The Truth About Fertility Myths: Separating Fact from Fiction

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Fertility can be a sensitive topic, and there's a lot of misinformation out there. But fear not; we're here to set the record straight and shed light on some common myths surrounding conception. Let's dive in!

Myth 1: Women cannot get pregnant after the age of 35

Reality check: While many women can get pregnant after 35, it's important to acknowledge that fertility does decline with age. However, don't despair! You may have heard stories of women in their 40s having babies, and it is indeed possible. According to the American College of Obstetricians and Gynaecologists (ACOG), "for healthy couples in their 20s and early 30s, around 1 in 4 women will get pregnant in any single menstrual cycle. By age 40, around 1 in 10 will get pregnant per menstrual cycle."

So, while it is possible to conceive at any age before menopause, including in your 40s, it's essential to understand that fertility naturally decreases as you get older. The chances of getting pregnant per menstrual cycle decrease significantly after age 35. However, modern advancements in reproductive medicine and assisted reproductive technologies provide hope and options for those facing fertility challenges.

Myth 2: Using birth control can cause infertility

Let's set the record straight!

Using contraceptives, regardless of the method or duration, does not harm your ability to conceive once you stop using them. That's right, you can breathe a sigh of relief!

In fact, most contraceptive methods have little to no impact on your fertility timeline. However, there is one exception to keep in mind. The contraceptive injection, a long-acting hormonal method administered every 8 to 13 weeks, may cause a temporary delay in returning to fertility after discontinuation. This delay can last up to a year after the last injection.

But fear not! This temporary delay is unique to the contraceptive injection and does not apply to other birth control methods. So, choose the contraceptive method that suits you best, whether it's the pill, patch, ring, IUD, or any other option, and use it with confidence.

Myth 3: Couples should always try for at least a year before seeing an OBGYN or getting help

Let's clear the air on this one. While it's commonly believed that couples should wait a year before seeking professional help, the reality is a little different. According to the American College of Obstetricians and Gynaecologists (ACOG), if you have been actively trying to conceive by having regular, unprotected sex for six months without success, it's recommended to consult with a clinician.

Do not wait unnecessarily! Seeking help early can make a significant difference in identifying any potential fertility issues and taking the necessary steps towards your goal of becoming a parent. Remember, time is valuable when it comes to fertility, and getting the right support and guidance can save you precious months or even years on your journey.

References

Australia
Assessment of female fertility in general practice, Royal Australian College of General Practitioners - Australian Journal of General Practice, 2020

Canada
Age and fertility – Pregnancy Info, The Society of Obstetricians and Gynaecologists of Canada, no date given

United Kingdom (UK)
The contraceptive injection, National Health Service (NHS), 2018

United States of America (USA)
Having a Baby After Age 35: How Aging Affects Fertility and Pregnancy, American College of Obstetriciancs and Gynaecologists (ACOG), 2023

Other:
Return of fertility after discontinuation of contraception: a systematic review and meta-analysis, PMC (nih.gov), Contraception and Reproductive Medicine, 2018