Fertility for Millennials

Fertility for Millennials

Navigating the Fertility Journey in Late 30s to Early 40s: Challenges and Considerations for Millennial Women

In recent years, there has been a noticeable shift in societal norms surrounding family planning, particularly among millennials. With advancements in education, career opportunities, and evolving social dynamics, many women find themselves starting a family until later in life. This often comes with its own set of challenges and complexities, especially for those embarking on the fertility journey in their late 30s to early 40s. In this blog post, I’ll explore some of the prominent issues and obstacles faced by women I see in my fertility clinic, in this demographic as they navigate the path to parenthood, including aging, later parenthood, finding a loving partner, navigating fertility as a single mother or lesbian mother(s), financial concerns, and more.

Career and Motherhood is possible.

Women have many more opportunities for career and personal fulfilment than women did in previous generations and this has afforded women the ability to choose to start their family when they feel financially, emotionally, and mentally ready. For many women, this decision puts them on a different path from their grandmother’s generation who were often expected to marry young, start having babies soon after, and were sometimes tied financially to their husbands. Now, as women in this generation reach their late 30s, the challenge becomes understanding the biological reality that fertility is a finite window in a woman’s life and taking the necessary steps to make their dreams of motherhood come true.

I have noticed that some of my clients express anxiety that their choice to go after their career and personal dreams in their 20s and 30s will harm their chances of having children now that they have found partners or wish to have more children in cases of secondary infertility but the great news is that women in this age group have access to fertility treatments that never existed before, and that pregnancy in this age group is more likely than ever in history. I’m happy to report that most of my clients go on to have successful pregnancies and start the families of their dreams in their late thirties and early forties.

A Loving Partner 

Finding a loving and supportive partner to embark on the journey of parenthood can be another significant hurdle for women who are trying to date in the current landscape. With the rise in social media and growing isolation of humanity in general, we see an uptick in anxiety, depression, and loneliness as co-worker bonding is erased as people work from home on computers, people spend more and more time on their devices. Dating in the 2020s has become a rough landscape to navigate for everyone.

While of course many women have found loving relationships other women find themselves single or struggling to find a suitable partner. Dating has become harder because people are under the illusion of endless choice (created by dating apps), and thus have the tendency to cut off relationships and look for the next shiny thing rather than put in the effort that long term commitment requires. Even for lesbians dating is still a steep challenge as the path to motherhood involves a separate set of concerns such as sperm donation versus adoption, legal considerations, the high cost of in vitro and surrogacy, and societal attitudes towards same sex parent families.

Easing Financial Concerns for Housing, Childcare, and Fertility Treatments

With soaring housing prices and the rising cost of living, many millennials (men and women both) find themselves grappling with the decision to start a family while also ensuring financial security for themselves and their future children. After two recessions and a major housing crisis the prospect of homeownership and providing a stable environment for raising a family can be daunting, adding an extra layer of stress to an already complex situation. Add to that the higher-than-ever costs of day-care, nannies, groceries, school tuition, extracurriculars, and all the other expenses that come with raising children, and many millennial parents or would-be parents are understandably hesitant to take on the path of parenthood.

One approach when it comes to financial considerations is to inform women, especially those women where fertility prices can be quite high, that there are much more affordable options abroad in clinics that do amazing work, are easy to access and are set up to accommodate international women and couples seeking support. Another aspect of my work is to guide my clients through a fertility treatment schedule to ensure the highest pregnancy success odds while also keeping costs as low as possible.

Emotional considerations: partnership, single parenthood, and same-sex families.

Another key aspect of my fertility coaching is whether a woman is wishing to become a mother on her own, dating and looking for someone to share life and parenthood with, married, and so on. A significant part of my work in my fertility clinic London is offering emotional support and guidance for women because any conversation around fertility inevitably brings to the surface everything happening in their love life, family dynamics, and emotional world. Some women are happily partnered while others feel alone within their marriage and struggling to communicate with their partners as issues inevitably come to the surface. Others are done waiting for the right partner and have prioritized motherhood. I also see a lot of lesbians in my practice who have all the same relationship questions to navigate as well as a separate set of concerns like sperm donation versus adoption, anonymous versus known donors, legal considerations, the high cost of in vitro and surrogacy, and societal attitudes towards same sex parent family structures (some countries unfortunately still have limitations around what lesbian couples seeking fertility treatment can do). No matter what your situation, in my thirty plus years of practice I have seen it all and I am here to offer you my most compassionate support with a wide variety of techniques and counsel to help with the emotional aspect of fertility.

Aging and Fertility 

How does age effect my fertility is one of the most frequent questions I am asked. As women age, the quantity and quality of their eggs diminish, making it more difficult to conceive naturally. This decline in fertility can lead to longer conception times, an increased risk of miscarriage, and a higher likelihood of needing fertility assistance such as in vitro fertilization (IVF) or many of the other reproductive technologies available. This biological reality can evoke fears and anxieties for women in their late 30s to early 40s who are trying to conceive. The fear of infertility, miscarriage, and pregnancy-related complications looms large, prompting many women to seek medical interventions.

Guidance and Support

Despite the challenges women in their late thirties to early forties may face on their fertility journey, there is hope and support available. Fertility clinics London and across the UK, provide comprehensive fertility assessments, personalized treatment plans, and emotional support to individuals and couples struggling with infertility. Secondary fertility treatments, which cater to those who are already parents but facing difficulties conceiving again, can offer a tailored approach.

Finding the right practitioner is a critical piece of this journey since there are so many factors to consider between treatments, clinics, countries, finances, emotional and psychological challenges, partnership, and more.

It may be that your partner has children from a previous relationship and this will affect your access to NHS treatment. Women in this situation often seek the support of fertility coaching from me as I can help them navigate this complicated world of clinics, testing, medications, process, and all the emotions and mental challenges that this journey will inevitably bring to the surface.


Trying to become a mother in one’s late 30s to early 40s poses a unique set of challenges and considerations for millennial women. From housing and financial concerns to partner dynamics, alternative paths to parenthood, and fears of infertility, pursuing this path requires resilience, support, and a willingness to confront the obstacles head-on. Despite the challenges, many women in this demographic are embracing the journey to parenthood with determination, courage, and an unwavering commitment to building a family. It is my passion to help people looking to become parents, no matter their age, finances, and circumstances, have the best chance at making this dream come true.

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