Physiological changes
It is generally believed that the fertility of women begins to decline gradually around the age of 33. This is mainly because the number of female eggs decreases with age, and the quality of eggs will also decline. In addition, when women enter middle age, their menstrual cycle and ovulation function may also change, thus affecting their chances of pregnancy.

Physiologically, the main reason for the decline of female fertility is the decline of ovarian function. With the growth of age, the number of follicles in the ovary decreases, and the quality of eggs will also decline. This means that women will face greater difficulties to conceive at the age of 34. In addition, due to changes in women's menstrual cycle and ovulation function, the chance of pregnancy will also be reduced.
Medical research shows that the probability of infertility of women over 35 years old is significantly increased. A 2004 study found that among women between 35 and 39 years old, the probability of infertility was 25%, while among women over 40 years old, it increased to more than 50%.
Influence of physical condition on fertility
In addition to age, women's physical condition will also have an impact on fertility. Women with some chronic diseases, such as thyroid problems, diabetes, polycystic ovary syndrome, may have reduced fertility. In addition, the history of surgery and drug use may also have a certain impact on fertility.
For example, a study found that women with thyroid problems are more likely to have complications during pregnancy, and the development of their children may also be affected. Diabetes and polycystic ovary syndrome also affect ovarian function and increase the risk of infertility. Therefore, if women encounter these problems in family planning, they may need to consider seeking medical intervention.
In addition, some operations may affect women's fertility. For example, uterine surgery or tubal ligation may affect the natural fertilization of eggs and the implantation of embryos in the uterus. It should be noted that the impact of surgery on fertility varies from person to person, and doctors should be consulted for more specific information.
Influence of psychological pressure
With the changes of the times, modern women often bear greater pressure between career and family. For women who want to be pregnant, psychological pressure may have a negative impact on fertility.
Research shows that the fertility of women under long-term stress may be inhibited. This is because pressure will affect the pituitary ovary axis and neuroendocrine system in women's bodies, thus interfering with the normal function of the ovaries. In addition, stress may also lead to changes in sleep quality and living habits, further affecting fertility.
Therefore, for women who want to be pregnant, it is very important to maintain mental health and relieve pressure. Proper exercise, relaxation skills and psychological counseling can help relieve stress and improve fertility.
Medical assistance and assisted reproductive technology
Although the fertility of women decreases with the increase of age, the development of modern medicine makes women still have the opportunity to conceive in their later years. In case of fertility decline or infertility, medical help and assisted reproductive technology can be sought.
For example, in vitro fertilization (IVF) is a common assisted reproductive technology, which can help women conceive by combining sperm and eggs in vitro, and then implanting the fertilized eggs into women's uterus. In addition, egg donation and surrogacy are also options for some infertile couples.
However, medical assistance and assisted reproductive technology are not applicable to all people, and there are certain costs and risks. Therefore, before deciding to seek medical help, women should consult and evaluate with doctors in detail to understand their specific conditions and weigh the advantages and disadvantages.
summary
To sum up, the fertility of 33 year old women does have a certain downward trend. This is mainly due to physiological changes, physical conditions, psychological pressure and other factors. However, with the help of modern medicine, women still have the opportunity to get pregnant in their later years, and assisted reproductive technology can provide corresponding help. Therefore, women should fully understand their fertility during family planning and seek medical help when needed to ensure a safe and smooth welcome to new life.