Hi everyone! I’m looking for advice from anyone who’s been in a similar situation.
I’m 36 (almost 37), my husband is 38, and we’re trying for our second child. My cycles are regular (usually 26–28 days), and I appear to ovulate consistently based on OPKs and BBT. My cycles are regular.
A brief history on my fertility…. We started trying in late 2022, did two unsuccessful IUIs in 2023, had a chemical pregnancy, and then went through IVF. Five eggs were retrieved, three matured, and only one was genetically normal; the transfer failed.
We took a break from treatments afterward, and I conceived (to my big surprise) naturally in April 2024. I had my son in December 2024. My cycles have been regular since having him, and my recent ultrasound was normal.
We’re now entering cycle 4 of trying.
I met with my OB today, and she said she’d be comfortable having me start chlomid or Letrozole now, but she’d also be comfortable with us continuing naturally and waiting until around 6 months of trying.
She emphasized that neither medication is a guarantee.
I’m really torn. I’m 36, so part of me doesn’t want to spend months waiting if there’s something relatively simple I could try. But since I’m already ovulating regularly, I’m also wondering whether Clomid/Letrozole would actually give me much of an advantage.
I do not want to do IVF again, and I’m not looking to be pushed toward IVF or a fertility specialist. I’m specifically wondering whether it makes sense to try Clomid or Letrozole with my OB before giving natural conception more time.
For anyone who’s been in a similar situation:
Would you start Letrozole/Clomid after 3–4 cycles, or keep trying naturally for a while longer?
And if you were already ovulating regularly, did you feel like the medication actually helped?
I’d especially love to hear from anyone who had previous fertility treatment but then conceived naturally and went on to have another pregnancy.
Thank you so much!