian Gulf University (AGU) has recently attained new achievements in the field of being granted accreditation from prestigious international institutions, as three of...

Gulf Air Welcomes Back Kuwait to its Network

Gulf Air, the national carrier of the Kingdom of Bahrain, announces that it will resume its direct flights to and from Kuwait. Gulf Air has...

HH Shaikh Khalid bin Hamad instructs to organise “Your Talent at Home” competition

HH Shaikh Khalid bin Hamad Al Khalifa, First Deputy Chairman of the Supreme Council for Youth and Sport (SCYS) and President of Bahrain Olympic...

Batelco Changes the Internet Speed Standards in Bahrain

Batelco, Bahrain’s leading digital solutions provider, has announced today that fiber speeds will be boosted by up to 5 times for all fiber internet...

Voluntary Work Award to be dedicated to Bahraini frontliners

His Highness Shaikh Isa bin Ali Al Khalifa, Chairman of Bahrain Basketball Association and Honorary President of Good Word Society, said that the Voluntary...

‘Strongest Man at Home’ reflects HH Khalid bin Hamad’s support to youth, sport

Director of HH Shaikh Khalid bin Hamad Al Khalifa Media Office, and President of the Organising Committee of the Strongest Bahraini Man at Home...

Health Ministry’s staff trained on dealing with COVID-19

The Ministry of Health has held more training sessions and workshops that targeted health workers and professionals, including doctors, nurses, support services, and other...