
Advanced-age family planning has become a significant concern for many prospective parents, especially as more women in modern society choose to postpone childbearing. However, as women age, their ovarian function and egg quality decline, which undeniably increases the difficulty of natural conception. Through egg donation and surrogacy, older parents still have the chance to realize their dream of having biological children.
Women are born with approximately 1 million eggs in their ovaries, but this number decreases over time. By age 35, both the quantity and quality of eggs drop significantly. Research indicates that for women over 40, the likelihood of natural conception decreases dramatically, while the risks of miscarriage and chromosomal abnormalities rise.
Similarly, male fertility also changes with age, albeit more gradually. Aging can still affect sperm quality. Faced with these reproductive challenges, assisted reproductive technologies offer a broader range of solutions.
Ms. Zhang and Mr. Wang, a couple aged 45, had spent years trying to conceive naturally without success. On their doctor’s advice, they considered egg donation and surrogacy. After thorough research, they chose COSTAIVF’s egg bank and found an egg donor who matched their genetic profile.
In the United States, egg donation and surrogacy are governed by strict legal and medical standards. Egg donors must undergo FDA-mandated infectious disease screenings and health evaluations to ensure the safety and quality of their eggs. Ms. Zhang opted for third-generation IVF technology, successfully implanting a fertilized embryo into a surrogate mother. With the surrogate’s help, they eventually welcomed a healthy baby.
This journey not only restored the couple’s hope of becoming parents but also demonstrated that even at an advanced reproductive age, having children is achievable through advanced assisted reproductive technologies and lawful surrogacy pathways.

COSTAIVF is dedicated to providing personalized support for every family planning journey. From egg donation to surrogacy, we help prospective parents achieve their fertility goals safely and legally. If you are exploring similar options, consider learning more and consulting with Dr. Nathan Zhang to find the best solution for your needs.