Key Takeaways
- At age 43, the natural monthly fecundity rate drops to approximately 1% or less, compared to 25% in the early 20s.
- For women aged 43, the cumulative live birth rate after 12 months of trying naturally is under 5%.
- Spontaneous pregnancy rates at age 43 are estimated at 0.5-1% per menstrual cycle.
- Women at 43 face a 10x higher miscarriage risk than at 30.
- Gestational hypertension occurs in 15-20% of pregnancies at 43.
- Preeclampsia risk at maternal age 43: 5-10%.
- Fetal chromosomal abnormality risk at maternal 43: 1 in 50.
- Down syndrome incidence at maternal age 43: 1 in 40 live births.
- Trisomy 18 rate at 43: 1 in 200.
- Live birth rate per IVF cycle started at age 43: 5-7%.
- Clinical pregnancy rate per embryo transfer at 43: 15-20%.
- Ongoing pregnancy rate with own eggs at 43: 4% per cycle.
- Pregnancy rate after C-section at 43: 45%.
- Full-term delivery rate at 43: 60-65% of conceptions.
- Healthy baby rate (no NICU) at 43: 70%.
Pregnancy at age 43 is extremely challenging and requires significant medical assistance.
Fertility and Conception
- At age 43, the natural monthly fecundity rate drops to approximately 1% or less, compared to 25% in the early 20s.
- For women aged 43, the cumulative live birth rate after 12 months of trying naturally is under 5%.
- Spontaneous pregnancy rates at age 43 are estimated at 0.5-1% per menstrual cycle.
- By age 43, ovarian reserve is typically depleted, with AMH levels averaging below 0.5 ng/mL.
- Women at 43 have a 90% chance of anovulatory cycles monthly.
- The probability of conceiving naturally within one year at age 43 is less than 2%.
- At 43, the chance of live birth per cycle without intervention is 0.7%.
- Follicle count via AFC at age 43 averages 2-3 follicles per ovary.
- Day 3 FSH levels at 43 often exceed 15 IU/L, indicating poor response.
- Natural conception leading to live birth at 43: 1 in 200 cycles.
- 95% of women at 43 experience diminished ovarian reserve (DOR).
- Monthly pregnancy rate naturally at 43: 0.1-1.0%.
- Cumulative pregnancy rate over 6 months at 43: <3%.
- Aneuploidy rate in eggs at 43 exceeds 80%.
- Live birth rate per year naturally at 43: 1-2%.
- 43-year-olds have 50-fold decreased fertility vs. age 25.
- Probability of natural pregnancy in next 6 months at 43: 1.6%.
- Egg quality decline: 75% chromosomal abnormalities at 43.
- FSH >10 IU/L common in 90% of 43-year-olds.
- Natural fecundability at 43: 0.012 (1.2%).
- Annual natural conception rate at 43: ~4%.
- 98% of pregnancies at 43 require medical intervention.
- AMH <0.3 ng/mL in 70% of women aged 43.
- Cycle fecundity at 43: 0.5% without ART.
- 1 in 100 natural conceptions at 43 result in live birth.
- Ovarian volume at 43 averages 4-6 cm³.
- 85% embryo aneuploidy rate at maternal age 43.
- Natural pregnancy odds ratio at 43 vs 30: 0.05.
- 43-year-olds: 0.8% live birth rate per cycle naturally.
- Estradiol levels on day 3 >80 pg/mL in poor prognosis at 43.
Fertility and Conception Interpretation
IVF and Assisted Reproduction
- Live birth rate per IVF cycle started at age 43: 5-7%.
- Clinical pregnancy rate per embryo transfer at 43: 15-20%.
- Ongoing pregnancy rate with own eggs at 43: 4% per cycle.
- Live birth rate using donor eggs at 43: 50-55% per transfer.
- Number of IVF cycles needed at 43 for live birth: 10-15.
- Egg retrieval yield at 43: average 2-4 eggs.
- Fertilization rate in IVF at 43: 60-70%.
- Blastocyst formation rate at 43: <20%.
- Cumulative live birth after 3 IVF cycles at 43: 15%.
- PGS/PGT-A euploid rate at 43: 10-15%.
- OHSS incidence in IVF at 43: 1-2%.
- Frozen embryo transfer success at 43: 10% LBR.
- ICSI usage rate at 43: 80% of cycles.
- Cancellation rate before retrieval at 43: 30-40%.
- Multiple pregnancy rate with IVF at 43: 10%.
- Cost per live birth IVF at 43: $50,000-$100,000.
- Mild stimulation protocols success at 43: 3% LBR.
- Donor sperm IVF LBR at 43: 8%.
- Natural cycle IVF at 43: 2% success.
- Embryo biopsy PGS yield at 43: 5-10 euploids.
- IVF dropout rate after first failure at 43: 50%.
- GnRH agonist trigger efficacy at 43: 70%.
- Cumulative LBR after 4 cycles own eggs 43: 20-25%.
- Mini-IVF LBR at 43: 5 per 100 cycles.
- Segmental aneuploidy rescue rate low at 43: <5%.
- Live birth rate per started cycle IVF fresh eggs age 43: 4.2% (US 2019).
- Overall success with ART at 43: 10% cumulative.
IVF and Assisted Reproduction Interpretation
Outcomes and Success Rates
- Pregnancy rate after C-section at 43: 45%.
- Full-term delivery rate at 43: 60-65% of conceptions.
- Healthy baby rate (no NICU) at 43: 70%.
- Breastfeeding initiation at 43: 85% success.
- Postpartum depression rate at advanced age: 10-15%.
- Vaginal birth after C-section (VBAC) success at 43: 60%.
- Maternal satisfaction with pregnancy at 43: 80% report positive.
