Aim:Evaluate conception rate in women 40 years & above. Material & Methods: Type of study: - Retrospective analysis from 2012 to 2016 in 50 women 40 years& above in ART cycle. Setting: IVF center of Radha Krishna multispecialty Hospital Bangalore Results: In woman above 40 years the spontaneous pregnancy rate was 8% & with donor embro transfer was 10% & with oocyte donor was increased to 16% thus we could achieve overall pregnancy rate of 35% Conclusion: With careful evaluations of ovary & uterinecavity we achieved increased fertility rate in woman above 40 years.