My life expectancy is uncertain - I can't extrapolate from my family history, as I have a chromosomal abnormality (Turner Syndrome), which normally knocks 13 years off life expectancy. However, Turner also usually causes infertility (95%) and, for the small percentage who manage to ovulate, there's usually a very short window before infertility hits in the early 20s. I had my first child at 34, my second at 42, and still not menopausal, so I'm evidently one for the medical journals... In reality, the issue will be that, in the days before cheap genetic testing, you would only ever have been diagnosed with Turner Syndrome if you had a severe version of it - those diagnosed earliest have obvious (but harmless) physical differences, then there is a further wave of diagnoses in adolescence for those who never start menstruating, then a trailing diagnosis of women who experience fertility issues - if you don't have any of those problems, there's no real reason to test for the condition - thus reinforcing the impression that it has specific medical consequences, since those consequences are what leads to diagnosis.
I found out about my own condition completely by accident. There are new blood tests for chromosomal disorders in foetuses - I had one with my last pregnancy. They rely on a contrast between expected values in the mother's blood, and expected values added by the foetus. Deviations from those expected values usually indicate problems in the foetus, but they can obviously also indicate problems in the mother. So there I was, looking at a test result telling me that the results might be indicative of Turner, looking up systematic reviews in medical journals and reading off lists of what to expect. I found a really good list of possible medical consequence and read down it and I kept going, "Oh, that medical issue is no big deal - I have that myself - I could helping a child learn to manage that." I found myself having this reaction sequentially, moving down the list - at about the fifth item, it dawned on me that I was almost certainly the person with the condition, not my child... :-P.
So, there are some medical issues - they're quite diverse, and I had never thought they'd be connected (who thinks a tendency toward ear infections, very mild scoliosis, a visual perception difficulty processing depth information, thyroid issues, etc., etc. would be related?). It's been useful to know - particularly in enabling me to advise health care professionals what to watch put for. But the literature on long-term outcomes is essentially useless for me, because people like me aren't yet accounted for in it...
Still if late childbearing - against the odds, even! - is a good thing, I'm all over that... ;-)