More women are choosing to have babies in their late 30s and 40s, and many go on to have healthy pregnancies and healthy babies. At the same time, conceiving after age 35 can introduce a different set of conversations around fertility, prenatal testing, monitoring, and risk. ACOG notes that some pregnancy-related risks do increase with age, but they do not all rise at the same time or affect every patient the same way.

What has changed?

One major shift is that doctors no longer treat age 35 as a simple yes-or-no cutoff for pregnancy risk. Instead, ACOG explains that risk rises gradually with age. Consequently, providers increasingly tailor medical care to the individual rather than basing decisions on age alone. Even so, carrying a pregnancy at 35 years or older correlates with a higher chance of certain complications, including gestational diabetes, hypertensive disorders, and some labor-related concerns.

Fertility also changes with age. ACOG notes that fertility begins to decline gradually around age 32 and more rapidly after age 37. While this change does not mean pregnancy is unlikely, it frequently means conception takes longer for some women. If you are trying to conceive in your late 30s or 40s, timely guidance from an OB/GYN can give you helpful direction.

What still matters most?

The fundamentals of a healthy pregnancy still matter a great deal. Prioritizing routine prenatal care, managing chronic conditions, eating nutritious foods, and staying active remain central at every age. Furthermore, you will want to track your blood pressure, complete recommended screenings, and keep an open line of communication with your provider. ACOG’s guidance also notes that some patients age 35 or older may require extra office visits or additional testing later in pregnancy.

Common concerns in pregnancy after 35

Many women worry that conceiving after 35 automatically triggers a high-risk pregnancy label. In reality, some women will need extra monitoring, while others will experience completely uncomplicated pregnancies. Your overall risk profile depends on your entire health history—including weight, blood pressure, prior pregnancies, diabetes status, and fetal findings—rather than age alone.

Genetic screening represents another common topic of concern. Because the risk of chromosomal conditions increases with maternal age, your care team will prioritize discussions about prenatal genetic screening and diagnostic testing early in pregnancy. Your provider can explain how screening tests differ from diagnostic options to help you decide what path makes sense for your family.

How medical care may differ

A pregnancy after age 35 frequently involves closer monitoring for blood pressure changes, blood sugar spikes, fetal growth, or placental issues. In some cases, your OB/GYN may refer you to a maternal-fetal medicine specialist. Other patients will simply continue routine prenatal care with added testing at specific milestones. Ultimately, providers do not want to medicalize every pregnancy; instead, they aim to identify concerns early to support a healthy outcome.

Steps that can support a healthy pregnancy

If you are currently pregnant or planning a family after age 35, scheduling a preconception counseling session can be incredibly useful. ACOG recommends reviewing medications, medical conditions, immunizations, nutrition, and lifestyle factors before you try to conceive. Once you become pregnant, attending every prenatal appointment, asking questions early, and following up on recommended testing will make a meaningful difference.

A balanced perspective

Pregnancy after 35 deserves thoughtful care, not fear. While certain risks warrant an open discussion, millions of women in this age group enjoy beautiful, healthy pregnancies. Partnering with your doctor to build a personalized prenatal plan will help you understand what has changed, what applies to your unique situation, and what still matters most for you and your baby.

If you are ready to start your journey or need guidance on family planning, please contact our team today to request an appointment.

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The Women’s Health & Menopause Center is proud to welcome Dr. Samah Arsanious to our growing team of dedicated healthcare professionals. As a board-certified OB/GYN, Dr. Arsanious brings a compassionate, patient-centered approach to our practice. She maintains a strong commitment to education, wellness, and empowering women through every stage of life.

Extensive Training and Expertise

Dr. Arsanious completed her OB/GYN residency training at Wayne State University and Detroit Medical Center (DMC). During this time, she gained extensive experience caring for women with diverse healthcare needs. Later, she expanded her skills by completing a Cosmetic Surgery Fellowship in Little Rock, Arkansas. This additional training enhanced her expertise in women’s wellness and aesthetic care.

A Strong Educational Foundation

Her educational journey reflects a deep passion for healthcare and women’s advocacy. Dr. Arsanious earned her Bachelor’s degree in Molecular & Cellular Biology from the University of California, Berkeley. She also holds dual Master’s degrees in Public Health from Loma Linda University. Her concentrations included Maternal & Child Health as well as Health Promotion & Education. She then earned her medical degree from Ross University School of Medicine.

