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IVF Over 40 · Low AMH · Low Ovarian Reserve

IVF Over 40: Honest Answers, Real Options

We treat women in their 40s and 50s every week. If you have been told your AMH is too low, your FSH is too high, or that it is “time to stop trying”, we will give you a clear, personal assessment of the routes still open to you.

Dr. Sever with patient coordinators

What Actually Changes After 40

Two things change with age: the number of eggs available in each cycle, and the proportion of those eggs that are chromosomally normal. Blood tests such as AMH, and scans counting antral follicles, estimate the first. Nothing on a form estimates you, your history, or how you respond to a well-designed protocol.

That is why we do not quote odds from a table or turn patients away on age alone. We start with a proper assessment, and then talk honestly about which of three routes fits your situation. Sometimes the honest answer is that your own eggs remain worth trying. Sometimes it is that they are not, and hearing that clearly, with a real alternative on the table, is what finally moves things forward.

Start with the €500 assessment. Blood tests for both partners, a transvaginal ultrasound, sperm analysis, a one-to-one consultation with Dr. Sever, and a written treatment plan, plus one night’s hotel accommodation and airport transfers. No commitment to go further.
Your Options

Three Routes, One Honest Recommendation

Own-Egg IVF

If your reserve supports it, we design a stimulation protocol around your history and response, not a standard template. ICSI fertilisation is included as standard, and Dr. Sever personally monitors every scan during stimulation.

Tandem Cycle

A tandem cycle stimulates your own eggs and prepares matched donor eggs in the same cycle. Both sets are fertilised, so if your own eggs do not produce a strong embryo that month, the donor embryos are ready without losing the cycle. Many patients over 40 choose this as a way to try their own eggs one more time, with a safety net.

Donor-Egg IVF

With screened donors aged 21–25 and no waiting list, donor treatment removes egg age from the equation, which is why it is the route most often recommended to women in their late 40s and 50s. We accept donor-programme patients into their mid-50s, subject to medical assessment.

Compare package prices for every route on our costs page →

Our Specialists

The Team Behind Your Treatment

Published scholars and leaders in reproductive medicine, with you at every appointment

Dr. Erman Sever

Dr. Erman Sever

Medical Director & IVF Specialist

A graduate of Hacettepe University and a widely published researcher in international medical journals, covering PCOS, advanced laparoscopy, and infertility diagnostics. Dr. Sever leads every treatment personally, balancing technical expertise with a compassionate, personalised approach.

Ali Kizilkanat

Ali Kizilkanat

Embryologist

One of the foremost embryologists in Cyprus. Ali’s expertise in embryo development, selection, and advanced laboratory technique underpins the quality standards of our brand-new embryology laboratory.

Our Clinic

A Brand-New Clinic, Built for Precision

Because Fertina is a new facility, we equipped it with the latest laboratory technology available in 2026, and it is maintained to ISO 9001 international standards.

Patient Stories

In Their Own Words

Common Questions

Frequently Asked Questions

Am I too old for IVF?

Age alone is not the answer, your assessment is. We treat women throughout their 40s, and our donor-egg programme accepts patients into their mid-50s subject to medical assessment of your general health and your ability to carry a pregnancy safely. If we do not think treatment is right for you, we will say so plainly.

My AMH is very low. Is own-egg IVF still possible?

Sometimes. AMH predicts how many eggs a cycle may produce, not whether a particular embryo can succeed. A low AMH means fewer eggs and often a harder road with own eggs, and we will be honest about that, but the decision should be made on your full picture: age, FSH, antral follicle count, history, and previous responses. That is exactly what the initial assessment is for.

What is a tandem cycle, exactly?

In a tandem cycle, your own stimulation runs alongside a matched donor’s cycle. Your eggs and the donor’s eggs are collected and fertilised in the same window, so you get the chance to use your own eggs with donor embryos ready as a fallback in the same cycle, rather than facing a failed cycle and then starting again from zero.

How do we decide between own eggs and donor eggs?

Together, and after your assessment, not before. Dr. Sever reviews your results and history with you one-to-one and gives a straight recommendation with the reasoning behind it. Some patients try one more own-egg or tandem cycle first; others move directly to donor treatment. It is your decision, made with full information.

Do you treat single women?

Yes. Single women are welcome in both our own-egg and donor programmes, with donor sperm arranged through our screened donor network.

How much time in Cyprus does treatment need?

The initial assessment can be done in a long weekend, and many patients combine it with a holiday. For treatment, most UK patients choose the 10-day package, with stimulation or preparation at home and the procedure stage in Famagusta. A full 21-day stay is available if you would rather have the whole cycle by the sea.

Ready for an Honest Conversation?

Tell us your age, your AMH if you know it, and your story so far. A patient coordinator will arrange a free consultation with our clinical team, and you will get straight answers.

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