I know medically as a woman ages getting pregnant can lead to more complications with the pregnancy and some of those can lead to severe problems or in some cases death. From what I understand at 40 it is not in your best interest to have a child because of this. My information may be a bit dated though. That particular doctor's actions were deplorable.

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"BOY: On a hot summer night, would you offer your throat to the wolf with the red roses? GIRL: Will he offer me his mouth? BOY: Yes. GIRL: Will he offer me his teeth? BOY: Yes. GIRL: Will he offer me his jaws? BOY: Yes. GIRL: Will he offer me his hunger? BOY: Yes. GIRL: Again, will he offer me his hunger? BOY: Yes! GIRL: Yes. BOY: On a hot summer night, would you offer your throat to the wolf with the red roses? GIRL: Yes. BOY: I bet you say that to all the boys!" -Meatloaf