She has assisted at over 1,000 births and is currently teaching in the nurse-midwifery program at the University of Minnesota. I think you are doing everything right. Decline in fertility is your biggest enemy at this age. Women of your age often need assistance from a reproductive specialist to become pregnant, either inducing ovulation or combining this with in vitro fertilization. If you have not already done so, I would visit a clinic specializing in infertility.
Time is critical and each cycle that goes by is important.
Older men may also contribute to declining fertility rates, and the role of aging on reproductive outcome is being extensively studied. I don't mean to be the harbinger of bad news, but in response to your inquiry about other things to be aware of, older women have a higher risk of many of the complications of pregnancy, such as hypertensive disease, preterm labor, miscarriage and intrauterine fetal death. There are many books written on this topic. 1988 Best of luck. You should not rely on this information as a substitute for personal medical attention, diagnosis or hands-on treatment.