Getting Pregnant After 35: Your Questions Answered

If you’re thinking about starting a family in your mid to late 30s, you probably have questions. Can it still happen naturally? Are there added risks? And what’s the truth about the term often used for pregnancies after 35?

Let’s explore some of the most common concerns and what you should know if you're planning or preparing to conceive after 35.

1. Does age affect your chances of getting pregnant?

Yes, age and fertility are closely linked. As we age, both the number and quality of our eggs naturally decline. Fertility is generally at its peak in the 20s and early 30s, then gradually starts to decrease after 35, and more noticeably after 40. This doesn’t mean it’s too late — it may just take longer or require additional support.

2. Will I really be labeled a "geriatric" mom?

Thankfully, not anymore. While pregnancies after 35 were once labeled “geriatric,” the term now used is “advanced maternal age.” It’s simply a medical way to indicate that extra care and monitoring may be helpful, not a judgment about your health or ability to have a baby.

3. Does my partner’s age matter?

It can, though not as significantly as maternal age. Sperm quality may decline over time, and some health conditions that impact fertility become more common with age. Certain genetic risks can also increase with paternal age, which might mean additional screening is recommended during pregnancy.

4. Should I consider fertility testing?

Fertility testing can be helpful depending on your personal situation. If you're over 35 and haven’t conceived after six months of trying, it’s a good idea to speak with a provider. Testing may include hormone evaluations, ultrasound, or semen analysis for your partner. If you're over 40 and actively trying, testing is often recommended right away.

5. What about pre-conception screening?

Before getting pregnant, a visit with a healthcare provider to review your health and medical history can be valuable. This may include lab work, a physical exam, or genetic screening. If you conceive before having this conversation, many of the same evaluations can happen early in pregnancy.

6. Is fertility treatment inevitable after 35?

Not at all. Many people conceive naturally in their late 30s and even early 40s. Fertility treatments like IVF are options if needed, but they’re not a given. Treatment depends on many factors beyond age. If it turns out that support is needed, it’s good to know those options are available and effective for many.

7. Does lifestyle have a bigger impact after 35?

Yes. Since egg quality can decline with age, maintaining a healthy lifestyle becomes even more important. Quitting smoking, managing weight, eating well, exercising regularly, and reducing stress can all support fertility. Conditions like insulin resistance or obesity may interfere with ovulation, so addressing these can also help improve your chances.

8. Are pregnancy complications more common?

The risk of certain pregnancy complications, like gestational diabetes, high blood pressure, or miscarriage, can increase after 35. But these risks vary and don't affect everyone. Closer monitoring during pregnancy helps catch and manage any potential issues early.

9. Is it more common now to have children later?

Yes. More people are choosing to start families in their 30s and beyond. In fact, birth rates among women in their mid-to-late 30s have increased significantly over the last few decades, while rates among younger women have declined. You're not alone in making this decision later in life.

10. Are there any upsides to getting pregnant after 35?

Absolutely. Many women feel more emotionally and financially prepared in their 30s or 40s. Life experience, stable relationships, and career development can all contribute to a sense of readiness. While being aware of potential risks is important, there are many positives to having a child later in life.

Getting pregnant after 35 may come with different considerations, but it’s far from uncommon. With the right care, support, and planning, many people go on to have healthy pregnancies and thriving families later in life. The journey may look a little different, but it can still be everything you hope for.