Hello everyone! I'm fairly new to all this, so I thought I'd seek out some advice. A little background story : my SO and I are 32 and 33 yo and we've been TTC for 2 years. He has a 6 yo from a previous relationship and it was actually an accident. We've had a grand total of 3 MCs (Nov 2016, Feb 2017 and April 2017) so far with no live birth. I've had 2 D&C;'s and developped Asherman's Syndrome after the 2nd one, which is basically scarring inside of the uterus. Mine was completely sealed shut, and I had operative hysteroscopy in Oct 2018 to remove the adhesions. I was cleared to start TTC again right after, but after 7 months, still not pregnant. So I went back to my Dr : we scheduled another hysteroscopy for June 12th (she suspects the scarring reformed) and the cycle right after that (beginning of July), we are trying a first round of <a href="https://glowing.com/glow-fertility-program">IUI</a>.

So! I'm a little confused because my Dr already prescribed 5mg of Letrozole to take on days 3-7 + trigger shot. I have never had any trouble, ovulating on my own, even with Ashermans. And I fell pregnant on the first try with all my previous pregnancies. My SO's swimmers are A1, so no issues there either. The only reason for trying <a href="https://glowing.com/glow-fertility-program">IUI</a> actually is to bypass the "mechanical" barrier of my cervix being scarred, since my Dr thinks it's what is keeping us from getting pregnant again.

So I was wondering why the medication right from the get go? Is it common? Should I skip it? I'm so scared of ending up with too many follicules and this has been such an exhausting journey, I couldn't deal with having to cancel.

That being said, we do have a history of recurring miscarriages, and I really do want to max out the odds of having a live birth in the foreseeable future. I wouldn't mind twins (they actually run in my family on both sides) but I'm scared of high order multiples.

I'm well aware I should ask my Dr about all this, and I will but just wanted to see what you ladies think. Thank you and sorry for the long post!