In recent years, there has been a gradual increase in the number of women having children at an advanced age. From a reproductive medicine perspective, a woman’s ovarian reserve begins to decrease rapidly at ages older than 35, with an exponential decline in fertility. This process is more pronounced after entering the age of 37. Therefore, we consider this age as a hurdle, when even resorting to assisted reproductive technology can be difficult. There are different reasons for having children at an advanced age. Most of them are the following: when they are at the right age to conceive, they miss the opportunity because of their studies, career, marriage, health, and advanced ideas; they are near or already at an advanced age when they are given the opportunity to have another child by avoiding the risk of punishment due to the relaxation of the national fertility policy; they are already at an advanced age when they have lost their independence, or they have lost their independence at an advanced age. Regardless of the reason, these women have a common psychological characteristic: they are in desperate need, and they are only striving for the right time. Most of them are in a negative mood of depression, anxiety and fear. For this group of patients we should “let nature take its course and do what is right”. Let nature take its course, that is, anything in accordance with the development of the objective law to do; for the right thing, is that you should do what you can do. You can’t do nothing, that is, don’t deliberately do things that can’t be done. This is the essence of the psychotherapy method Morita therapy. In theory, the right to reproduction is a basic right of every woman, and senior women have the same basic reproductive rights that are legally granted to them. In fact, the issue of assisted conception for older women has become a social problem for many assisted reproduction facilities and patients in China. Patients of advanced age suffer more rejection and rejection when they seek help for infertility. Advanced age means low success rates, high complications and risks, and high costs – both emotional and financial. After all, it is not a matter of “perseverance will win the day” or “fighting for the silver lining”. Doctors have a duty to inform and patients have a right to be fully informed. If you decide to undergo assisted conception, you and the patient will face the situation positively together and do well in the present. Of course, not all women of advanced age, have fertility difficulties. Advanced childbearing is not necessarily your fault, but it does require effort on your part. Here are 5 things that women of advanced childbearing age must remember 1. Physical examination. Pregnant couples should have a pre-conception health checkup. In general general hospitals, this checkup can be done in medical examination centers and obstetrics and gynecology clinics. 2. Adjustment of psychological state. Couples who are expecting a second child, especially older and senior couples, are often in a state of high tension once they decide to get pregnant. They pay high attention to their menstruation, ovulation, endometrium and fallopian tubes and are overly anxious. This state of mind often leads to a desire for speed. Severe psychological stress can also affect endocrine and sexual function, leading to irregular menstruation and unsatisfactory sex life. 3, early intervention check. Couples who have a second child have at least a history of childbirth, and some have a history of miscarriage, ectopic pregnancy, and cesarean delivery. These conditions may have an impact on the reproduction again. If you are still not pregnant after one year of normal sexual intercourse with the removal of contraception, you should go to the hospital for a check-up as soon as possible. For senior women, it is more important to intervene in the examination in advance, so that the problem can be found early and actively treated. 4.Actively treat. This is especially important for couples of advanced age. In addition to the patient’s past fertility history, surgical history, degree of tubal lesions, husband’s semen, and whether other infertility factors are combined, the patient’s age and ovarian reserve function are more important in the treatment of infertile couples. For the same infertility factors and different ages, the doctor will give a different treatment plan and the timing of treatment will be different. This is also called individualized treatment. Of course, the economy and health insurance should also be taken into consideration when choosing. 5.Learn to persist and know how to give up. Infertility treatment is sometimes like stock speculation, especially for patients who receive assisted reproduction technology. You should learn to persist and know how to give up in this matter of treating children. When you have the conditions for treatment (physical conditions, economic conditions, psychological conditions), learn to persist. Learn to give up when you don’t have the conditions (physical, financial, psychological). For those who do not have the conditions to be treated, giving up is not a positive attitude. Choose another way to be a mother and live the same wonderful life.