Professor Basil C. Tarlatzis emphasizes that age is the most critical factor determining reproductive outcomes later in life, as fertility declines significantly after age 30 and accelerates after 40.
He advocates for egg freezing as a means to support women's reproductive autonomy, allowing them to preserve fertility for career or educational pursuits. However, Tarlatzis stresses that timing is crucial, ideally between ages 20-30, as egg quality diminishes significantly after 34-35.
Biological mechanisms behind ovarian aging and egg quality remain areas of ongoing research. Public awareness regarding reproductive aging is still limited, with many women surprised by the rapid fertility decline. Tarlatzis calls for earlier education on fertility and reproductive health, starting in schools.
Addressing declining birth rates requires more than assisted reproduction; governments must create supportive environments for families through policies on housing, employment, and childcare. The most important message for clinicians is to prioritize comprehensive education for both men and women on reproductive health, fertility realities, family planning, and sexual health to enable informed decision-making.