title: [What medical intervention in the late desire for a child?].
abstract: Therapeutical decisions in case of unsuccessful late child wish in a woman aged more than 35, must take into account several issues. In a context where time cannot be considered as "therapeutical" in the sense that the probability of onset of a pregnancy per cycle can not increase with time, the moment of check-up for infertility can be fixed at 6 months of sexual intercourse, assumed to be possibly fecundant. The assessment of ovarian age allows to formulate a double prognosis, that of therapeutical efficacy for obtaining onset of pregnancy and that of the quality of possible conceptus. The choice of treatment from the etiological check-up will not go from the simplest to the more sophisticated as is done for younger women. This is an important issue since the remaining time of possible fertility is short.
authors.affiliation: Fécondation in vitro, maternité Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France. monique.commenges@chu-bordeaux.fr
authors.forename: M
authors.initials: M
authors.lastname: Commenges-Ducos
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000628:therapy; D008423:Maternal Age; D010053:Ovary / Q000502:physiology; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D011379:Prognosis; D027724:Reproductive Techniques, Assisted