You will need to take the route of assisted reproductive techniques. You have two issues:
1) Tubes being blocked
2) Age: 39yrs
Next Steps
You will need to check your fertility potential as there is a possibility that it may be compromised at the age of 39yrs. This will give you an idea whether along with IVF/ICSI, third party reproduction is required or not.
Health Tips
Visit a good fertility centre which provides the complete spectrum of fertility treatment solutions at the earliest.