1、 In vitro fertilization (IVF)
In vitro fertilization (IVF) is one of the most widely used fertility solutions for the elderly. This technology combines female eggs with male sperm in vitro, cultivates them into embryos, and then transfers them back to the female uterus to increase the chance of pregnancy. For older women, IVF can provide a higher success rate.

Before IVF, women need to increase the number of eggs through ovulation promoting drugs, and conduct regular ultrasound examination to monitor the development of follicles. When the follicle develops to the appropriate size, the doctor will collect the egg and then combine it with the male sperm in the laboratory. The successfully combined egg and sperm will grow into an embryo, and the doctor will select the best embryo for transplantation. The whole process needs close monitoring and the cooperation of professional medical teams.
IVF technology has been very mature in the development of medicine. There are many well-known reproductive hospitals around the world that can provide this service, such as Mayo Clinic in the United States, Monash IVF in Australia, etc.
2、 Egg donation
Egg donation is an effective solution to the problem of women's own egg quality decline or insufficient egg quantity. Through egg donation, women can borrow young women's eggs for bonding and fertilization to improve the chance of pregnancy.
Egg donation usually needs to go to a special reproductive assistance medical center under the guidance of doctors. First, women who accept donated eggs need to prepare in vivo, such as using ovulation promoting drugs; Then, fertilization is carried out by matching the appropriate eggs of the donor. Transfer the successfully fertilized embryo into the uterus of a woman so that the embryo can further develop and grow. The whole process needs the guidance and assistance of professional doctors.
Many fertility centers provide egg donation services, such as IVIRMA in Spain and Biotexcom in Ukraine.
3、 Embryo donation
Embryo donation is one of the solutions for elderly couples with egg or sperm quality problems. In this method, couples can accept the embryos donated by young and healthy couples and achieve fertility through embryo transfer.
The donation of embryos usually comes from the surplus embryos of other couples during in vitro fertilization. These embryos are strictly screened and tested by doctors to ensure their quality and health. The recipient of the donation needs to carry out necessary physical examination to determine whether it is suitable to accept and nurture the donated embryo. After embryo transfer, the success rate and the chance of normal reproduction will be greatly improved.
Embryo donation services can be seen in some professional birth centers, such as CARE Fertility in the UK and Peking Union Medical College Hospital in China.
4、 Improvement of assisted reproductive technology
The continuous progress of science and technology also provides more possibilities for the elderly to have children. Through continuous improvement and improvement of assisted reproductive technology, it can be applied to more patients.
For example, with the help of gene sequencing technology, we can more accurately screen the genetic status of embryos and reduce the transfer risk of embryos with chromosomal abnormalities. In addition, the instruments and drugs for stimulating ovaries are also improving, so that more older women can have more eggs in quantity and quality for fertilization.
With the development of science and technology, more innovative technologies may be applied to the elderly childbearing in the future, bringing new hope to infertile families.
summary
For the solution of 46 year old childbearing, the improvement of in vitro fertilization technology, egg donation, embryo donation and assisted reproductive technology are all feasible options. The emergence and continuous improvement of these methods have provided many couples with opportunities to realize their reproductive dreams. However, everyone's situation is different, so before choosing an appropriate solution, it is recommended that couples should consult a professional doctor and have a detailed physical examination to understand their own fertility and risks.