Fertility After 40

A dedicated service for women considering pregnancy or fertility treatment in their 40s

Trying to conceive in your 40s often comes with well-meaning but unhelpful comments, and a nagging worry that you’ve somehow left it “too late”. What you actually need is an honest, expert assessment of where you stand, not a vague timeline.

Our Fertility After 40 service gives you a realistic, individualised picture of your ovarian reserve and reproductive potential, and lays out every route open to you clearly, so you can make decisions with real information.

This may be for you if:

Your options may be more real than you’ve been led to believe — and you deserve a specialist assessment, not a generalisation about your age.

An honest, individual assessment

We assess ovarian reserve (AMH) and antral follicle count, alongside your general health and reproductive history, to give you a realistic picture of your own fertility, not a statistic about women in their 40s generally. From there, we talk through every route open to you: monitored natural conception, ovulation support, IVF using your own eggs, or donor egg treatment, with honest guidance on what gives you the best realistic chance.

What's included:

Whatever route is right for you

Some women in their 40s conceive naturally or with straightforward support; others benefit from IVF using their own eggs, and for some, donor egg treatment offers the most realistic path to pregnancy. We’ll talk through all of it honestly, without steering you toward whatever’s easiest for us to offer.

Why women trust LUNA with fertility over 40:

Related care

Egg Freezing & Fertility Preservation

If you’re not yet trying but want to understand your options

IVF & Assisted Conception

For treatment using your own eggs

Donor Egg & Donor Sperm Treatment

If donor treatment offers the more realistic path for you

Frequently Asked Questions

Is 40 too late to conceive naturally?

Not necessarily — many women conceive naturally in their 40s, though fertility does decline with age. A proper assessment gives you a realistic picture specific to you, rather than a generic answer.

It gives an indication of the number of eggs you have remaining, which helps guide realistic expectations and treatment timing, though it doesn’t measure egg quality directly.

Not necessarily — this depends on your individual results and circumstances, which is exactly what your assessment is for.

Usually when ovarian reserve or previous treatment response suggests that using your own eggs is unlikely to succeed — we’ll always explain the reasoning behind this recommendation clearly.

This depends on the treatment and your individual health assessment — your consultant will discuss what’s appropriate and safe for you specifically.

Get the honest picture, not the guesswork.

Book your Fertility After 40 assessment and find out what’s realistically possible for you.