What should we do?
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Anonymous
| We have been trying to conceive for 8 months, didn’t track the first few months, and are both 42. Recently started with a RE and will be starting Letrozole today. All tests came up fine for both of us, no issues. Amh was higher than normal for me at 6.3ngl. I also have hashimotos ( medicated). I get a period every month and ovulation is confirmed via miracle wands. My insurance has a $15k infertility benefit that i was planning to use, however my work just emailed changing these benefits and stating they won’t cover infertility treatments starting 1/1/25. What’s the best way to maximize using the 15k in the next 3 months? Initially, we were thinking about doing 3 iui and then moving to ivf if things don’t work, however by the time im done with the iuis now, it will be 2025 and i’d lose coverage. Also iuis at my clinic are about $700 so wouldn’t eat up the coverage. Should i go ahead and start ivf? Pros/cons? Ideally we wanted to try minimally invasive options first but not sure what’s better given these new |
Anonymous
| At 42, I wouldn’t bother with IUI and move straight to IVF. You could probably would be able to get one egg retrieval cycle done if you started now before the end of the year. |
Anonymous
| I agree. Do a round of IVF with your coverage. IUIs have a very low success rate. But, if the round of IVF doesn’t work, you can always go back and try them after your insurance runs out. |
Anonymous
| Op here. Thank you any reasons why iui isn’t recommended for this age group? Im also afraid that ivf might be way more taxing to the body and still results in a bunch of bad eggs/embryos |
Anonymous
Because with an IUI, you don’t know the quality of your egg that will be released on any given month. With IVF, you have a chance of selecting the “better” ones from the retrieval and turning those into embryos, improving your chance that they’ll actually result in pregnancy. |
Anonymous
| I’d be concerned with egg quality at 42. High egg count doesn’t mean better egg quality. https://www.reddit.com/r/infertility/comments/gx3ktt/high_amh_and_egg_quality/ Does your insurance require pre-auth? If so, I’d get the ball rolling for a round of IVF asap while you’re trying this cycle with Letrozole. |
Anonymous
| You almost certainly have PCOS with confirmed hashimotos and those AMH numbers. Affects egg quality greatly. |
Anonymous
All my drs say no I don’t have pcos. I have periods every month and ovulate while pcos people don’t. Ive raised this multiple times with multiple doctors and it’s always the same thing, they always say I don’t have it , even did an ultrasound to look at my follicles |
Anonymous
Im not sure but the dr’s office started process with insurance to see what was needed. Im just worried about being too aggressive as for the 8 months we were trying, I only tracked for 2 months so maybe not conceiving might have just been caused by us not tracking properly |
Anonymous
You’re 42. There is no “too aggressive” if you want to get and stay pregnant. |
Anonymous
+1 Did your clinic give you odds for IUI vs IVF with your stats? At 40 with average numbers, my clinic said I had less than 5% chance of a live birth with IUI. I went straight to IVF. |
Anonymous
How many healthy embryos did you get with ivf and how did it turn out? |
Anonymous
I got 1 PGT normal embryo from 1 egg retrieval. Praying so hard I land on the right side of statistics when I transfer in a few weeks. |
Anonymous
| IUI doesn't do much more than intercourse does. If you do either with Clomid there's a chance of multiples. At your age and with the benefit about to expire, I would 100% do IVF. See what embryos you get. If you don't get anything good you can reassess your options (donor egg?). And your egg quality is going to decline pretty steeply, so might as well freeze embryos from 42-year-old eggs and not 42.5 or 43-year-old eggs. |
Anonymous
Good luck, sending baby dust your way. Keep us updated |