What would you do if you had these numbers?

[Anonymous]

OP I have similar numbers--same FSH but lower AMH (.3). I am 37 and we have a toddler who was conceived quickly--after just 2 months of TTC. Now we've been TTC baby #2 for 8 months with no luck (and with a lot of sex during the fertile window--every other day for 10 days). So clearly my decreased ovarian reserve is really the issue in why I haven't been able to get pregnant, even though it's only been 2 years since I last got pregnant (I guess fertility can really decline quickly). I have done all the pre-testing and no issues other than DOR. I have met with two REs for a consultation. Both said that IUI probably wouldn't be that helpful for me. I think we will try naturally for a few more months and do natural cycle IVF first. If that doesn't work we will probably go to donor eggs, which have a higher success rate. I don't want to do traditional IVF.

[Anonymous]

Anonymous wrote:I would do the most aggressive IVF protocol your doctor agrees to. Soon.

Eh, I'd try natural cycle for a cycle or two first. No sense in pumping your body full of drugs if you don't have to.

[Anonymous]

This fear of drugs is not rational.

[Anonymous]

Anonymous wrote:DO NOT BOTHER WITH IUI AT 40. (I didn't mean to have caps lock on, but in retrospect, it's probably an accurate sentiment.)
I did three IUIs starting at age 41, all unsuccessful. My numbers were better: AMH of 2 and FSH of 8.5.

At 41, I did two IVF cycles with ICSI. No PGS testing, which I regret in retrospect. I miscarried in the second one. The third cycle, a month after turning 42, was unsuccessful, too.

If I could turn back time, I would skip the IUIs and go straight to IVF with ICSI and PGS testing. I would have had a baby by now, had I done that.

We obviously all make choices with the information we have in front of us at the time, but this is just my advice based on what I learned.

agree totally. I did 3 IUIs at 40/41 and I regret it. I should have gone straight to IVF. IVFs didn't work at 41/42. Did DE at 43 and it worked on the 2nd try. MAYBE IVF would have worked at 40, but oh well. hindsight is 20/20.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I would do the most aggressive IVF protocol your doctor agrees to. Soon.

Eh, I'd try natural cycle for a cycle or two first. No sense in pumping your body full of drugs if you don't have to.

Natural cycle for DOR will work about as well as drinking mint tea for it.

[Anonymous]

OP here - thanks everyone. I think some of our discomfort with IVF is that our insurance doesn't cover ART at all. So, we have the money but it feels like a lot to spend on a dice roll. But people's encouragement to be decisive early squares with my thinking.

[Anonymous]

Anonymous wrote:OP here - thanks everyone. I think some of our discomfort with IVF is that our insurance doesn't cover ART at all. So, we have the money but it feels like a lot to spend on a dice roll. But people's encouragement to be decisive early squares with my thinking.

It will be a dice roll regardless of what you decide to do. So give yourself the best chance to be successful. Good luck!

[Anonymous]

Anonymous wrote:OP I have similar numbers--same FSH but lower AMH (.3). I am 37 and we have a toddler who was conceived quickly--after just 2 months of TTC. Now we've been TTC baby #2 for 8 months with no luck (and with a lot of sex during the fertile window--every other day for 10 days). So clearly my decreased ovarian reserve is really the issue in why I haven't been able to get pregnant, even though it's only been 2 years since I last got pregnant (I guess fertility can really decline quickly). I have done all the pre-testing and no issues other than DOR. I have met with two REs for a consultation. Both said that IUI probably wouldn't be that helpful for me. I think we will try naturally for a few more months and do natural cycle IVF first. If that doesn't work we will probably go to donor eggs, which have a higher success rate. I don't want to do traditional IVF.

Keep trying! I'm 38 with a .34 and got pregnant after 10 months of trying. I did start taking DHEA, coq10 and vitamin D about 6 months in. And we used preseed the month we got pregnant (had used it the previous cycle too). My FSH was only 4.5 though, I think 10 is borderline. Wheatgrass is supposed to help bring FSH down.

[Anonymous]

Anonymous wrote:

Anonymous wrote:DO NOT BOTHER WITH IUI AT 40. (I didn't mean to have caps lock on, but in retrospect, it's probably an accurate sentiment.)
I did three IUIs starting at age 41, all unsuccessful. My numbers were better: AMH of 2 and FSH of 8.5.

At 41, I did two IVF cycles with ICSI. No PGS testing, which I regret in retrospect. I miscarried in the second one. The third cycle, a month after turning 42, was unsuccessful, too.

If I could turn back time, I would skip the IUIs and go straight to IVF with ICSI and PGS testing. I would have had a baby by now, had I done that.

We obviously all make choices with the information we have in front of us at the time, but this is just my advice based on what I learned.

agree totally. I did 3 IUIs at 40/41 and I regret it. I should have gone straight to IVF. IVFs didn't work at 41/42. Did DE at 43 and it worked on the 2nd try. MAYBE IVF would have worked at 40, but oh well. hindsight is 20/20.

Same story here--started IVF at 39 after 5 IUIs (we had MFI, but I was delusional), 2 OE IVFs and then success with DE. IF is a horrible thing to go through, particularly when you are the only person in your group of friends going through it. I wish I would've had someone push me harder to do IVF right away. My RE showed me the odds with the IUIs, but I was in total denial. Hindsight...

[Anonymous]

Anonymous wrote:DO NOT BOTHER WITH IUI AT 40. (I didn't mean to have caps lock on, but in retrospect, it's probably an accurate sentiment.)
I did three IUIs starting at age 41

NP here, 40 and with an AMH of .027 and FSH of 22. From my point of view, IUI or timed intercourse is a way to give my ovaries a few more chances while my husband gets used to the idea of donor egg. His SA was fantastic, but my cycle is varying between 27-45 days, which means its really difficult for us to really nail down when I am ovulating. My numbers are bad enough that IVF without DE just doesn't make much sense- the RE was very honest that I'm just as likely to get pregnant naturally (not very) than if we go through the pain and expense of IVF (no insurance coverage) for possibly a few eggs that may or may not fertilize. Personally, I'm attached to having *his* child, but don't actually care if its my own egg or not. DE at 41 isn't going to be much different than DE at 40, so why not spend a few months getting the timing right with external help?