TTC with Femara vs doing IVF again right away - need feedback!!

hi ladies!

I am again on a fence about what to do this cycle. So we are having infertility issues, diagnosis currently unknown. We are redoing all our baseline and pretests this cycle.

I have also been prescribed Femara 2.5mg (cd 3-7) for this cycle, which sways pink. Right now I am stuck - do we try this month or not?!? Would I regret it if we got preggo right away on Femara but had boy #4?

So far the facts are:

-I am not a great IVF responder to a standard protocol.

-we do make girl embies (2 out of 3 that fertilized in our HT cycle were XX)

-we do not know currently what my egg reserve is, and I won't know before deciding whether to TTC this cycle

-I am in Canada so to do PGS for GS at all we have to travel to the US

-DH (military) is posted to another city for 2 years starting this Aug. So I will be doing all treatments pretty much by myself for the next two years. It is possible for him to take a little time off here and there if I need to, say, travel to the US for a week to do ER/ET, but it won't be easy. If we did IVF in the US I'd also have to drive to Montreal (2 hours away) to do all satellite monitoring - again this would be while DH is away so I'd have to squeeze it in while managing the house/kids by myself. Kind of hellish.

-I am 36 in Sept and this might very well be our last really good shot at a baby at all. With my fertility clearly sliding this past year, I can't count on any fertility at all by the time I'm 38-39.


What to do?!? I'm so so torn. It's easy to say 'go back to IVF now' but we have NO TIME. Any IVF now would be by myself, the whole thing, with having to drive 2 hours just to do monitoring. And we all know it often doesn't easily work either.

What would YOU do in my shoes? I keep waffling back and forth. Mainly I don't know what to do THIS month since I'm working blind with no idea of what my egg reserve is and how much time I have left.

Also, I am getting counselling starting tomorrow because my GD does have roots in my childhood (emotional abuse issues). So it's also possible that with counselling I can come to terms with all that and come to peace with my GD. (Blogged about it earlier today.)

Suggestions, feedback, devil's advocate, all welcome!! Thank you!

IVF in two years may not be a viable option at all with low reserve.

If you are ok with either gender, go for it and maybe you get a girl this way. If it's a boy, IVF at 38-39 will be very difficult. You have to know that going in.

Quote:

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Originally Posted by nuthinbutpink

IVF in two years may not be a viable option at all with low reserve.

If you are ok with either gender, go for it and maybe you get a girl this way. If it's a boy, IVF at 38-39 will be very difficult. You have to know that going in.

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Yes I know definitely that IVF might not be possible in a few years. Juggling DH's job is the biggie!

Okay so we're going to call CNY and see if they could possibly fit me in for IVF/PGS before Aug. If so we're going to go down and do a cheapie cycle. If not then we continue with Femara and just TTC either gender.

I have a femara boy (DS1) and clomid boy (prg now) plus it was right after a m/c. So I would only sway+femara if you really want another baby either way. I thought I did but then had a really hard time when we found out he is a boy and kinda wish we had just done ivf because now if we do have another we will have to risk it being my 5th c-section (although we would for sure do ivf if we try again so either girl or no prg. I have not gone through ivf but I am pretty firm that next time will either be a girl or no pregnancy. )

Thanks 2blue. :) That's the way I'm leaning....now it's just trying to make it work. It's really hard with DH's job creating so many logistical issues and working around the GS illegal in Canada problem. :( But you're probably right I need to figure it out and make it work.

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