According to new research, by the age of 30, a woman's chances of conceiving
have dwindled dramatically. But it's not just about statistics, says Julia
Llewellyn-Smith.
Feeding her four-week-old baby Oliver, Helen Scurrah is the picture of a
contented new mother. "When I met my husband, I knew I wanted to have
children, but we wanted some time for ourselves first," she says. "Then
after three years, I began to think, 'I really would like to have a baby.
This is very important.'
"We started trying but then stopped because we were getting married, and
I didn't want to be pregnant on my wedding day. Then on the honeymoon I got
pregnant straight away. I feel very lucky."
Scurrah, from Poole, Dorset, isn't just lucky to have a healthy son. At 41,
she had postponed trying to conceive until an age when her chances were
worryingly slim.
"Everywhere I looked there were headlines saying it wasn't going to
happen, but it did. I had a straightforward pregnancy, even though I had a
label in hospital saying 'Low risk (but 40)', which made me chuckle."
Fertility experts would consider Scurrah's attitude to motherhood shockingly
laid-back. Last month, the first study was published tracking the supply of
eggs from the ovaries from a woman's birth to the menopause. Researchers at
St Andrews and Edinburgh universities discovered that, by the age of 30, an
average woman has just 12 per cent – barely an eighth – of the eggs with
which she was born. By 40, only three per cent of the two million or so
original eggs remained.
The message was clear. If you want children, it's best to start as early as
possible. Yet, as Scurrah, a member of the online support group
mothers35plus, points out, life is rarely that simple.
"These warnings presume an awful lot – that a woman has a fantastic
career and has made a conscious choice not to have babies because of her
lifestyle. But usually a woman is childless because she hasn't met the right
man, because she's not in a financial position to have a baby, or she's just
not ready."
A couple of generations ago, it was far more straightforward. You left school,
married soon afterwards, and babies almost inevitably followed. Today,
however, many twentysomething men and women are saddled with student debt
and are still living with their parents.
"The middle classes do not aspire to having children young," says
Sally Gimson, of the Family and Parenting Institute. "Both men and
women want to go to university, pursue a career and buy a house before they
settle down, which is almost impossible to do before you are 30. Teenage
pregnancies are strongly discouraged."
The average age for a British woman to have her first baby is now 29. At Queen
Charlotte's maternity hospital in west London, with an affluent, urban
catchment, the average age is 35. The waiting room is full of women frowning
over their BlackBerrys, cancelling their Botox appointments.
Helen Fielding, the creator of Bridget Jones, the prototypical
career-girl singleton, had her children when she was 46 and 48, while dozens
of celebrities, from Madonna to Cherie Blair, have become mothers in their
forties. I became pregnant at 35 and 37, with no problems.
Surrounded by such examples, many assume that female fertility has adapted to
society's drastic changes. Not so, according to Dr Tom Kelsey, the
researcher of the St Andrews study. "A woman's ovarian reserves are the
same now as they were in the Stone Age. I'd be horrified if one of my
teenage daughter's friends became pregnant, but biologically that is exactly
what she should be doing.
"There are so many women putting off babies for social and cultural
reasons who would have big problems conceiving even if they started now.
I've worked in an assisted-conception unit full of women in their thirties
and forties, who were desperate to get pregnant but couldn't. If they'd
started earlier, they could have had a large family. Yet the fastest rising
number of women having abortions are in their thirties. It's a huge risk
given that it may be their final chance to conceive, but they seem to think
they have forever."
The birth rate is still rising in the UK, but one in five women born in 1963
is childless, compared with one in eight born around 1933. The number of
couples having IVF is rising by about five per cent a year. One in six
couples will have difficulty conceiving, of whom one in four will have
successful fertility treatment.
"That means three in four don't succeed," says Susan Seenan of the
Infertility Network. "Of them, some will keep trying and some will
adopt. But many will give up and be involuntarily childless. The financial
price of the treatment may be too high, or it may be that the emotional and
physical cost is too much to bear."
Dr Kamal Ahuja, scientific and managing director of the London Women's Group,
the country's largest fertility clinic, reassures clients that, for women
younger than 37, his clinic has success rates of about 50 per cent.
After that, however, the news is bleak. Between the ages of 35 and 40, about
30 per cent succeed; after 40, this declines to about 12 per cent. "After
the age of 42, the chances of having a baby with your own eggs are
minuscule. You will need egg donation."
Researching my latest novel Love Nest, which has a theme of
infertility, dozens of women in their late thirties and forties told me
about the hell they had been through to conceive. Some had spent tens of
thousands of pounds on several rounds of IVF; those who succeeded had often
had twins. Pregnancies were fraught with miscarriage or fetal abnormalities,
such as Down's syndrome.
One, aged 40, tried IVF in her quest for a second baby but was told her eggs
were of too poor quality for it ever to succeed. She is now resigned to her
four-year-old daughter growing up an only child.
Several had gone to clinics abroad for egg donation. Their partners' sperm was
combined with strangers' eggs and implanted in their wombs. "It worked
on the second attempt, but I have to accept that we'll only have one child,
which breaks my heart, and that I'll probably be too old to be any use as a
grandmother," says Christine, who had a son at 45.
The consequences are not just for individuals but for society. Late parenthood
means a surplus of old people and not enough workers, which could further
stymie the economy. On the other hand, more teenage mothers would mean a
population – and economic – boom. "Women will presumably
finish having their families when they are younger and then have more years
of employment ahead of them, their children will also come into the labour
force and add to growth," explains economist Dr Ros Altmann.
As she winds Oliver, Scurrah laughs when I ask if she could imagine having had
him at 25. "No way. I can't imagine it at 35. There are advantages to
having children young, but I was having too much fun. I'm glad I waited, but
that's easy to say with hindsight. I certainly wouldn't have wanted to end
up childless."
* 'Love Nest' by Julia Llewellyn (Penguin Books) is available from
Telegraph Books (...).
Source: Telegraph.co.uk - http://tinyurl.com/yanapu6