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

### input:
hi name shabana khanage born 19may1975married with two daughtersmy second daughter born on 12oct2004since then i dint got any pregnancybefore my periods was there fr 4 days but not it stop on second dayi dont hv any problem like pain and allbut now i want another babay can you pls suggest me

### output:

Hi Havana, How are you doing ? I feel only problem is your age. Best time for pregnancy is between 19-35 yrs. Let me just explain - A lady has the highest level of eggs (around 7 million eggs) when in your mothers womb at 5th month. At birth lady has only around 4-5 lakhs eggs, At adolescence has around 1 lakh eggs, you will ovulate around 400-450 times in lifetime. In the race for ovulation every month the healthiest eggs will rupture first & by age of 35 yrs healthiest of eggs will get over. At 40 yrs age most of the healthy eggs will get over. Chances of pregnancy is not zero after 40yrs age, but is reduced. Don't get disheartened, the oldest mothers age is 45 yrs. The reason for reduced periods bleeding may be reduced hormones from the eggs. You can find the number of eggs in ovaries by checking Serum AMH level. This test can tell you the quantity of eggs, not quality. At this age you can think of IVF / CSI. Do try other methods, if not successful take an earlier early decision for IVF. But even if you don't have the good number of eggs, you have to go for Donor eggs. Then the embryos will be of age of donor. So irrespective of your age, you can keep having babies till the embryos get over. Donor will be known to you or not known. She will receive all the injections, once eggs are ready, they are taken out under scan guidance & then she is free to go. Your husbands sperms are taken the same day & embryos are made in lab by embryologist. They will be kept into your uterus on right time Hope I have clarified all your queries, do write back if any further queries the best Chat Doctor. 