“Now Abraham and Sarah were old and well stricken in age; and it ceased to be with Sarah after the manner of women.”
Now Abraham and Sarah are old and well advanced in years, and Sarah is past the age of childbearing. The narrator inserts a medical reality check: everything about this situation is humanly impossible. Both old. Sarah past menopause. The biological conditions that make the promise impossible are stated clearly before Sarah's response is recorded — so that the response is fully understandable and the fulfillment fully miraculous. Romans 4:19 states this plainly: Abraham considered his own body, which was as good as dead, and the deadness of Sarah's womb, and did not weaken in faith. The application: God's promises regularly come with a stated impossibility attached. The impossibility is part of the point — if it were possible naturally, the fulfillment would not require the God who gives life to the dead.
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