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[quote=Anonymous]I'm 38 (turning 39 in March) and dealing with secondary infertility. Potential tubal issue on one side, outside chance of PCOS (33-day cycles, which my doctor thought was long), no other known issues. Good AMH levels.

We conceived our first child naturally after 17 months of trying -- did 4 unsuccessful cycles of Letrozole/monitoring, with no luck, and were planning to do IVF when I got unexpectedly pregnant. Our child is now almost 2 years old.

We've been trying for a 2nd for about 7 months (a month or two were tight timing-wise, as we were both traveling). Shady Grove doctor suggested going straight to IVF and thought we were good candidates, but then floated the possibility of trying Clomid/IUI when we expressed some hesitation about jumping straight to IVF.

1) CONS of IUI route: IUI isn't covered by our insurance; two cycles of IVF is. Our doctor suggested only doing 1 cycle of IUI because I am turning 39 so soon; it's already been 7 months of trying, and fertility drugs didn't work the first time. She thinks IUI success rate is only like ~10%, her IVF estimate is significantly higher.

2) PROs: We haven't tried IUI yet. I am not crazy about having to inject myself with so many drugs and hormones. We got pregnant successfully the first time without much help. We've had some anxiety about having enough sex at the right time, given our travel schedules. (though I use a ClearBlue monitor at home, and it seems accurate given when I get my period).

What would you do?
 [/quote]

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