Whether having a baby is part of your five-year plan or part of your 15-year plan, you are likely wondering about your fertility. When does this window close? How old is "too old" to have a baby?
Nothing in life likes to follow a set plan. When it comes to fertility, there is no magic date that you can set a reminder for in your phone. But there are a few tips and guidelines that basically tell us how long pregnancy will be a possibility for you.
When does fertility begin?
Once you start to have your period and ovulate, you are technically able to start having babies, even if you are mentally and physically ten years old from being ready to parent. And, despite what our paranoia might tell us, our “fertile window” isn't actually open every day.
Our monthly fertile window is time for a menstrual cycle when intercourse can lead to pregnancy. Technically speaking, this window is in the week leading up to ovulation and the day of ovulation itself, each month. But predicting your fertile window doesn't happen at exactly the same time every month.
A recent study found that over 70% of women are in their fertile window before day 10 and after day 17 of their menstrual cycle.
This means that only about 30% of people were fertile between the 10th and 17th day of their cycle. So even if you think your period is coming like clockwork, your fertile window can be quite variable.
When does fertility end?
As we mentioned, there is no specific age when fertility stops for everyone. In fact, you may think that your fertility mostly occurs on a spectrum from less fertile to more fertile, with your peak period starting in your late teens and gradually ending in your 30s. Age is the biggest impact on your fertility as you move towards perimenopauseand when this happens is highly dependent on hereditary factors. If you have medical conditions such as diabetes, these can also affect your ability to conceive.
Here are a few other factors that could impact the age at which you reach menopause:
The age when your mother reached menopause
The most important factor is when your mother's age started menopause - you will likely experience it around the same age.
It is not known why, but American studies have shown that people of African American and Hispanic descent tend to reach menopause earlier than Caucasian women, while those of Asian descent (especially Japanese and Chinese) tend to reach menopause at a later age.
Depending on the type and location of the cancer, some chemotherapy treatments induce temporary menopause in women. If your cycles return, you might hit menopause a few years before you do otherwise, but you have options that you can discuss with your doctor.
Surgery to treat ovarian disorders such as cancer can affect your age of menopause. Removal of the ovaries (oophorectomy) will cause immediate “surgical menopause”. Of course, if your doctor presents this to you as an option, fertility will definitely be a topic of conversation.
Smoking causes a range of respiratory problems, but did you know smoking also has an impact on your intimate health? Research also suggests that it can cause early menopause - and it's the only fertility factor you can control.
Smoking is thought to have an antiestrogenic effect on your body, so you may be at menopause earlier than your mom if you smoke and she didn't. Former smokers are only slightly earlier in age at natural menopause than those who have never smoked, and the longer the period since quitting, the less of an impact.
So, does menopause mean the end?
Not enough! Menopause can mean the end of your period, but unfortunately you can have trouble conceiving long before that. This concerns both the quality and quantity of the eggs.
You were born with all the eggs you will ever have - about a million - and that number would be 25,000 out of 37. And, as you get older, the quality of the eggs can decrease, which means higher rates of genetic abnormalities. Some will make you more inclined to miscarriage, but also occur during pregnancies that you carry to term.
It can all seem pretty gloomy and gloomy, especially as people decide to wait longer to get married and become parents. While there is great variability in these statistics, it is important to prepare for the reality of our bodies.
Talk to your doctor early about your plans to be better prepared for what the future of your fertility may hold!
We've covered some of the basic guidelines and indicators for your fertility window, but keep in mind: there are always outliers. Your fertility window may naturally be shorter or longer, and your doctor may perform tests to approximate your fertile age. But that doesn't mean anything about your other pregnancy options, such as IVF.
And, of course, there are many other avenues to parenthood, such as adoption, foster care, or surrogacy.
Sexual health is fundamental to the overall health and well-being of individuals, couples and families, and to the social and economic development of communities and countries. Sexual health, when viewed affirmatively, requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. The ability of men and women to achieve sexual health and well-being depends on their :
Sexual health-related issues are wide-ranging, and encompass sexual orientation and gender identity, sexual expression, relationships, and pleasure. They also include negative consequences or conditions such as : infections with human immunodeficiency virus ( HIV ), sexually transmitted infections ( STIs ) and reproductive tract infections ( RTIs ) and their adverse outcomes ( such as cancer and infertility ) ;unintended pregnancy and abortion;sexual dysfunction;sexual violence; andharmful practices ( such as female genital mutilation, FGM ).
No matter where you are coming from, WE ARE HERE to help bring Sexual Health into a more positive and empowering place. A place where hopefully you can learn the sexual health information you would like, see or speak to a professional in the field whether on the Sex Sense Line or at one of our many clinics throughout BC, and come away knowing that sexual health is a natural part of being human.
Options for Sexual Health champions and celebrates sexual health including an individual’s freedom of sexual expression, the diversity of human sexuality, and a positive sexual self-image for individuals throughout life. Think about what factors influence your sexual health ? What messages have you been given about sexual health from… ( if applicable ) ….. your family ? friends ? society ? culture ? religion ? spirituality ? What are some of your own values and beliefs ?
How we experience our sexual health is also part of how we experience the world. For example, there are many factors that health researchers have identified that can effet our health including sexual health. These are known as the ‘social determinants of health’ and include how health is affected by income, education, employment, childhood development, food, housing, health services, gender, race, disability, Indigenous status, social marginalization, and social services. If someone’s gender identity/identities are not recognized this can effet their sexual health and experiences of social marginalization. Another example is if someone is a newcomer to Canada and may not speak the language or have the health care card that will allow them to access the sexual health services they need. As you can see, our sexual health is as individual and complicated as the various dynamics of our lives. Human sexuality rarely falls into neat categories or lends itself to simple labeling, but rather is a rich and complex area of human experience. Sexual health is personal, psychological, relational, cultural, spiritual, physical, and emotional. So what does “sexual health” mean to you ?
