I dont want to raise your hopes much, but my wife and I had 3 miscarriages before we finally had our first born. And my brothers wife had a similar operation as your W at 40 and the doctors told her that it was impossible for her to have a child. But she did have a miracle happen and they have a 9 year old boy the same age as mine.
I don't think that's the case with my wife, though. She was told that she has few options for dealing with this:
1) Birth control pills to help regulate her periods 2) Hormone therapy to induce an early menopause 3) The most radical, a hysterectomy
She has horrible periods because of this; cramps that literally keep her up at night (she started last night, too) and very heavy bleeding. She's joked many times that if she can't get the use out of her uterus that she's supposed to, she might as well be done with it. Well, now she has her chance.
I would urge her not to give up hope, but that rings kinda hollow right now, given our situation.
Me: 44, Wife: 39 M: 17 years T: 20 years Bomb on 08/25/09 1/13/10: MC started 1/28/10, 2/8/10: More bombs 8/28/10: Wife moved out No talk of D, no movement