Compassionate, Patient-Centered Care

Patients appreciate Dr. Arsanious for her clinical expertise and her warm, empathetic nature. She creates a supportive environment where women feel heard and informed. She believes every woman deserves to feel comfortable discussing all aspects of her health. This includes concerns that are often overlooked or difficult to talk about.

Her approach focuses on building trust. She helps patients feel confident in their healthcare decisions. Dr. Arsanious provides thoughtful, personalized care during pregnancy, routine gynecologic visits, and menopause transitions.

Beyond the Clinic

Outside of medicine, Dr. Arsanious is passionate about community involvement and mentorship. She empowers women through education and outreach. She also values faith, family, and wellness.

At Women’s Health & Menopause Center, we are excited for our community to meet Dr. Arsanious. Please join us in welcoming her to the practice!

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What Is NIPT?

Non-Invasive Prenatal Testing (NIPT) is revolutionizing prenatal care. Unlike traditional methods, NIPT uses a simple blood draw from the mother to analyze fetal DNA and screen for genetic conditions, such as Down syndrome, trisomy 18, and trisomy 13—with remarkable accuracy and no risk to the baby.

Why It’s Trending

NIPT is gaining popularity due to its early detection (as soon as 10 weeks), high sensitivity, and minimal risk. With more insurance providers now covering the test, it’s becoming a standard offering—not just for high-risk pregnancies, but for all expecting parents seeking peace of mind.

What It Can and Can’t Do

While NIPT is a powerful tool, it’s important to understand its scope. It’s a screening test, not a diagnostic one. A positive result may require follow-up with chorionic villus sampling (CVS) or amniocentesis. It also doesn’t screen for all genetic conditions, but it offers a strong starting point.

Beyond Chromosomes

Some NIPTs now offer fetal sex determination and microdeletion screenings. These options vary by provider and may involve additional costs or considerations.

What to Ask Your OBGYN

• Is NIPT right for me?

• What conditions does the test cover?

• What are the next steps if results are abnormal?

Takeaway: NIPT offers an empowering option for early, safe, and accurate prenatal screening. Talk to your provider to see if it’s right for your journey.

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Pap smears and HPV screenings are vital tools in protecting women’s health. Yet, many patients have questions or concerns about what they are, how they work, and why they matter.

A Pap smear, also known as a Pap test, is a routine screening used to detect abnormal cells in the cervix before they become cancerous. It’s quick, simple, and typically done during a regular pelvic exam. If abnormal cells are found early, treatment can prevent cervical cancer from developing.

Human Papillomavirus (HPV) is the most common sexually transmitted infection, and certain strains are directly linked to cervical cancer. The HPV test, often done at the same time as a Pap smear, checks for high-risk types of the virus. Many people with HPV don’t experience symptoms, which is why routine screening is so important.

Women should begin Pap smears at age 21, and frequency depends on age, health history, and test results. Typically:

• Ages 21–29: Pap test every 3 years

• Ages 30–65: Pap + HPV co-test every 5 years, or Pap alone every 3 years

• After 65: You may stop testing if you’ve had regular screenings with normal results

The HPV vaccine is another powerful preventive tool. Recommended for preteens but also effective for adults up to age 45, the vaccine helps protect against the most dangerous strains of the virus.

Regular screenings are not just about prevention — they’re about peace of mind. If you’re unsure when your last Pap was or what screenings you need, speak with your OB/GYN. Early detection saves lives.

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Breast density is an important factor in breast cancer screening, yet many women are unaware of what it means. Dense breasts have less fatty tissue and more glandular and connective tissue, making it harder to detect abnormalities on a standard mammogram. Approximately 40% of women have dense breasts, which can slightly increase their risk of breast cancer.

How Do You Know If You Have Dense Breasts?
Breast density can only be determined through a mammogram, as it’s not related to the size or firmness of your breasts. After your screening, your healthcare provider will inform you if you have dense breast tissue.

Why It Matters
Dense breast tissue can make it difficult to spot tumors on a mammogram, as both dense tissue and cancer appear white on the image. This can lead to missed diagnoses or false negatives. Women with dense breasts may need additional imaging, such as Automated Breast Ultrasound (ABUS) or breast MRI, to ensure accurate screening.

What You Can Do
If you have dense breasts, talk to your healthcare provider about supplemental screening options. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and limiting alcohol, can also support breast health. It’s essential to stay proactive and schedule regular screenings to catch any potential issues early.

