As women near the age of 35, they experience changes in their reproductive health, which can lead to increased challenges. In a discussion with HT Lifestyle, Dr. Parul Prakash, Head of Reproductive Medicine at Artemis Hospital Gurgaon, stated, “While many women can still conceive and sustain healthy reproductive function in their late 30s and later, understanding potential risks and taking proactive measures can significantly contribute to overall well-being.”

Challenges in reproductive health after 35

1. Declining Fertility

A woman's fertility starts to decline in her early 30s, with a more pronounced decrease occurring after the age of 35. This decline is attributed to both a reduction in the quantity of eggs and a deterioration in their quality, making conception more difficult. Additionally, irregular ovulation may lead to further delays in achieving pregnancy.

2. Increased Risk of Pregnancy Complications

Women aged 35 and older are at an increased risk of encountering pregnancy-related complications, including gestational diabetes, hypertension, and premature delivery. Additionally, the likelihood of miscarriage and genetic disorders, such as Down syndrome, rises with advancing age.

3. Hormonal Imbalances

As women approach their late 30s and early 40s, they may experience fluctuations in estrogen and progesterone levels. These hormonal changes can lead to irregular menstrual cycles, variations in period intensity, mood fluctuations, and the initial symptoms of perimenopause.

4. Weakened Bone and Heart Health

Estrogen promotes bone strength by enhancing calcium absorption and minimising loss. Its reduction over the age of 35 raises the risk of osteoporosis by making bones weaker. Lower estrogen levels elevate cholesterol and blood pressure, increasing the risk of cardiovascular disease in women.

Solutions for better reproductive health

● Regular gynaecology check-ups, such as pelvic examinations, Pap smears, and testing for reproductive disease, are necessary. Fertility workups can be added for pregnancy-planning women.

● A nutritious diet with sufficient folic acid, iron, calcium, and omega-3 fatty acids will help maintain the reproductive system in good health. Smoking and excess alcohol should be avoided, as well as control of weight with regular exercise to enhance hormonal stability.

● Chronic stress may interfere with menstrual cycles and fertility. Yoga, meditation, and proper sleep aid in hormonal balance.

● For those experiencing problems in getting pregnant, assisted reproductive methods such as IVF and egg freezing may provide solutions. Seeking the advice of a fertility specialist at the appropriate time is important.

● To treat early menopausal symptoms and hormonal disturbances, physicians may prescribe hormone replacement therapy or alternative methods such as phytoestrogens.

In short, focusing on health after the age of 35 is essential to overall health. With timely intervention, lifestyle modifications and professional care, women can ensure fertility, bone health and cardiac health, living a healthier and more satisfactory life in the future.

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