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[quote=Anonymous]We are trying to decide what to do in this situation and both keep going back and forth.  I would be interested to know what others would do in our shoes, to get some clarity.

DH is 35 and I just turned 30, married a while.  We would very much like at least one child, and likely two children if possible -- but no more than two.  I've been off the pill for a year, and nothing has happened yet.  I get regular periods.  I've had various testing and it all came back normal.

Sperm testing revealed male factor infertility, with various SA tests giving different results.  For example, on one recent SA, motility-morphology both were well below the normal range (motility- 26, normal is 49; morph- 8, normal is 14).  Another recent SA, motility was slightly above average (52, normal is 49) but morphology was worse (5, normal is 14).  Volume was also low.  (All physical exam factors came back normal.)

Based on the SA results, we were diagnosed with infertility.  We have some insurance coverage for infertility treatments.

Separate from the male factor infertility issues, as it happens, I am a cancer survivor and we did IVF and froze embryos several years ago when I was in my early-mid-20s, immediately prior to when I started cancer treatment.   I ended up having a treatment that wouldn't harm female fertility hardly at all for now, though I couldn't have known that at the time we did IVF and froze the embryos.  However, from the cancer drugs I had, I will likely go into perimenopause slightly earlier than I would otherwise -- for example, it isn't reasonable for me to expect to have a child at 37-42 even though many other women in my family have.)

The frozen embryos are six (6) Day 1 embryos.  They're vitrified so probably ~95% would survive the unfreezing process (say, 6)... probably ~33-50% of those could make it to a 5 Day blastocyst stage (maybe 2-3).... maybe ~50% of those could result in a live birth (we're basically down to one... [i]more or less.).  [/i]We had to use ICSI when we did IVF-- due to DH's sperm analysis results at that time (we were aware of that issue since that time).
  
[b]Sooooooo...... basically we have male factor infertility, but have an extra option of using the frozen embryos now, or trying those later.[/b]  This month, we're trying Clomid and timed intercourse while we try to decide what to do.  Clomid is our $20 option.  We can do this for up to 3 (or maybe 6) months while trying to decide on what to do next.

[b]What would you do, and why? [/b]
  (a) Stay the course w/ the Clomid and timed intercourse before trying anything else (cheap, and if it works - could do FET to try for 2nd child)
  (b) FET w frozen embryos now (could get twins which would mean we're done, or have a decent chance at one child - might be done with one.  Also incredibly appealing on an emotional/theological basis, plus we'd get to stop paying the storage fees.)
  (c) Try up to 3 cycles of IUI, with gonadotropins (a couple hundred bucks each, could give 10% pregnancy odds per month for a 30-40% odds total for not too expensive; could then use frozen embryos to try for 2nd child)
  (d) Go straight to another fresh cycle of IVF w/ ICSI now, to avoid expending any more time and money on options that may not be compatible with the male factor infertility issues; and avoid foreclosing the option of having 2nd child.  Could freeze more embryos at my current age (30) to have better options in case the frozen Day 1 embryos come up as zero.[/quote]

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