At Women’s Health and Menopause Center, we offer advanced imaging solutions like ABUS to provide accurate and thorough breast cancer screening for women with dense breasts. Schedule your appointment today to stay on top of your breast health.

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The fourth trimester, the first three months after childbirth, is a critical time for recovery and adjustment. While much focus is on the baby, it’s equally important for new moms to prioritize their own health during this period.

Physical Recovery
Whether you had a vaginal delivery or a C-section, your body needs time to heal. Rest is essential, but light activities like walking can help improve circulation and promote recovery. Manage postpartum bleeding by using pads, not tampons, and consult your doctor if you notice heavy clots or signs of infection. If you had a C-section, follow your doctor’s instructions for wound care and avoid heavy lifting.

Mental Health
Postpartum emotions can range from joy to overwhelming fatigue or sadness. It’s normal to experience the “baby blues,” but if feelings of sadness or anxiety persist, you may have postpartum depression. Don’t hesitate to reach out to your healthcare provider for support.

Breastfeeding and Nutrition
Breastfeeding can be challenging, but lactation consultants can offer guidance. Stay hydrated and eat nutrient-rich foods to support milk production and your energy levels. If breastfeeding isn’t part of your plan, ensure you have the support you need for formula feeding.

Ask for Help
Lean on your partner, family, or friends for help with household tasks and baby care. Remember, self-care isn’t selfish—it’s necessary for you to thrive as a parent.

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Pregnancy is often seen as a joyful and exciting time, but for many women, it can also bring heightened anxiety, stress, and even depression. While physical health during pregnancy is commonly emphasized, mental health is equally important, as it has a significant impact on both mother and baby. Chronic stress, anxiety, or depression during pregnancy can lead to a higher risk of preterm birth, difficulty bonding with the baby, increased risk of postpartum depression, and can even influence the baby’s emotional development later in life. Taking proactive steps to manage mental health is essential for promoting a healthy pregnancy and setting a positive foundation for the baby.

Many women face unique emotional challenges during pregnancy, including hormonal fluctuations that can lead to mood swings, physical discomforts like nausea and fatigue that contribute to stress, and life adjustments such as financial concerns or changes in relationships. Additionally, fear of the unknown—whether about childbirth, parenting, or health concerns—can amplify anxiety. Understanding these challenges as normal can reduce self-judgment and encourage a compassionate approach to mental health.

To manage mental health effectively during pregnancy, there are several strategies that can help. Practicing self-care is crucial; taking time to relax, enjoy hobbies, and engage in activities that bring joy can reduce stress. Simple self-care practices like reading, taking warm baths, or spending time with supportive friends can make a significant difference in emotional well-being. Prioritizing sleep is also important, as sleep disruptions are common during pregnancy due to hormonal changes and physical discomfort. Establishing a bedtime routine, using pregnancy pillows for support, and limiting screen time before bed can improve sleep quality, promoting better mental health.

Physical activity is another effective way to improve mood, reduce anxiety, and alleviate physical discomforts. Exercise releases endorphins, the body’s natural “feel-good” hormones, which help manage stress. Safe activities like prenatal yoga, walking, and swimming are excellent choices that offer both physical and emotional benefits. Always consult with a healthcare provider before starting or continuing an exercise regimen during pregnancy to ensure safety for both mother and baby.

Mindfulness and meditation can be powerful tools for calming an anxious mind. Practicing deep breathing, guided meditation, or journaling can reduce stress, help with relaxation, and even prepare the mind for labor. Simple breathing exercises, such as inhaling slowly for four counts and exhaling for four, can be practiced daily to relieve anxiety and promote a sense of peace. Additionally, talking openly with partners, friends, or family members about worries and stresses can help lighten the emotional load. Sharing feelings and being supported by loved ones fosters emotional resilience, and encouraging loved ones to ask about your mental health can create a strong support network.

For those experiencing significant anxiety, stress, or depression during pregnancy, professional help may be beneficial. Therapy, especially cognitive-behavioral therapy (CBT), provides coping tools and a safe space to work through challenging emotions. Prenatal support groups can also offer a sense of community, as connecting with other expectant mothers who share similar experiences can help reduce feelings of isolation.

Educating oneself about childbirth and parenting is another effective way to reduce anxiety, as fear of the unknown can often be a significant stressor. Learning about what to expect and understanding available options can provide a sense of control, helping expectant mothers feel more prepared and confident.

