Fertility Over 40: What You Really Need to Know About Conception, Testing & IVF

Written By Lora Shahine, MD

Trying to get pregnant in your 40s and feeling bombarded with terms like “geriatric pregnancy” or “diminished ovarian reserve”? Wondering if age is the final word in fertility? Curious about what you can do instead of what you can't?

In this episode of Brave & Curious, Dr. Lora Shahine is getting real about trying to conceive after 40—with clarity, compassion, and science-backed strategies. She covers the impact of age on fertility, the power of early testing, and why aligning your family-building goals with real timelines is more important than ever.

You’ll learn practical steps to optimize your fertility, when to consider IVF, and how to feel empowered—not discouraged—by the numbers. Whether you’re just starting or still holding onto hope, this episode is your go-to guide for navigating conception in your 40s with confidence.

In this episode you’ll hear:

  • [1:47] Age & fertility

  • [9:40] An important first step: family building goals

  • [12:25] Next step: don’t wait for testing

  • [15:38] Tips for trying to conceive

  • [18:44] Is IVF right for me?

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Lora Shahine, MD

Dr. Lora Shahine, reproductive endocrinologist at Pacific NW Fertility and Clinical Assistant Professor at the University of Washington in Seattle, completed her residency in OBGYN at the University of California in San Francisco and fellowship in reproductive endocrinology at Stanford University. She is dedicated to educating and advocating for increased awareness of infertility, miscarriage, and the impact on environmental toxins on health through an active social media presence, teaching, clinical research, and authoring multiple blogs and books including best selling, ‘Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.’

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