Hi girls. I in a thread in the 35+ group but they suggested I post here as no one could give me info over there.
I will be 39 the end of this year and TTC#1. We started in 2010 and I have been pregnant 3 times since then (the last in Sept 2011) and have lost all of them (10 weeks, then the next 2 before 6 weeks). I have had loads of blood work, ultrasounds, etc and DH has also been tested. All tests normal. I was told to take a daily low dose aspirin and start progesterone after ovulation (even though neither of those are an issue, he said it couldn't hurt). So...here I am, 7 cycles after my last BFP...and nothing. I have an app with my RE on June 1 to discuss my options but he is a doc that likes the patient to have an idea of what road to take next. At my last appointment, he refused to try me on clomid or femara as I have bang on regular cycles and I ovulate on my own. He basically sent me home with no plan...."Just keep trying."
I feel like I am wasting time. What do I do? Do I ask him to try a cycle of IUI? Do I ask him for a referral out of town for IVF? IUI will cost me about $4000 and IVF about $20,000 by the time all is said and done. It's all out of pocket. Do I keep trying on my own??? I have heard that after 40 the success rate for IVF with your own eggs is low. I just don't know what to do.
The IUI may help me get pregnant faster and if it is, indeed just "bad luck", maybe this one will stick? If it is more than bad luck and it is a genetic problem or egg issue, the PGD they will do with the IVF will solve that because they will only implant genetically normal embies, right??
I am just so confused. I don't know what to do....i need some advice and I know I won't get it from my doctor. (We are in a small city and our "re" is really just a OBGYN who has taken some courses in fertility issues...)
Please tell me what you think....

I honestly can't really give you any , sorry.

You seem to know the options, know the pros and cons, the diagnostic ability of IUI /v's IVF etc.....but only you can make the final crunch.

I *think* if I were in your shoes, i'd go straight to IVF (and did for my own situation). To me the cost doesn't balance well with the odds for IUI when the issues are potentially female v's male subfertility.

Good Luck with whatever you choose

im not sure i see the point to iui. you can get pregnant, they are implanting. ivf and pgd may be your best bet (ie genetic testing on the embryos). early miscarriages are usually related to genetics

Thanks ladies.
I guess my logic about the IUI is that if it is bad luck causing the losses, maybe, just maybe the 4th time will be a charm...it's just wishful thinking I guess....in my own little world I guess my hope would be the IUI works and then I don't have to go further with the IVF...and, I am a little baffled as to how I got pregnant on the 3rd cycle the first time, 3rd cycle the second time and 2nd cycle the 3rd time and now it's been 7 cycles without a BFP.
You're both right. It is a decision only I can make. I just don't know what I should do.
*heavy sigh*

I agree with the other ladies. No need for IUI if you are getting pregnant. They just put the sperm in your uterus and it fertilizes on its own. I would say move onto IVF but your RE needs to specialize in recurrent miscarriage, because if you just do IVF with no prep for a possible loss, you could get pregnant and lose again, which would be a waste of 20k. My doctor put me on some strange meds that (you would think) have nothing to do with nothing prior to my first IVF cycle and I just found out it was a success. There could be many factors preventing you from carrying to full term. Go to a miscarriage specialist and have bloodwork and tests done!