What is the minimum age to get pregnant

Biological clock: how long can women have children?

Studying, traveling the world, building a career and only then having children: Nowadays many women are hesitating to start a family. But how long are they fertile anyway? The gynecologist Dr. Helge Mommsen from Prenatal Medicine Munich explains in an interview with our editorial team what the biological clock is all about.

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Dr. Mommsen, when does the biological clock start ticking in women?

Dr. Helge Mommsen: Statistically, the most fertile time in a woman's life is around her mid-twenties. Fertility decreases over the years. That means: the biological clock ticks very quietly from the age of 30. Your noise becomes more audible from 35 and increases to loud from 40 years. The clock starts ticking extremely loudly from 45. After that it is only a lucky strike.

Up to what age köCan women get pregnant naturally?

Theoretically until about the end of 40, in practice beyond the age of 45, a natural pregnancy is a rarity. However, it is not possible to determine an exact point in time. What is certain, however, is that the chances decrease rapidly with age over 45 and at the same time the risks for the mother increase rapidly.

Premature births, gestational sugars and serious illnesses such as so-called pregnancy poisoning, which is characterized by high blood pressure, liver and kidney failure, blood clotting disorders and seizures, are much more common. And overall, pregnancy is always a burden for an organism that a 25-year-old can easily put away; at 48 it can look different.

Why is it that fertility declines?

The egg cells determine a woman's fertility. At birth, every girl has around one million egg cells. By puberty, 90 percent die and there are still around 100,000 egg cells. In her life, the woman ovulates around 400. At around 50 years of age, there are no longer any functioning egg cells - the menopause sets in. But not only does the quantity decrease with age, but also the quality. From the age of 35, egg maturation gradually deteriorates in the cycle, and the egg cells are often of inferior quality. That's why women 40 and older are significantly less fertile.

So when is the best time to get pregnant?

From a purely biological point of view, between the ages of 20 and 30 years. But biologically, there is still a good period of time to have children between the beginning and the end of 30s. As far as the fertilization time is concerned, it should be noted that each egg cell can only be fertilized for six to twelve hours. If you want to get pregnant, you should try it two days before ovulation. Because the sperm hold up loosely. However, no later than twelve hours after ovulation, the chance of fertilization is over.

Can a healthy lifestyle prolong fertility?to nag?

Let's start this way: An unhealthy lifestyle reduces fertility. These include smoking, obesity, excessive alcohol consumption and frequently changing sexual partners, which increases the risk of infection with chlamydia, for example. Maintaining a normal body mass index, saying goodbye to cigarettes, eating healthily and exercising makes sense in any case. Contrary to many advertising promises, dietary supplements do not increase fertility. It's different with folic acid. If you want to get pregnant, you should take folic acid, because it reduces the risk of an open back in the baby. But folic acid does not make it more fertile.

As a woman, can you have the remaining fertile time tested?

Unfortunately, there are no reliable tests. At 30 you cannot test whether you can still get pregnant at 40. In women around 40, the anti-Müllerian hormone (AHM) is often determined in fertility clinics, a special value that can tell whether there is still a sufficient egg reserve, i.e. whether ovulation is still taking place. However, the result does not say anything about the quality of the egg cells or the chance of pregnancy. Even if the AHM test turns out negative, this does not necessarily mean that the end of the fertile phase has been reached. You can't rely 100 percent on the test - you have to live with the statistics here. And that just means that you shouldn't postpone wanting to have children for too long.

What to do if you can't get pregnant?

First of all, it must be carefully clarified what the cause may be: the man, the woman, both or neither. If everything is normal and the woman has a regular cycle and it still does not work within a year, then it is justified to report to a fertility clinic. In the case of conspicuous findings that stand in the way of a natural pregnancy, of course beforehand.