Fertility declines after 35.
Is this news to you?
It shouldn’t be – I mean, I was aware of this well before I found myself staring mounting birthdays in the face and still no luck with the baby-having.
Still, the assertion of this fact seems to make lots of infertile women very, very mad. I was reminded of this when I read this letter to the editor from a story that ran in the Ottawa Citizen. A doctor who directs a local fertility clinic responded to an article about an older mother with the line “Women: have your baby yesterday.”
Yikes.
I am of two minds about this: I have PCOS, a condition which causes difficulty conceiving among its other many aspects of suckitude. I was lucky enough to know this before I was remotely ready to have a baby – I was diagnosed at 23 – and it didn’t really change my behavior at all. And I would have been a terrible, terrible mother at 23 and not too much better at 27, when fertility supposed to peak and when I met the man I’d later marry and have kids with.
So on the one hand I take issue with my infertile sisters who get all up in arms when reminded that time does diminish fertility. To my mind, it’s no different than taking up marathon running or competitive swimming at 40. You can do it, and do very well, but the fact is you’re going to have to work harder and devote more time and attention to it because your body is just older.
You’re don’t somehow “deserve” your trouble conceiving because you waited. Life happens. Circumstances happen. Sometimes the ideal partner doesn’t show up until well into your 30s, or doesn’t show up at all and you decide to do this on your own.
But coming out of the mouths of the doctors who are supposed to help us, “have your baby yesterday” sounds an awful lot like blame.
I think it’s something of a copout by reproductive endocrinology to attempt to pin all infertility causes on women waiting too long. Fertility is very poorly understood when the causes aren’t straightforward. I remember feeling very frustrated that few doctors seemed to understand PCOS and the RE we were throwing lots of money at each month couldn’t give me a good answer as to why the clutch of eggs I produced each month on Clomid didn’t result in a baby.
So, telling women “have your baby yesterday” completely ignores the very complex web of emotions, circumstances, maturity, economics and support that makes someone say “now” versus later – not to mention the fact that the two leading causes of female infertility – endometriosis and PCOS – aren’t age related.