Together we adapt the treatment to your individual situation and look for flexible solutions to make the most of all opportunities.
Natural fertility
A desired pregnancy occurs in 80-85% of couples within one year. For a 25-year-old woman, the chances of pregnancy are significantly higher than for a 35-year-old and decrease again significantly for those over 40. However, as long as menstruation continues, pregnancy is theoretically possible.
Fertility also reduces in men after the age of 40, but much more slowly than in women.
Later desire for children
Many women can or want to realise their desire to have children only around the age of 40 or later. At this age, fertility is significantly limited due to changes in the menstrual cycle and egg quality. Nevertheless, in many cases fertility therapy is still useful and promising.
We adapt the treatment to your individual situation and look for flexible solutions to make the most of all opportunities.
A woman is fertile for only a few days around ovulation each month. Ovulation occurs around the 14th day of the cycle in a regular four-week cycle. Since an egg can only be fertilised a few hours after ovulation and sperm can last a maximum of five days in a woman's body, a woman is fertile for a maximum of five to six days each month. The ideal time window for conception is in the interval between two days before ovulation and the day of ovulation itself.
If pregnancy is a long time coming, it may be useful to time or even calculate the fertile days. Ovulation tests can be helpful here. A measurement of the hormone that triggers ovulation in the urine indicates ovulation and can thus help to better narrow down the fertile days.
However, if the menstrual cycle deviates significantly from the norm or fluctuates a lot, this auxiliary measure fails relatively often and other methods need to be used to determine ovulation. If you have only recently decided that you want to try for a child, it is not a good idea to let your pattern of intercourse be dominated too much by the fertile days.
The ovarian reserve
The number of eggs is fixed in a woman from birth. Over the course of life, no further eggs are reproduced. Nor can the number of eggs stored in the ovaries be influenced. At a certain point, almost all the eggs are used up and the woman reaches the menopause. The fertile phase ends. On average, this time begins around the age of 50. In some women, the egg reserve is also exhausted significantly earlier, which is a situation referred to as premature ovarian failure.
The natural cycle
Hormones produced in different brain structures of the woman cause an egg to mature in the ovaries once a month. The uterine lining also builds up under the influence of these hormones.
The first half of the cycle, i.e. the time when the egg matures, lasts from day 1 to around day 14. The 1st day of the cycle is the 1st day of menstruation.
In the middle of the cycle (14th-16th day), ovulation is hormonally triggered so that the mature egg can be accepted by the fallopian tube and migrate to the uterus. Ovulation causes the corpus luteum to form in the ovary, which prepares the lining of the uterus for implantation by producing the corpus luteum hormone and maintains the pregnancy. If implantation has not taken place, the corpus luteum regresses and the mucous membrane bleeds off. Then the cycle starts all over again.
Sperm formation
The male sperm cells, the spermatozoa, are formed in the male testicles from puberty onwards. In contrast to the woman's eggs, the man's sperm cells are reproduced again and again. It takes about 72 days for the sperm to mature. Spermatogenesis continues throughout life, but can be adversely affected or even stopped by factors such as environmental influences, lifestyle, disease, medication and stress. Male fertility remains longer than that of females due to the regeneration of the sperm cells. Reducing unfavourable factors can improve semen quality in the long term.