Trying to conceive after age 40

Written by the Progyny Editorial Team. Reviewed by the Progyny Clinical Team – August 2026.

If you’re trying to conceive at an older age, let’s start with this: the birth rate among people age 40 to 44 has never been higher. At the same time, as you may know (…or as you may be tired of hearing), it does become harder to become pregnant after 40.

Everyone’s journey is different. Try not to compare yourself to celebrities, your social media feed, or anyone else. Instead, ask your healthcare provider for guidance that’s tailored to you.

Let’s go over tips to help you care for your fertility and well-being. We’ll also talk about finding support as you navigate your path to parenthood.

Get started with a fertility specialist.

If you’re 35 or older, the standard guidance is to try to conceive for 6 months before seeking fertility care. But if you’re 40+ and you’ve been trying for 3 months or you have a health condition that may affect fertility, it’s recommended to go sooner.

Your fertility specialist will likely suggest that you (and/or your partner) get testing to:

• Estimate the number of remaining eggs
• Look for any issues with the uterus or fallopian tubes
• Assess sperm health
• Do genetic testing to find out if there are any genetic conditions to consider

Your fertility specialist will also help you understand your options. This may include trying to conceive without fertility treatment or exploring options with assisted reproductive technology.

Ask them to explain the realistic chance of success for each pathway, considering your age and health profile.

Prioritize your well-being

You may be really focused on protecting and optimizing your fertility. This is natural. We encourage you to care for your emotions and quality of life as you follow your journey, as well.

• Continue to follow expert recommendations. Your OB/GYN or fertility specialist can answer specific questions you have. The steps that experts recommend for conception and a healthy pregnancy are:
  • Track ovulation and have sex every 1 to 2 days during the 6-day ovulation window (if trying to conceive without fertility treatment).
  • Take a prenatal vitamin with folic acid to reduce the risk of certain birth defects.
  • Choose healthy, balanced foods for overall health.
  • Avoid smoking and alcohol, which may lower fertility.
• Share as much or little as you want. Your journey is personal and it’s OK to keep it as private as you’d like. People may give opinions or advice that you didn’t ask for, even though they are usually well-meaning.
• Seek support from people who understand. You may find it helpful to talk with people who’ve been through similar experiences. Organizations such as RESOLVE may help you connect. Talking with a professional can also help many people manage the emotions that can come from their fertility journey.

Talk with your Progyny Care Advocate

We know a lot of this is easier said than done. And focusing on your self-care and managing stress can be really challenging. Our final tip is to reach out to your Progyny Care Advocate for support and guidance.

We’re here to listen, suggest expert resources, and help you navigate your family-building journey. This includes helping you to find a fertility specialist and think through your options. We’re here for you every step of the way.

Explore related:

• How age affects fertility
• Fertility tests: Your first step toward family building
• You’ve got this: Self-care and emotional coping during fertility treatment

Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.