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 As you reach the wrong side of 30, your chances of conceiving for the first time could be a problem. However, it may not be just your problem. It could be with your husband, too. Generally, though men usually remain fertile well beyond the 40s, it would be better for both of you to seek the help of a genealogist. In all probability the doctor would recommend a semen analysis to check if your husband's sperms are healthy. As nearly 40 percent of all cases of infertility arise from male factors, you should check it out with this easy semen test. All it involves is collecting an ejaculate after refraining from intercourse for two days and then taking the ejaculate to a lab.
Then the next step would be to check your own fertility status. Your doctor would recommend a blood test to measure your follicle-stimulating hormone (FSH) level on the third day of your period. If the FSH level is lower than 20, then probably you have a reasonable number of eggs left in the ovaries.
An ovulation is the most common reason for the inability to conceive in women who are in their 40s. There are safe medications available to help women ovulate better. The only major drawback of these ovulation enhancers is the risk of multiple gestations (the vast majority of which are twins), which occur 6 percent of the time when using a drug.
Even if the ovarian reserve is poor and it appears that the ovary cannot respond well to ovulation stimulants, there is always the possibility of using donor eggs. Healthy women in their 40s could obtain a donor egg from a younger woman, use sperm from their own husbands and then carry the pregnancy. But you may not be comfortable making that decision.
Therefore, it would be better to make an appointment with a gynaecologist who will take care of the infertility problems. But it should be done soon, rather than just waiting several more years, because, in this case, time is very important.
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