### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am 27 .i have a girl friend how is your then me she was 37 when we come together i was at that time 23 so we had all type of relationship from sucking licking and intercourse and all the stuff at the age of 39 she got pregnant and and she gave me a baby boy and how after five year on 29 April was her birthday i do not know what should i buy for her so i ask her what she wants so she said i need a promise me you will give me i said she will say marry me i was ready for it now my but she said i lets go for second kind i  also thought its good time our son 3 year old so i said ok but one thing for as you second child we will get married and said if it would be girl we will marry before her birth she said yes to me problem start from there for last two month we are trying it very hard she can conceive . we she start giving me different types of nut and organic food and she is also taking that and an now an other thing is that how your sex is not about enjoyment or satisfaction it is about to that she can conceive . plz help us

### output:

Hi, That's quite a history. As she has already given birth to a baby, her chances for a second pregnancy is very high. But her age is a problem. After 40yrs chances of pregnancy reduces Chat Doctor.  But pregnancy do occur after that too. I would advise you to have her Serum AMH Level within first 10 days of her periods, to know if she has the good number of eggs. If normal no one can assure you a girl baby. But can only assure a baby. Kindly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an