More men are choosing to become fathers later in life — often in their 30s, 40s and beyond — thanks to career choices, delayed marriage, and advances in reproductive medicine. While fathering a child later can be deeply rewarding, medical experts warn there are hidden fertility and health risks associated with increased paternal age. Consultant andrologist Dr. Raghuveer Karnevi of Oasis Fertility, Hyderabad, explains how age affects male fertility, pregnancy outcomes and the long-term health of children conceived by older fathers.
Unlike women, men do not experience an abrupt end to fertility, but biological aging still affects reproductive potential. Starting around the mid-30s and more noticeably after 40, several changes may occur:
Sperm carries half the genetic information for a child. As men age, DNA damage accumulates in sperm due to oxidative stress, decreased cellular repair mechanisms, and environmental exposures accumulated over time. Higher DNA fragmentation is linked to lower pregnancy rates, higher risk of miscarriage, and reduced success with assisted reproductive technologies (ART) such as IVF or ICSI.
Large population studies have found associations — not guarantees — between advanced paternal age and certain health or developmental conditions in offspring. Some documented risks include:
Fathers’ age may indirectly influence maternal and pregnancy health. Research indicates that pregnancies conceived with older paternal age show slightly higher rates of complications such as gestational diabetes and preeclampsia. This is likely multifactorial — a combination of sperm quality, placental development, and maternal age or health comorbidities.
Beyond biology, late fatherhood carries lifestyle and psychosocial impacts worth considering:
Age is one factor, but many modifiable behaviors can improve sperm quality and reduce risks:
If you are planning to become a father later in life, or if you and your partner face difficulty conceiving after six to twelve months of trying (sooner if there are known risk factors), seek evaluation. Fertility specialists can offer tests, personalized risk assessment, and treatment options — including lifestyle strategies, medical therapies, or ART when indicated.
Fathering a child after 30 — and even much later — is possible and often joyful. But awareness matters. Biological changes in sperm with age, small but measurable increases in certain risks to the child, and practical lifestyle considerations mean informed planning is wise. Speak with a fertility expert like Dr. Raghuveer Karnevi or your healthcare provider to evaluate risks, test when appropriate, and make choices that protect both your future child’s health and your family’s wellbeing.
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