Mental health during pregnancy is essential for both the mother’s well-being and the baby’s development. By managing anxiety, stress, and depression through self-care, exercise, mindfulness, and professional support, expectant mothers can create a healthier environment for themselves and their babies. If you’re struggling with mental health challenges during pregnancy, don’t hesitate to reach out to your healthcare provider. At Women’s Health and Menopause Center, we’re here to support you throughout your pregnancy journey, offering resources, guidance, and compassionate care to help you maintain a healthy and happy pregnancy.

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As women enter menopause, they often face a variety of physical and emotional symptoms caused by a natural decline in estrogen and progesterone levels. Hot flashes, night sweats, mood swings, and sleep disturbances are some of the most common and disruptive symptoms during this life transition. To manage these symptoms and improve quality of life, many women turn to Hormone Replacement Therapy (HRT). However, it’s important to weigh the potential benefits and risks before making an informed decision. In this blog post, we will explore the role of HRT in menopause and help you determine if it might be the right option for you.

What is Hormone Replacement Therapy (HRT)?

HRT is a treatment used to replenish the hormones that naturally decrease during menopause—primarily estrogen and progesterone. There are two main types of HRT:

1. Estrogen-only HRT: Typically prescribed for women who have had a hysterectomy, as they no longer need progesterone to protect the lining of the uterus.
2. Combined HRT: Contains both estrogen and progesterone, and is often prescribed for women who still have their uterus, to prevent the risk of uterine cancer caused by estrogen alone.

Benefits of HRT

1. Relief from Menopausal Symptoms

The primary reason women opt for HRT is to alleviate the common symptoms of menopause. HRT is highly effective in reducing:

• Hot flashes and night sweats
• Vaginal dryness and discomfort during intercourse
• Mood swings and irritability
• Sleep disturbances

For many women, HRT can significantly improve their quality of life by offering relief from these disruptive symptoms.

2. Bone Health and Osteoporosis Prevention

During menopause, estrogen levels decline, which can lead to a reduction in bone density. This increases the risk of osteoporosis and fractures. HRT has been shown to help maintain bone density, reducing the risk of osteoporosis and related fractures, especially in women at high risk for bone loss​.

3. Protection Against Heart Disease

Some studies suggest that HRT may offer protection against heart disease when started early in the menopause transition. Estrogen is believed to have a positive effect on heart health by helping to maintain healthy cholesterol levels and improve blood vessel function​.

Risks of HRT

While HRT offers significant benefits, it is not without risks. These include:

1. Increased Risk of Blood Clots and Stroke

• Some forms of HRT, particularly oral estrogen, have been associated with a higher risk of blood clots and stroke. This is especially important for women who have a history of these conditions or other risk factors, such as smoking or obesity​.

2. Risk of Breast Cancer

• Combined HRT (estrogen and progesterone) has been linked to a slightly increased risk of breast cancer, especially with long-term use. It’s essential to have regular breast screenings and discussions with your healthcare provider about this risk​.

3. Risk of Heart Disease

• While HRT may offer some heart protection when started early, women who begin HRT later in menopause may experience an increased risk of heart disease. Timing is critical, so consult your doctor to evaluate your personal risk​.

HRT may be a suitable option for women who:

• Are experiencing moderate to severe menopausal symptoms that are impacting their quality of life
• Have an increased risk of osteoporosis or bone fractures
• Are younger than 60 or within 10 years of starting menopause (as the risks may increase with age or long-term use)

HRT may not be appropriate for women who:

• Have a history of breast cancer, blood clots, or stroke
• Are at high risk for heart disease
• Have untreated high blood pressure or liver disease

Discussing HRT with Your Healthcare Provider

If you are considering HRT, it’s essential to discuss your personal medical history, symptoms, and risks with your healthcare provider. Together, you can weigh the benefits and risks and determine whether HRT is the right choice for you. Your doctor may recommend alternative treatments such as lifestyle changes, non-hormonal medications, or supplements if HRT is not suitable for you.

Conclusion

Hormone Replacement Therapy (HRT) can be a highly effective solution for managing the uncomfortable symptoms of menopause and improving overall quality of life. However, it’s important to balance the benefits with the potential risks, and make a decision that aligns with your health needs and personal risk factors. At Women’s Health and Menopause Center, we are here to guide you through your options and help you make the best decision for your health. Schedule a consultation today to learn more about HRT and whether it’s right for you.

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