FSH of 12 is not the end of the world - really! Women have gotten pregnant natually with FSH in the 20's.
The injectibles are the next step up in fertility treatments. There is a brief overview here http://www.webmd.com/infertility-and...ertility-drugs
Yes, Femara for fertility is an off label usage but it does seem to work for people. I really think Novartis is just covering themselves legally. One study found less birth defects with Femara than Clomid! http://en.wikipedia.org/wiki/Letrozole