Chances of Getting Pregnant by Age: What You Need to Know
For a healthy, fertile couple under 35, the chance of getting pregnant is estimated at around 25% per month with regular unprotected sex around the time of ovulation. Without planned timing, chances drop to just 11% per month. Doctors traditionally suggest waiting a year of trying before starting fertility investigations, though many couples over 30 start after six months.
Monthly Conception Chances by Age
On average, a woman with no fertility issues will fall pregnant after four months of trying. From around age 21, fertility slowly declines until 35, then declines faster until 40, after which the decline is very rapid.
Probability of Conception After One Year of Trying
| Age | Probability After 1 Year |
| 20 | 90% |
| 30 | 70% |
| 35 | 55% |
| 40 | 45% |
| 45 | 6% |
Conception Chances on Peak Fertility Day by Age
A 2002 study by Dunson et al found great variability in getting pregnant chances on the peak day of conception (two days before ovulation):
| Age Range | Chance Per Cycle (Peak Day) |
| 19-26 | 50% |
| 27-34 | 40% |
| 35-39 | Less than 30% (under 20% with partner 5+ years older) |
Smoking, STD history, and occupational exposures contribute to lower fertility rates.
Can IVF Improve Fertility Rates for Older Women?
IVF success rates mirror natural fertility decline with age. According to the US CDC:
| Age Group | IVF Live Birth Rate Per Cycle |
| Under 35 | About 45% |
| 35-37 | About 37% |
| Over 42 | 6.6% |
Older women can dramatically raise IVF success rates by using an egg donor. Success rates for women even in their mid-forties using a donor egg from a woman in her 20s or early 30s remain above 40%. If you are over 35 and have not fallen pregnant after six months, talk to your doctor about starting fertility investigations.
How to Improve Your Chances of Getting Pregnant
Many products and websites promise to improve your chances for a price, but many lack scientific evidence. Here are proven, affordable strategies:
Reduce Stress Levels
There is a strong correlation between stress and fertility. Take a holiday, rethink your job, or shift commitments down your priority list to reduce stress.
Aim for a Healthy Weight
Research shows a strong connection between obesity and lower fertility. Being significantly underweight for long periods can also negatively impact fertility. Aim for a healthy balance.
Improve Your Diet
Some fertility experts recommend organic foods. Keep an eye on your food choices - eating at home and avoiding takeaway is a good start.
Quit Smoking and Cut Back on Alcohol
There is a strong link between smoking and reduced fertility in both men and women. This may be enough incentive to quit.
Regular Exercise for Fertility
You do not need to become a gym junkie - moderate regular exercise like a daily walk can reduce stress, improve cardiovascular status, and help your chances of getting pregnant.
By Fran Molloy, journalist and mum of four
