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N=1 anecdata here, but... My wife and I got pregnant -- both times -- during the first month of trying. We were mid-30s, myself being 3 years older than she is, and my wife was old enough at the time of conception to have had a "geriatric uterus" and our first pregnancy, spontaneous fraternal twins, was considered "high-risk" out of the gate because of her age.

> Things like IVF do not dramatically change the odds either. They're better of course, but it's far from guaranteed - it's still just a rather expensive roll of the dice.

Sadly, literally all of our peers who were trying and having kids in the same demographic as us, +/- a few years, struggled hard and most needed fertility treatments. At least 2-3 of them were never able to conceive, despite the expensive and time-consuming treatments. It's brutal.

I will also add, I have a number of friends who are >= 10 years younger than I am and many of them also struggled with miscarriages in their late 20s while trying to start families.



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