Reply to Is 47 too old for a man to start a family?

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[quote=Anonymous][quote=Anonymous]Please stop spreading false and dangerous misinformation that gives women unrealistic hope about delaying pregnancy. Advanced paternal age and advanced maternal age are not viewed the same in real reproductive medicine. Yes, male age can modestly affect sperm quality and slightly raise risk for certain conditions, but that is not comparable to the far larger and well-established impact of maternal age on fertility, miscarriage, IVF success, chromosomal abnormalities, and pregnancy complications.

Women are born with all the eggs they will ever have, and those eggs age over time. That is why fertility specialists, OB/GYNs, and every serious fertility clinic focus so heavily on maternal age, especially after 35 and even more after 40. Male fertility may decline more gradually, but men continue producing new sperm throughout life. Saying "new sperm is corrupt so men are just as risky" is not supported by mainstream medical reality.

Claims that paternal age drives Down syndrome the same way maternal age does are simply wrong. Down syndrome risk is primarily linked to maternal egg chromosomal errors, which rise significantly with age. Likewise, pretending that older female eggs mostly just miscarry so unhealthy live births are not a concern ignores decades of established data on increased chromosomal risk with advanced maternal age.

And the most obvious reality check is this: many women in their late 50s cannot naturally conceive at all, while men that age often still can father children. That alone shows these are fundamentally different biological systems. Women deserve accurate information, not internet talking points that minimize the very real risks of geriatric pregnancy and encourage waiting based on false equivalence.[/quote]

Yes both women and men deserve to know the truth. Repeating again. Learn recent research. Paternal advanced age is a leading cause for autism spectrum disorder. Any age after 35. My child is autistic I was 27 my exH 38 at conception.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9957550/

“ Advanced paternal age (typically $\ge$40–45) poses a higher risk for specific neurodevelopmental and psychiatric disorders (autism, schizophrenia, bipolar) due to sperm DNA mutations. Conversely, advanced maternal age ($\ge$35) carries higher risks for chromosomal abnormalities (Down syndrome) and pregnancy complications. Both contribute differently to offspring health. 
PubMed Central (PMC) (.gov)
PubMed Central (PMC) (.gov)
 +5
Key Comparisons and Risks
Paternal Advanced Age (APA): Primarily linked to an increased risk of de novo genetic mutations, leading to neurodevelopmental disorders such as autism and schizophrenia. Other risks include childhood cancers, cleft lip, and premature birth. 
Stanford Medicine
Stanford Medicine
 +4
Maternal Advanced Age (AMA): Strongly associated with chromosomal abnormalities (aneuploidy) like Down syndrome, miscarriage, and pregnancy-related complications like gestational diabetes and hypertension. 
YouTube
YouTube
Distinct Risks: Studies indicate APA affects a wider range of psychiatric and academic outcomes (e.g., ADHD), while AMA is more strongly associated with structural chromosomal issues. 
PubMed Central (PMC) (.gov)
PubMed Central (PMC) (.gov)
 +3
Thresholds: Risks from APA begin to rise around age 40 and become more significant after 50. The risk of autism for children of fathers over 45 is over twice that of fathers aged 25-29. 
Fertility and Sterility
Fertility and Sterility
 +1”
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