For me, this is a hard decision. Have you tried IVF before? What was your response?
I have a high FSH of 32 and am older than you. I have cycled tons of times (I actually ran out of room on my signature). I have also had numerous cancelled cycles. I was fortunate to have the meds covered by 1 of my insurance plans (for the most part it was all out of pocket). After I had my meds covered, I was much more inclined to cancel cycles than before. I just thought this was a real option that I did not have before when I was paying out of pocket for all the meds. This also was an option for me b/c my doctor did not charge monitoring fees after my first failed IVF.
With DOR, sometimes, we just will not respond well on a particular month. You can try the same protocol the next month and respond better. For instance, I once tried high stim EPP protocol. I had 1 follicle. I cancelled that cycle, tried the next month, and had a lot of follicles (I think it was 7 or something, I don’t remember for sure).
If you haven’t cycled before and only had 1 follicle, I would probably convert to IUI (if it is free or just BD). I say this only b/c your meds are covered. I may say something different if they were not. I do think there is a great shot that is a good follicle given your age, but I have found, at least in my case, my DOR tends to go hand in hand with fertilization problems. So, I have been unlucky enough to have no fertilization on 2 cycles. Unless you know you cannot get a better response than 1, I would try again. If you have tried on about 3 occasions with only 1, then I would probably proceed with only 1.
What type of protocol are you on? I have done better with MDL protocol, and various low to medium stim protocols. The low stim protocol tended to result in better egg quality for me.
If you are not already, there is a board for people with DOR called network 54 new high FSH board. It would probably be a good place for you to seek advice from people with your particular issue.
Also, don’t give up hope on this cycle if you decide to convert to IUI. I have seen numerous people over at the high FSH board get pregnant off converted cycles.
One more thing, I would discourage back to back cycles if you are using high stims (I don’t know if you are). I did this once, and although my response was better, my egg quality was far worse than it had ever been. I personally think it is best to wait a month, although I know the wait can be agonizing. Someone suggested this to me, and I did not listen. But, looking back on it, perhaps I would have had a different result from my IVF cycle had I paid attention.