Should we try naturally or wait for fertility treatments

Hi all,

I am 39.5 years old and we are trying to concieve since 2018 for our first child. No issues so far with male fertility ( already checked). Luck has not been on our side during these times: several miscarriages and one partial molar pregnancy.

Long story short in Oct 2021 we went to a fertility clinic to start treatments for, first Iui and then IVF. Unfortunately where i live insurance does not cover ivf costs without doing 3 IUIs first.

We did several blood tests and it turned out i had hyperthyroidism. Started medication, that surprisingly worked much faster than expected on me. Then i ended up with high tsh level ( 6.3 from 0.01 over 8 weeks). Stopped medication and tsh dropped to 4.7 this week ( normal range is 0.33-4.2). According to my endocrinologist i can start the fertility treatments now, because it is expected that tsh will drop soon.

My fertility doctor wants the tsh to ideally drop to 2.5 to start treatments.

I am stucked in between doctors and am thinking to start ttc again without additional help hopping that it may happen naturally this month. We stopped trying since oct 2021 because our fertility doctor was concerned that low tsh may impact baby’s brain development.

Time is working against me and i have this feeling that every month passing by without trying is a missed opportunity. besides unstable tsh and low egg reserve no other fertility issues on my side.

What would you do?

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COMMENT (2)

Re

Posted at
I would go straight to IVF. I had to do IVF IMSI at 38 due to mfi. I had a good amh and fsh. On the second cycle, I got pregnant and had my son who is now 14 months old. However, I am 40 now and TTC again for a sibling. I’m doing embryo batching this time with PGS testing and things are much harder now. I don’t know how many cycles I will need to get one normal embryo. I would do IVF as soon as you can. At 38/39, egg quality is still good. Good luck to both of you.

Me

Posted at
If you start trying again without help use opks to let you know when your about to ovulate and bbt to confirm ovulation and dpo. If you don’t already. I’m still trying with meds but will have to move on soon to ivf. Time isn’t on my side either. I’m with you. I feel like I need to hurry. I’m 38 no kids yet and last year was diagnosed with Uterine Cancer and my oncologist what me to move along. Only if docs listened to be back In 2017 when I temped my cycle and found out something was wrong. They all blew me off. Now after major surgery to remove the tumor I’m trying again with a blocked right tube. It shouldn’t be this hard. Baby dust too you.