Table IV.

Upper legal age limit for availing infertility services

Points in favour of upper age limit	Points against upper age limit
Potential increased risk of maternal morbidity and mortality	Potential for natural pregnancy to the average age of menopause, i.e., 47 in India. And increased overall life expectancy
Risk of bereavement of children born at advanced age	Increased in life expectancy of mothers giving birth at advanced age
Risk of psychological, social and financial burden on children	Family support
Pre-existing comorbid medical conditions which are likely to reduce life expectancy independent of pregnancy	Improving life expectancy with treatment in all medical conditions
Emotional and not well thought of decisions	Reproductive autonomy and carrier concerns
Unborn baby has no choice or rights	Same with natural pregnancy
Social pressure to bear a child at any age against women’s wishes	Social pressure of abandonment and remarriage of husband
Underestimating the parenting needs at advanced age	Family support
Unscrupulous canters providing services in the absence of any law at any age	Demand and supply
State cost burden to look after these mothers and children even if self-financed	Self-financing Countries with negative populations encouraging the trend
Guidelines for insurance companies	At present, self-financed