Advanced Maternal Age

Trying for a baby after 35 or 40 raises real questions about time and options. Clear advice helps you plan without delay or needless worry.

Complex & Advanced Fertility Care

Fertility care

Planning pregnancy when time matters more

This term usually refers to women over 35. Fertility declines gradually from the early thirties and faster after 37. Egg numbers fall, and more eggs carry chromosome changes, which can raise the risk of miscarriage.

Many women in their late thirties and forties feel anxious about timing. Straightforward information helps you act calmly.

Dr Jasdev reviews your tests promptly and explains which options fit your age and goals.

01

A plan that starts with your results

Your age, history, test results and goals are reviewed before any treatment is suggested.

02

Clear reasons for each step

You will know why a test or medicine is recommended, what it can do and where its limits are.

03

Care that stays connected

Reviews are planned around how you respond, your cycle timing and your next decision.

What focused care gives you

  • Prompt testing without long waits between steps
  • Honest guidance on your realistic options
  • Treatment plans that take time into account

How your care is planned

Every stage answers three questions: what is happening, why it matters, and what comes next. The plan is reviewed at each stage and adjusted when needed.

01

Check egg reserve, general health and your partner’s results

02

Discuss trying naturally, IUI, IVF or genetic testing

03

Start a plan quickly if treatment is advised

How age affects fertility

With age, fewer eggs remain and more of them carry chromosome errors. This lowers the monthly chance of pregnancy and raises the chance of miscarriage. Pregnancy after 40 also carries higher risks, such as high blood pressure and diabetes, so health checks matter.

Who may benefit

Women over 35 who have been trying for six months, and women over 40 who want advice before trying. It also helps those considering egg freezing or planning a second child later in life.

What to expect

Tests are usually arranged quickly, often within one cycle. At your review, you will discuss options and realistic timelines. Where treatment is advised, it can often begin soon after.

How Dr Jasdev works with you

He brings together experience in fertility and gynaecology, and he explains things in plain language. Advice is based on current evidence and on what matters to you. You will always know what the next step is and why it has been suggested. He sees couples from Kuala Lumpur and across Malaysia, as well as some who travel from neighbouring countries.

What to bring to your appointment

Your records help Dr Jasdev understand your history quickly, so more of the visit can go to your questions. If you cannot find everything, bring what you have.

  • Any recent AMH, hormone or scan results
  • Your partner’s semen analysis
  • Details of past pregnancies and health conditions
Patient questions

What women often ask about age and fertility

Most couples arrive with several questions. These common ones can help you plan what to ask.

01

How long should I try naturally before seeking help?

02

Is IVF my only option now?

03

Would genetic testing of embryos help?

04

What are the risks of pregnancy at my age?

Your questions about fertility after 35

What does maternal age mean for fertility?

Over 35, egg numbers and quality decline, so conception may take longer and miscarriage is more common. The change is gradual rather than sudden.

When should I seek advice?

After six months of trying if you are over 35, or straight away if you are over 40. Earlier advice helps if you have irregular periods or other concerns.

What tests are needed?

Egg reserve tests, a pelvic scan, general health checks and a semen analysis for your partner. These guide how quickly to move to treatment.

Is treatment riskier at my age?

Treatment itself is similar at any age. Pregnancy after 40 does carry higher risks, and these are discussed openly so you can plan with care.

Why see Dr Jasdev for this?

He gives clear, honest advice on realistic options and helps you move forward without losing time.

How do I book?

Call or WhatsApp the clinic. Mention your age, as an early appointment helps when time matters.

This page is general information and does not replace a consultation. Whether a treatment suits you, and its risks and timing, should be discussed with Dr Jasdev based on your own history.

Get clear advice on your options

Book a consultation to plan with your age and goals in mind.

Call +60 12-602 3559