Based on recent studies I would say, unfortunately enough, delusion is entering into it at this point. According to the CDC, 30 percent of woman ages 40 to 44 will experience infertility. Your chances of conceiving in any given month are also lower once you pass 40. A 40 -year-old only has a 5 percent chance of getting pregnant per month.
A study in the medical journal Fertility and Sterility confirms Johnson’s point. Researchers found that 40-year-old women treated for infertility had a 25 percent chance of getting pregnant using their own eggs. But by age 43 that number dropped to 10 percent, and by 44 it had plummeted to 1.6 percent. Among women who did get pregnant, the miscarriage rate was 24 percent for 40-year-olds, 38 percent for 43-year-olds, and 54 percent for 44-year-olds.
Fertility expert James Goldfarb says that during his 30 years in the field, he has never seen a woman get pregnant with her own eggs after age 46. “It’s like buying a lottery ticket,” he says. “Yes, someone wins every once in a while, but you shouldn’t bank on it.”
There’s also the issue that PsA is shown to spike much worse after preganancy. “In this large prospective study on disease activity of PsA in pregnancy, we found that the majority of women experienced stable, low disease activity,” Ursin and colleagues wrote. “However, disease activity tended to decrease in pregnancy, increased significantly by 6 months postpartum, before returning to baseline by one year postpartum. Women using TNF [inhibitor] in pregnancy had significantly lower disease activity throughout the study period.”
I would say get moving on adoption because you’re starting to age-out of that as well. https://www.americanadoptions.com/blog/am-i-too-old-to-adopt/