How Age Affects Fertility: Understanding Your Reproductive Timeline
Dr. Marika Raff • May 5, 2025
At Caperton Fertility Institute in Albuquerque and El Paso, we believe that knowledge is power—especially when it comes to understanding your fertility timeline. One of the most critical yet misunderstood aspects of reproductive health is how age affects fertility. This isn’t about pressure or panic—it’s about clarity, planning, and empowerment.

Why Age Is a Key Factor in Fertility
While every person is unique, age remains the most significant factor influencing fertility. For individuals with ovaries, fertility begins to gradually decline in the early 30s and more sharply after age 35. By the early 40s, the chance of natural conception significantly decreases.
This decline is due to both the quantity and quality of eggs. Women are born with approximately one to two million eggs, but this number drops over time. As women age, not only does the number of eggs decrease, but egg quality also diminishes, increasing the risk of miscarriage and chromosomal abnormalities.
Your Fertile Window: What to Expect by Age
In Your 20s: Fertility is typically at its peak. Most individuals in this age range have the highest chances of natural conception.
Early to Mid-30s:
Fertility remains strong but gradually begins to decline. Planning during this period is ideal for many.
Age 35 and Beyond:
Fertility decline becomes more noticeable. By age 40, the chances of getting pregnant each month drop to under 5%.
Despite these statistics, many individuals in their late 30s and 40s have healthy pregnancies—sometimes naturally, often with assistance from fertility treatments.
Male Fertility and Age:
What You Should Know
While fertility discussions often focus on women, age also affects male fertility. As men age, sperm quality tends to decline, with higher rates of DNA fragmentation and longer times to conception. It's essential to consider both partners when evaluating fertility.
Proactive Fertility Options: Egg Freezing and More
If you're in your 20s or early 30s and not ready to start a family, consider fertility preservation options like egg freezing. This increasingly popular procedure offers a proactive way to protect future fertility.
For those over 35 who have been trying to conceive for six months or more, it's time to consult a fertility specialist. Early intervention can significantly increase your chances of success.
If you are over 40 and exploring ways to build a family, advanced reproductive technologies like IVF, donor eggs, and preimplantation genetic testing (PGT) can offer promising results.
Personalized Fertility Care at Caperton Fertility Institute
Every fertility journey is unique. At Caperton Fertility Institute, we take the time to understand your individual goals, health history, and timeline. Our fertility specialists in Albuquerque and El Paso offer customized treatment plans backed by leading-edge technology and compassionate care.
Whether you’re actively trying to conceive, considering fertility preservation, or simply want to explore your options, we’re here to guide you with empathy and expertise.
Schedule Your Fertility Consultation Today
It’s time to shift the narrative around age and fertility—from fear to empowerment. Understanding how age affects your fertility can help you make informed, confident decisions.
Ready to learn more about your fertility and how age may play a role? Schedule a consultation at Caperton Fertility Institute today. We’re here to provide answers, advanced fertility solutions, and unwavering support every step of the way.
Keywords:
how age affects fertility, age and fertility in women, male fertility and age, egg quality and age, fertility preservation, egg freezing, IVF over 40, fertility treatment Albuquerque, fertility specialists El Paso

Embarking on the embryo transfer phase of your IVF journey is a big step, and understandably, patients often ask what they can expect during this important stage. At Caperton Fertility Institute, we take great care in preparing your body to create the most welcoming environment possible for a developing embryo. Here’s an overview of how we prepare you for a frozen embryo transfer, including the medications we use and why they matter. 1. Estrogen Patches to Build the Uterine Lining The first step in the preparation process involves thickening the endometrial lining of your uterus so it can support an embryo. We use estrogen patches for this purpose. These patches deliver a consistent dose of estrogen through your skin, and you’ll typically wear several patches on your abdomen at a time, changed every other day as instructed. Estrogen helps your uterine lining grow to the ideal thickness for implantation. We monitor this closely with ultrasound to ensure optimal conditions. 2. Adding Intramuscular Progesterone Once your lining has reached the right thickness, we introduce intramuscular progesterone injections. Progesterone transforms the uterine lining into a receptive state, mimicking what happens naturally after ovulation. These injections are given daily and are an essential part of making the uterus ready to accept an embryo. While the thought of intramuscular shots can be intimidating, our team will guide you through every step and offer tips to make the process more comfortable. 3. Timing the Transfer The timing of your embryo transfer is carefully coordinated based on your hormone levels and the day your embryo was frozen. For example, if you're transferring a blastocyst (an embryo that developed for five days), we schedule your transfer five days after starting progesterone. Precision is key, and we tailor the timing to closely replicate the conditions of a natural cycle. 4. Day of the Transfer The transfer itself is a quick, gentle procedure that doesn’t require anesthesia. We use ultrasound guidance to place the embryo in the uterus, and many patients describe it as similar to a Pap smear. Afterward, you’ll rest briefly before going home. Supporting You Through Every Phase Every part of the embryo transfer preparation is designed with care and intention. We want to give you the best possible chance for success, and we’re here to support you emotionally and physically throughout the process. If you have any questions about preparing for your embryo transfer or the medications involved, don’t hesitate to reach out. We’re with you every step of the way.