This supplemental issue of Public Health Reports ( PHR ) presents a variety of articles addressing the science and practical applications of sexual health, an important health offre de rabais concept with the potential for improving population health in a broad range of areas related to sexual behavior, including human immunodeficiency virus ( HIV ) /acquired immunodeficiency syndrome ( AIDS ), sexually transmitted diseases ( STDs ), viral hepatitis, teen and unintended pregnancy, and sexual violence. The focus of these articles is especially timely given the population burden of these conditions in the United States and other nations, and the growing recognition that, despite the sensitive nature of the topic, addressing the broad construct of sexual health can enhance the national dialogue in this area and increase the effectiveness of public health programs
The concept of sexual health has evolved since its initial articulation by the World Health Organization ( WHO ) in 1975, 5 but it has generally emphasized well-being across a range of life domains ( e. g., physical, esprit, and emotional ) rather than simply the absence of disease or other adverse outcomes. 6 The definition of sexual health currently in most widespread use is that developed by WHO in 2002 :
Sexual health is a state of physical, emotional, esprit, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence
Sexual health is a state of well-being in relation to sexuality across the life span that involves physical, emotional, mental, social, and spiritual dimensions. Sexual health is an intrinsic element of human health and is based on a positive, equitable, and respectful approach to sexuality, relationships, and reproduction, that is free of coercion, fear, discrimination, stigma, shame, and violence. It includes : the ability to understand the benefits, risks, and responsibilities of sexual behavior; the prevention and care of disease and other adverse outcomes; and the possibility of fulfilling sexual relationships. Sexual health is impacted by socioeconomic and cultural contexts—including policies, practices, and services—that support saine outcomes for individuals, families, and their communities.
Similar to the WHO definition, this newer definition is health-focused, emphasizing well-being related to sexuality that is beyond the absence of specific health problems, in multiple dimensions of life, as well as positive and respectful approaches to sexuality and relationships. Moving beyond the WHO definition, the CHAC definition also specifically emphasizes attributes of sexual health at both the individual level ( e. g., individual understanding of benefits, risks and responsibilities, and prevention and care of health outcomes ) and the social level ( e. g., impact by socioeconomic and cultural contexts and healthy outcomes for families and communities as well as individuals ).
In the past decade, there has been increasing attention to the importance of addressing the concept of sexual health, 1–4 with the premise that offre de rabais of sexual health has great potential to complement traditional disease control and prevention exercices for a range of conditions of public health importance—not with the intent of replacing those exercices, but rather of improving their acceptance and, thus, the impact of those prevention exercices on the population. It is from this perspective that this supplemental venant of PHR has been developed, with the purpose of bringing together a range of articles addressing new insights into research, surveillance, program practice, and broader possibilités that can influence our understanding and progress on the broad topic of sexual health. It should be noted that “sexual health” is a concept undergoing evolution, not only in its definition, but also in its practical application. The term generally includes a focus on health and wellness rather than disease, an appreciation for the intrinsic importance of sexual health as part of overall health, and an attempt to address comprehensively a range of outcomes of public health importance; however, some of the articles in this supplement address a relatively narrower focus ( e. g., STD and pregnancy prevention9–11 ), while others include a broader spectrum. 12–17 Such variety is a necessary and important aspect of the uptake of the sexual health concept into the méthode and practice of public health.
Four articles address important research questions in key areas relevant to sexual health. First, Penman-Aguilar and colleagues conducted a detailed literature review to assess the effet of socioeconomic disadvantage on teen childbearing. neuf While the factors evaluated varied by study, the authors discovered a consistent theme across the review, with all studies that considered socioeconomic factors as determinants finding a significant association with teen birth rates, including factors at the family level ( e. g., lower levels of mère education and family income ) and the community level ( e. g., lower per capita income and higher rates of unemployment and racial segregation ). The review found that relatively few studies assessed factors at both the family and community levels, an important priority for future research.
Second, using nationally representative data from the National Longitudinal Study of Youth and the U. S Census Bureau, Biello et al. conducted an in-depth analysis of the impact of various dimensions of residential racial segregation on the risk for early initiation of intercourse—an important risk factor for STD and teen pregnancy—among black and white ados. 17 The finding that black youth were more likely than their white peers to have initiated sexual intercourse in adolescence was significantly modified by several measures of segregation ( e. g., concentration and unevenness ) with a particularly notable black-white disparity in highly segregated areas. While preliminary, these findings contribute to our growing understanding of the complex interplay between social determinants and individual sexual health outcomes and should stimulate further research in this area.
Third, to understand the union of relationship characteristics and attitudes about STD and pregnancy outcomes with the use of dual protection strategies ( i. e., both highly effective contraception and condoms ), Crittenden Murray and colleagues conducted formative research among young African American women attending reproductive health clinics. 10 The study found a tension from trying to balance the desire to establish and maintain intimate relationships with the use of protection strategies ( e. g., condom use could be seen as a sign of mistrust ). The authors conclude that a more holistic approach, with a focus on saine ado and young adult relationships, is important in interventions to prevent STD and unintended pregnancy, an venant that can be especially important in environments where trust is often violated ( e. g., due to frequent concurrent partnerships ) and childbearing at younger ages is accepted.