Too old for fatherhood? A summary on paternal age and fertility

In male fertility challenges, paternal age can also lead to adverse effects in offspring. Certain muscular disorders and congenital disorders such as cleft palate and stillbirths are associated with increased paternal age. Offspring of men 40 years or older are also more likely to be affected by Down syndrome, autism spectrum disorders and schizophrenia, compared to offspring of younger men.

Older males seeking paternity should undergo general age-related health screening including colonoscopy, prostate evaluation and blood pressure and cholesterol screening. Additionally, these men should be advised on the potential decline in sperm quantity and quality and potential impact on offspring. Psychosocial concerns should also be considered such as the ability of older parents to meet the physical and emotional demand of parenting.

To learn more about screening for risks to male fertility, schedule a free phone consult with Dr. Ekpo, a fetility doctor in San Francisco.