A woman's age is a significant factor that determines the success of an ART procedure. One must also consider that there is an increased risk for birth defects with advanced maternal age. We will need to discuss your case and can help you to evaluate and make decisions about these risks. At our center, improved culture techniques, the procedure of laser-assisted embryo hatching and Preimplantation Genetic Diagnostic procedures (PGD) have enabled many women in the age group of 35-40 to have healthy babies. For women above the age of 40 we would recommend considering donor oocytes as a therapeutic option.