This is my first time posting here.
My story in brief---TTC x 15 cycles, DH with low sperm morphology (3% normal), me with diminished ovarian reserve ( FSH borderline normal 8.3, AMH low 0.48, normal antral follicle count 17 on U/S yesterday). Tried once cycle of timed intercourse with clomid in July, 2 cycles of clomid with IUI. We sought a second opinion from an RE in Gurnee yesterday. (We had been seeing an RE in Milwaukee). The RE in Gurnee said that he'd label us "unexplained infertility" as he didn't believe that my DOR was the result of our not getting PG (I ovulate every month so we should have just as good a chance as anyone) and he said that sperm morphology is typically very strictly looked at (maybe moreso than it should) so maybe he'd say "male factor" but couldn't say for sure b/c everything else with DH is good--great counts, great motility.
Going into that appt DH and I were pretty dead set on trying IVF right away. It has just been such a difficult year trying with failures over and over again. We had also talked about the risk of twins and we had been ok with that as a possibility. After talking with the RE I really don't know what to do. Of course cost is a factor in deciding. We have the money right now to be able to do IVF (even though it will be hard to fork it over). We could in theory start right away as I am on cycle day 8 and the RE said he'd do lupon down regulation with me without BCP so starting lupon on cycle day #21. That would put us at possible egg transfer the end of October/early November. Since my antral follicle count was normal yesterday he thought that I should respond well to the stim meds but couldn't say for certain how my DOR would impact how many eggs we get. He also spoke a little about risks/complications with twins and says that he could implant 1 or 2 embryos--we could decide that (granted we have 2 to choose from). Now I'm worrying about pre term delivery, etc. (Maybe I shouldn't be worrying about this just yet, cart before the horse type thing). Or do we try an IUI again with 7% chance of success? or IUI with stims with 12% chance of success (but risks of multiples--he kept saying John and kate + 8)? More money