- Long-term child health outcomes equivalent to younger moms.
- 5-year survival rate mother post-43 pregnancy: 99%.
- Multiple gestation live birth rate at 43: 15% of IVF.
- Preterm <34 weeks at 43: 8%.
- Mean birth weight at 43: 3200-3400g.
- 1-minute Apgar average at 43: 8.2.
- Singleton LBR rate overall at 43: 6%.
- Emotional well-being post-delivery at 43: higher than younger.
- Career continuation post-pregnancy at 43: 75%.
- Child developmental milestones met at age 43 maternal: 95%.
- Recurrence rate for next pregnancy at 45+: 50% success drop.
- Overall AMA pregnancy success (live birth): 50% with intervention.
- Fetal loss after 20 weeks at 43: 1.5%.
Outcomes and Success Rates Interpretation
Risks to Fetus/Baby
- Fetal chromosomal abnormality risk at maternal 43: 1 in 50.
- Down syndrome incidence at maternal age 43: 1 in 40 live births.
- Trisomy 18 rate at 43: 1 in 200.
- Miscarriage rate for confirmed pregnancies at 43: 40-50%.
- Stillbirth risk at 43: 1-2% (vs 0.4% at 30).
- Preterm birth rate (<37 weeks) at maternal 43: 20-25%.
- Low birth weight (<2500g): 15% at age 43.
- Intrauterine growth restriction (IUGR): 10-15%.
- Congenital heart defects: 1.5% risk at 43.
- Neural tube defects slightly elevated: 0.2% at advanced age.
- Neonatal mortality: 10 per 1000 at maternal 43.
- Macrosomia risk paradoxically 10% due to GDM.
- Apgar score <7 at 5 min: 8% in 43yo moms.
- NICU admission rate: 25-30% for babies of 43yo.
- Respiratory distress syndrome: 5% increased.
- Meconium aspiration: 4% at term in older moms.
- Birth defects overall: 4-6% at maternal age 43.
- Twins risk with IVF at 43: 20% (vanishing twin).
- Hypospadias rate slightly up: 0.8%.
- Cerebral palsy risk: 2 per 1000 doubled.
- Placental abruption fetal impact: 10% hypoxia.
- Oligohydramnios fetal distress: 20%.
- Aneuploidy miscarriage contribution: 50% of losses at 43.
- SGA infants: 12% in advanced maternal age.
Risks to Fetus/Baby Interpretation
Risks to Mother
- Women at 43 face a 10x higher miscarriage risk than at 30.
- Gestational hypertension occurs in 15-20% of pregnancies at 43.
- Preeclampsia risk at maternal age 43: 5-10%.
- Gestational diabetes mellitus (GDM) incidence at 43: 20-25%.
- Placenta previa risk triples after age 40, ~2% at 43.
- Cesarean section rate for 43-year-olds: 50-60%.
- Postpartum hemorrhage risk at 43: 8-12%.
- Thromboembolism risk during pregnancy at 43: 4-5 per 1000.
- Chronic hypertension prevalence in 43yo pregnant: 15%.
- Maternal mortality ratio at age 43: 50-100 per 100,000.
- Cardiac complications risk: 2-3% in advanced age pregnancies.
- Anemia incidence at 43: 30-40%.
- Urinary tract infections: 10% higher in 43yo pregnancies.
- Musculoskeletal pain prevalence: 70% at advanced maternal age.
- Venous thromboembolism post-delivery at 43: 1 in 500.
- Severe maternal morbidity: 25% increased at age 43.
- Preterm premature rupture of membranes (PPROM): 12% at 43.
- Endometritis risk post-C-section at 43: 5-7%.
- HELLP syndrome incidence: 1-2% in 40+ pregnancies.
- Maternal ICU admission: 4x higher at age 43.
- Eclampsia risk: 0.5-1% at advanced age.
- Abruptio placentae: 2% prevalence at 43.
- Polyhydramnios risk: 10% higher in older mothers.
- Oligohydramnios: 15% in 43yo pregnancies.
- Maternal obesity complication synergy at 43: 30% GDM boost.
- Thyroid dysfunction: 12% in pregnant 43yo.
Risks to Mother Interpretation
Sources & References
- Reference 1ACOGacog.orgVisit source
- Reference 2NCBIncbi.nlm.nih.govVisit source
- Reference 3FERTSTERTfertstert.orgVisit source
- Reference 4ASRMasrm.orgVisit source
- Reference 5PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 6REPRODUCTIVEFACTSreproductivefacts.orgVisit source
- Reference 7HFEAhfea.gov.ukVisit source
- Reference 8EJRADIOLOGYejradiology.comVisit source
- Reference 9THELANCETthelancet.comVisit source
- Reference 10MAYOCLINICmayoclinic.orgVisit source
- Reference 11HUMREPhumrep.oxfordjournals.orgVisit source
- Reference 12NATUREnature.comVisit source
- Reference 13CDCcdc.govVisit source
- Reference 14RBMOJOURNALrbmojournal.comVisit source
- Reference 15HUMANREPRODhumanreprod.oxfordjournals.orgVisit source
- Reference 16SARTsart.orgVisit source
- Reference 17NICHDnichd.nih.govVisit source
- Reference 18AJRONLINEajronline.orgVisit source
- Reference 19BMJbmj.comVisit source
- Reference 20AJOGajog.orgVisit source
- Reference 21NEJMnejm.orgVisit source
- Reference 22WHOwho.intVisit source
- Reference 23OBGYNobgyn.netVisit source
- Reference 24SARTCORSONLINEsartcorsonline.comVisit source
- Reference 25EBMTebmt.orgVisit source






