When to consider IVF

We’ve been TTC baby #2 for officially 2 years now. Baby #1 was conceived easily with a perfect pregnancy. But in March 2019 I had an ectopic pregnancy then another miscarriage in 10/2019. In May 2020 I started seeing a RE. He discovered I had a blocked tube (probably from the ectopic pregnancy), so in August I had that removed.

In November, I started ovulation induction treatments with timed intercourse. I didn’t respond to Clomid the first cycle, so this month we tried Letrozole+menopur with timed intercourse to try and get me to ovulate on the side with my one remaining tube. I did respond to that medication, but I had spotting this morning with a negative test and I think I’m out this cycle.

I’m feeling sad, and frustrated, and defeated. I don’t really want to have to do IVF, but I’m really tired of trying and waiting and I don’t want to waste money on ovulation induction if it’s not going to work. Especially since I only have 1 Fallopian tube now.

I know it takes most people more than 2 cycles. But it’s hard. When would you consider IVF?