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Why is fertility preservation discouraged for older women?

By María de Riva García.
Last Update: 11/18/2021

Fertility preservation treatment is recommended for the following type of cases:

  • Women with endometriosis, genetic or autoimmune diseases, or who are going to receive any chemotherapy or radiotherapy treatment.
  • Patients with low ovarian reserve.
  • Patients who are going to postpone childbearing.
  • Patients with low ovarian reserve.
  • Patients who are going to undergo ovarian surgery.

The most advisable age to perform fertility preservation is to do it before the age of 35, since from that age, the quality of the eggs decreases considerably. As a woman's age increases, the quantity and quality of eggs decreases rapidly, especially after the age of 38. Eggs from older women are more likely to have some genetic and chromosomal alteration. Therefore, women 40 years of age and older will have poorer oocyte quality and low ovarian reserve.

However, this depends on each patient, and each case must be reviewed individually, since there are older women (37-39) in whom this fertility preservation treatment can be beneficial.

Suggested for you: Fertility preservation in young women.

 María de Riva García
María de Riva García
BSc, MSc
Embryologist
Embryologist.