Ebendorferstraße 6/4, 1010 Vienna, phone +43 (0)1 402 53 41

Pregnant at 40+

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You are 40 years or older and wish to have a child? You have put off starting a family for professional or private reasons but would now like to become pregnant? Pregnancy is also possible at the age of over 40. We will be happy to advise and treat you.


Arrange a non-binding initial consultation - our competent and experienced team will help you realize your desire to have a child. We have already successfully accompanied many women of your age on their way to pregnancy.

With us, you can expect:

  • Selected experts in fertility treatment who will listen to you and your individual situation and support you with their cutting-edge expertise, years of experience and understanding.
  • A modern, well-equipped clinic in which respectful interaction is a top priority.
  • State-of-the-art diagnostics and a professional laboratory.
  • Support and accompaniment through complementary measures such as psychological care, acupuncture, TCM & nutritional counseling.

In principle, the younger you are, the higher your chance of a natural pregnancy. For a 20- year-old woman, the chance of pregnancy within one year is 86%, for a 40-year-old 36%.

The reasons:

  • Every woman is born with a fixed number of eggs. These mature from puberty onwards. Every month, one dominant egg develops out of the many that mature, while the others are lost. The oocyte reserve continuously decreases.
  • The quality of the eggs decreases, after the age of 40 even slightly more than before.
  • Advancing age can be accompanied by various risk factors that can limit fertility: previous and current illnesses and therapies, stress, mental strain, severe overweight or underweight, alcohol or nicotine consumption, excessive sport or a low-vitamin diet.

Do not be discouraged. For most couples who wish to have a child, the wish for a baby is realized through the possibilities of artificial insemination. Treatment is always preceded by a comprehensive diagnosis.


If your desire to have a child is still unfulfilled after six months, come to us at the fertility clinic. We will clarify your particular problem and work out an individual treatment plan for you. Of course, we will accompany you comprehensively on your way to a desired child.

The diagnosis proceeds in six steps:

  1. In a detailed initial consultation we get to know each other, we learn about your medical history and determine the strategy for your further treatment.
  2. We use various examinations to look into the causes for your unfulfilled desire to have children.

These include:

A female ultrasound, during which we determine how high your egg reserve is.

The determination of your hormone status. The most important fertility parameter here is the so-called anti-Müllerian hormone.

Checking the patency of the fallopian tubes (Hydro Contrast Sonography HyCoSy) to determine whether both fallopian tubes are open.

Examination of male fertility by means of a spermiogram.


The discussions with you and the diagnostic results provide us with all the necessary information to choose the best treatment for you. This may be hormone treatment, insemination or artificial insemination (IVF, ICSI, P-ICSI). We will inform you in detail about each step of the therapy, answer your questions and address your concerns and wishes.

The chances of pregnancy from the age of 40 for a woman who has not yet had a child are about 5 to 8% per cycle.

If in the course of the examinations it turns out that your egg reserve has already been used up, we will also support you in getting pregnant with egg donation.

For egg donation, you as the recipient must not be older than 45 years at the start of treatment. The donor must not be older than 30. You can bring a donor, a relative, friend or confidant, with you to the clinic.

The chances of getting pregnant through artificial insemination with donated eggs are much higher than with IVF or ICSI treatment with your own eggs. This is due to the higher rate of healthy eggs from the younger donor.

Per treatment cycle, the probability of getting pregnant is 65%. However, this is also influenced by your hormonal situation and lifestyle.


The risk of miscarriage and genetic defects in the child increases somewhat with pregnancies at an older age. The probability of a child being born with trisomy 21, for example, is 0.3% at age 35, rising to 1% at 40 and 5% in the mid-40s. The likelihood of pregnancy toxicity (preeclampsia) also increases. The risk factors are there, but should not be overstated. Pregnancies at 40 plus are considered high-risk pregnancies and are followed intensively. The pregnancy does not have to be more difficult than others. It is simply better controlled so that as many hurdles as possible are removed for the desired baby.

If you have reached the age of 40 at the start of treatment, you must bear the costs yourself. If the age limit is exceeded during treatment, the IVF Fund will cover the costs of ongoing treatment if you also meet the other requirements for this.


Just ask us.

We have compiled the most frequently asked questions for you. You can find more topics in our collected FAQs collected FAQs. If you have further questions on specific topics, we are happy to be there for you by phone ( +43 (0)1 402 53 41)!

In principle, there is also a chance of pregnancy at this age. In addition to age, the probability is influenced by other factors such as medical history and your lifestyle.

Every woman is born with a fixed number of eggs. The number decreases with age, and the egg reserve becomes smaller. In addition, the quality of the eggs decreases as the woman gets older. In addition, with increasing age, other risk factors can affect fertility: Diseases, stress, being overweight or underweight, mental stress, excessive exercise or alcohol or nicotine consumption, and a diet low in vitamins. Nevertheless, women over 40 have a chance of becoming pregnant.

The rule is: the younger, the better. For a 20-year-old woman, the chance of pregnancy within one year is 86%, for a 40-year-old 36%.

Come and see us at the Wunschkind Klinik. We will examine you comprehensively and determine your fertility, explore the causes of involuntary childlessness and inform you in detail about treatment options. Our goal is to accompany you all the way to your desired baby.

Yes, pregnancy at this age is classified as a high-risk pregnancy. However, this does not automatically mean that you have to expect increased complications. Your pregnancy will be monitored more closely so that nothing gets in the way of your baby if possible.

This varies from woman to woman. In general, fertility decreases at this age. If you have regular unprotected sexual intercourse for half a year and no pregnancy occurs, clarify the causes and ask about treatment options suitable for you. Come to us - we will be happy to help you.

If it does not work naturally, the first step is to find the cause. Depending on your personal situation, we can then perform hormone treatment, insemination or artificial insemination with your own or donated eggs.