Hi all - I started the IVF consulting process last month, and had serious qualms, but for now we are hoping the natural BFP I got is sticky. At my age, and having had two miscarriages before, I am sort of mentally preparing to miscarry. Then we will probably move on to IVF. Ok, maybe we'll try some more naturally... For me, the first issue is actually that there is evidence that there is definitely a higher risk of premature birth (a serious issue) and some risk for higher chance of congenital anomalies for IVF babies. So I am thinking of trying as long as possible, naturally, but at my age, that might only be a few more months.
I am also annoyed at not getting straight answers from my RE, at a clinic with great results. They did an antral follicle count, and said they wanted it to be at least 10, and 12 would be excellent at 40. So mine was 26, apparently fantastic. So the first thing the RE says is that yeah, your ovaries are very robust but 80% of those eggs are no good and it might take you for a long time to get the good one. Do IVF, and we'll to genetic testing and pick out the good ones. Sigh. She was pretty down on us keeping to try on our own though we are not technically even infertile yet (6 months without BFP - I have gotten 2 BFPs within 5 months). It's not like women in their 40s cannot have babies without IVF ever!
Third for me is the invasiveness of the procedure. Concerned about being put under, etc. Cost is a factor - insurance will basically cover only one cycle. Hoping I won't need to make this decision, but it is tough.