Originally Posted By: ryan2022
At 39 my energy levels are fairly low due to occasional struggles with depression.
If she is not nurturing enough to guide you out of this depression, being a doctor no less, it seems like you'd be taking on more of the parenting responsibilities than you're ready for unless you can get the depression under control enough that you feel up to taking on whatever share of the weight is going to be needed to raise children, and recognize that "children" is plural, having one child is at least an 18 year commitment but having multiples, draws that out further.
Having enough money is definitely a requirement at a certain point where your career is less likely to dramatically improve like it would if you were 20 years younger, and yet, it might if depression is holding you back.
Besides that, there is the question of what you really want but I urge you to not decide that until you get a better idea of whether there are more options for depression control. Without getting all up in your personal life, there are numerous healthy living habits that many with depression don't have and it sort of snowballs, where the depression limits those habits even more. Exercise, no smoking, limited drinking, healthy diet (None of that carb free or low fat trend diet nonsense, rather the established decades old proven healthy diet even if it's red meat every other day (sometimes, depression can merely be anemia), and new habits.
I agree with other posts that it seems like you're inclined towards stating "no" to kids, but at the same time you're still considering it and you need to think about the give and take in a relationship, that if this is what your partner wants, and you love each other, and the alternative is she finds someone else, it could be a serious downgrade in your life to move from in a relationship with a doctor to single and depressed at 39 y/o. Single 39 y/o women are that way for a reason, if not several. Dating past 35 y/o is an ugly, frustrating experience where you're probably going to be a step father of someone's children anyway, just a few years older children.
Depressed and alone is not where you want to be. Drop everything else including important life decisions and get a handle on the depression.