Hello everyone, welcome Pingu!
I couldn't say re: IVF as I'm way past 40 and IVF is no more successful than trying naturally for me. At 40 I would probably give it 6 more months then follow the advice of your clinic.
I had my mid cycle scan today and the good news is, I ovulated, and apparently have the egg reserve of someone in their mid-30s.
Unfortunately, they did see scarring to the lining and a cyst around one tube which could impede the egg (the side I ovulated on, unfortunately). My next steps are a day 21 progesterone test and a referral for a hysteroscopy.
Hope all the 40+ ladies are doing well and having some good news :)
Alibaba, my clinic is in London, pm me for details :) good luck with your appointment this week, let us know how it goes!