The document discusses reproductive aging and its impact on fertility. It notes that a woman's quantity and quality of eggs naturally declines with age starting in her 30s and accelerating after age 37. While lifestyle factors like smoking and weight can negatively impact fertility, age is still the strongest predictor of egg quality and pregnancy success. The document reviews tests of ovarian reserve and treatments for advanced reproductive aging, noting that while stimulation protocols can increase egg quantity, age remains the best predictor of quality and pregnancy outcomes.