I've heard that women over 40 can have increased infertility
Anyway, your mention of getting pregnant over age 40 as though you were in your 20's... I've heard that, too, along with increased infertility over 40. Probably for most women, the issue of infertility is what comes into play.
In fact, one of the things I was told when I switched doctors, was that my chances of miscarrying, were over 50% within the first trimester, and my ability to have got pregnant in the first place was around 10% (I'm 47, though I would've been a late 46, when I conceived).
The doctor said at my age, my eggs are dwindling in amount, and I probably would've had about 200 when I conceived; also, the quality of them is supposed to be lessened with age, due to environmental exposures over time.
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Stories of Pregnancy & Birth over 44y
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You Can Get Pregnant in Your 40's
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