IUI vs IVF at 37 almost 38

I am 37, almost 38. My partner will be 40 this fall. I have been off the pill for a year and TTC for 6 months. We had one failed <a href="https://glowing.com/glow-fertility-program">IUI</a> (with Letrozole) last cycle and am trying another <a href="https://glowing.com/glow-fertility-program">IUI</a> with more aggressive Menopur (no letrozole) this cycle. Have never tried Clomid.My husband’s count after wash is between 1-5 million, I guess this is low, with some but not great motility. I’ve never missed a period.

The RE doc said we should move right to <a href="https://glowing.com/glow-fertility-program">IVF</a> and skip <a href="https://glowing.com/glow-fertility-program">IUI</a> all together since doing any more <a href="https://glowing.com/glow-fertility-program">IUI</a> cycles could delay <a href="https://glowing.com/glow-fertility-program">IVF</a> treatment. But I’m finding that hard advice to follow.

We have an <a href="https://glowing.com/glow-fertility-program">IVF</a> consult set up this month but feeling like we should try at least 3 cycles of <a href="https://glowing.com/glow-fertility-program">IUI</a> with the most aggressive meds. The IUIs and <a href="https://glowing.com/glow-fertility-program">IUI</a> meds are 100% covered through insurance but <a href="https://glowing.com/glow-fertility-program">IVF</a> will be completely out of pocket.

I want to trust this physician but it is hard to navigate all the information he throws at us. It also seems like 3 IUIs is a standard number to try if you are under 35. I can’t figure that out for someone my age. My gut says do 3 cycles and then move on to <a href="https://glowing.com/glow-fertility-program">IVF</a>. It’s hard not to want to do 4 or 5 though since they are covered 100%

Any thoughts on how to navigate this decision process is appreciated!