Is it necessary to have a second child at the age of 39, according to personal wishes, physical condition to decide, want to have a second child is relatively strong will, the body in all aspects of the condition is relatively good can be considered to carry a second child. 39-year-old women have a relatively strong will to conceive a second child, through the physical examination of all aspects are normal, such as ovaries have normal ovulation function, fallopian tubes remain open, uterus without organic disease, no hypertension, diabetes, anemia, kidney disease, cardiovascular disease, all aspects of the good can be considered to prepare for the pregnancy to conceive a second child. If a 39-year-old woman does not have a strong desire to conceive a second child, she should try not to take the risk of conceiving a second child again. Through the physical examination there are abnormalities, such as ovulation dysfunction, endometrial thinning, cardiovascular disease, hypertension, diabetes, etc., to carefully consider whether to carry a second child. 39-year-old women pregnant belongs to the high age of pregnant women, pregnancy has a certain risk, should be carefully considered, under the guidance of professional doctors to prepare for pregnancy.