Health Report: Leaving it too late?

Leaving it too late?

As ever-more women struggle to conceive longed-for babies, Nicola Gill looks at the newest research helping to turn their dreams into a happy reality

Children were always a part of Mia Calvert's plans for the future. But after graduating at 21 and being accepted on to a major investment bank's fast-track programme, she a march 2011rrived at her mid-30s with a great salary but a career that left little time for concentrating on relationships - or babies. She says, "Circumstances just never led me in that direction, and long hours and frequent foreign trips meant I didn't spend much time pondering my fertility. Besides, I never thought I needed to."

But three years down the line, Mia, then 38, met Theo and they knew they wanted a family together. She quit her high-flying role to concentrate on marriage plans and, hopefully, a new life as a mother. "Because I was then 38 we decided not to use contraception, but six months after our honeymoon, I still wasn't pregnant." So, after 18 months of trying and now nearing 40, Mia headed to a well-known London fertility clinic where she found herself surrounded by dozens of other well-groomed women of a similar age who found they may have left it too late to complete the last and suddenly most important part of the jigsaw puzzle.

Nearly 37,000 patients were treated at in-vitro fertilisation (IVF) clinics in 2007 according to the Human Fertilisation and Embryology Authority (HFEA), the highest figures recorded. While there are other contributing factors to the increase, the vast majority of cases are down to women leaving it later to try to conceive. Last year, the number of UK women in their 30s having children overtook those in their 20s for the first time, and the number of women giving birth in their 40s has doubled in ten years to 27,000.

Private clinics are booming as free fertility treatment on the NHS is patchy. The UK's ongoing financial crisis means several trusts are planning cutbacks or are axing IVF funding entirely. But of those who do offer the treatment, eligibility criteria - such as age or being too overweight - block many women from signing up. Cutting edge treatments offering the highest success rates are usually only available at private clinics too. Demand for clinics is so high the HFEA now ranks them by results so couples can see which get the best results before parting with their cash.

The good news is that since the first 'test tube baby', Louise Brown, was born in July 1978, the science behind fertility treatment has grown up fast and has seen a "constant refinement and improvement of techniques that has led to much higher pregnancy rates today," says Tim Mott, spokesman for leading London fertility clinic The Bridge Centre. "It's been a huge learning curve, but the science of fertility is a rapidly maturing one, and I believe continuous small improvements to the methods we have now are the future of infertility treatment."

To read more of this article please join Candis or look at page 56 of your March issue.


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