Hi Everyone - I am hoping for some second opinions/advice on my infertility situation, as well as for some advice on injectables.
I am 38 and have been trying for about 1 yr and a half to conceive. I know all of you can relate to how difficult this is. In my case, I have unexplained infertility - my tubes are open, I seem to have good egg reserve, my husband’s counts are good, etc.
I started seeing a fertility doctor about 6 months ago and I have now gone through 3 unsuccessful IUI’s with clomid and I am in the middle of my 4th IUI cycle with letrozole. I should find out in a few days if this cycle “worked”, but to be honest, I am feeling really crampy and I am not optimistic.
With this said, my doctor is suggesting that I consider injectable medications or IVF for my next cycle. I need to make this decision fairly quickly because I would be expecting my period this week.
With injectables, I am concerned about the risk of high order multiples - particularly because I have unexplained infertility (9 resting follicles on each ovary as of my last ultrasound!). I would have 10 kids if it were safe, so not worried about the # of kids, but the safety for the babies since beyond twins has many risks.
Does anyone know what the risk of high order multiples is with injectables?? Also, is anyone familiar with the risk of ovarian cancer related to injectables??
My doc has also suggested perhaps skipping injectables and moving straight to IVF. IVF is NOT covered under my insurance, so this would be a big expense. In addition, as you all know, it is a MUCH more intense process which frightens me.
Does anyone have an opinion on what my next step should be? Is it premature to move forward with injectables at this stage given that I’ve only had 4 IUI’s?? I did hear somewhere that your chances of success with IUI drop dramatically after 4 attempts, but not sure if this is true…
Any opinions and advice are greatly appreciated. Sorry for the long post…I don’t know anyone else who is going through this, so it is tough to get good advice in this area. Thanks!! Best of luck to all of you out there!!!