Fertility After 40

Your age is not a verdict. It is a starting point.

At Clinique Notre Dame de la Tendresse, we have supported hundreds of women over 40 on their path to motherhood. With age-specific protocols, personalized care and dedicated psychological support, we approach each case with the same conviction: every journey deserves a chance.

After 40, fertility naturally declines — but it does not disappear. With the right medical approach, honest guidance and unwavering support, many women achieve healthy pregnancies. At CNDT, we combine decades of clinical experience with the latest reproductive technologies to maximize your chances while respecting your body and your timeline.

Comprehensive Fertility Assessment

A thorough evaluation of ovarian reserve, hormonal profile, uterine health and partner factors to build a clear, realistic picture.

  • AMH and FSH hormone panels
  • Antral follicle count (AFC)
  • Uterine cavity assessment
  • Partner sperm analysis
  • Genetic screening options

Tailored Ovarian Stimulation

Age-adapted stimulation protocols designed to optimize egg quality over quantity — using the latest evidence-based approaches.

  • Mild and mini-IVF protocols
  • Natural cycle IVF options
  • Individualized hormone dosing
  • Close monitoring with frequent ultrasounds

Advanced Embryology & Selection

AI-assisted embryo grading and preimplantation genetic testing to maximize implantation success.

  • Extended embryo culture to blastocyst
  • AI-assisted morphological assessment
  • PGT-A screening available
  • Vitrification for future cycles

Surgical Optimization

When anatomical factors affect fertility, our surgical team addresses endometriosis, fibroids, polyps and adhesions before proceeding with assisted reproduction.

  • Laparoscopic surgery
  • Hysteroscopic procedures
  • Endometriosis treatment
  • Uterine optimization

Honest numbers, real hope

Our internal data shows that women over 40 who follow our tailored protocols achieve meaningful success rates. While individual outcomes vary based on diagnosis and history, our approach consistently outperforms age-based statistical averages — because we treat people, not statistics.

Success rates are internal clinical data, not yet standardized per ICMART/ESHRE criteria. They do not constitute a guarantee of results.

Beyond the clinic: lifestyle & wellbeing

Nutrition & Supplements

Evidence-based nutritional guidance to support egg quality, hormonal balance and overall reproductive health. Personalized supplement protocols including CoQ10, DHEA and vitamin D.

Stress Management

Fertility after 40 carries emotional weight. We provide mindfulness resources, breathing techniques and connections to therapists who understand the fertility journey.

Physical Activity

Moderate exercise supports fertility outcomes. Our team provides guidance on activity levels during stimulation, transfer and early pregnancy.

Environmental Factors

Practical advice on reducing exposure to endocrine disruptors and creating a fertility-supportive environment at home and work.

We see the whole person, not just the patient

Fertility after 40 often comes with years of trying, cultural pressure and the weight of time. At CNDT, we provide dedicated psychological support — not as an add-on, but as a core part of your care plan. You will never feel rushed, judged or reduced to your age.

Frequently asked questions

Yes. While success rates naturally decline with age, IVF with tailored protocols can still be highly effective, especially with early intervention and proper assessment. At CNDT, we use age-adapted stimulation, AI-assisted embryo selection and, when appropriate, donor egg programs to maximize your chances.

Egg donation may be recommended when ovarian reserve is significantly diminished. Our team will discuss this option honestly and sensitively, respecting your personal, cultural and religious values. We never pressure — we inform and support.

If you are over 40, we recommend consulting a fertility specialist after 3-6 months of trying. Time is a factor, and earlier assessment gives you more options. You can also book an online consultation from anywhere in the world.

Absolutely. Many of our patients come from France, the United States, Canada and the UK. We offer online consultations, coordinate with your local physicians, and our team is fully bilingual (French/English). WhatsApp communication is available for ongoing support.

At CNDT, we understand that fertility is deeply personal, cultural and spiritual. Your values and beliefs are respected and integrated into your care plan. We work with patients from all backgrounds and faiths.

Your next step starts here

Book a consultation to discuss your personal situation with our fertility team. Online or in person — from Abidjan or anywhere in the world.