Thanks for your query.
I read your query and I understand your concerns.
Following is my reply:
1) FSH level is very high and not corresponding to what you describe.
2) Please get AMH level tested. If it is very low then we can correlate it with FSH and take a final decision.
3) Since you are 40, the follicles will start declining rapidly. Hence get the test done soon and take treatment if needed.
I hope I answered your query. I will be available for any follow up query you have.
Dr. Mahesh Koregol
IVF & Infertility