IVF now or wait?

[Nichola2310]

Hi, hoping for some opinions, I'm 37, my DH is 44 and we have 1 son, conceived easily 3 years ago. Been trying for a 2nd child just over a year and no joy.

My results all look fine, AMH is 19.5, had a hycosy, tubes are clear and 22 follicles were counted which is apparently high.

My husbands 1st semen analysis in July showed concentration of 25million and morphology of 2%. After 3 months on proxeed his latest results show concentration of 12.6million and morphology of 3%. I can't remember motility but it was ok.

We struggling to decide if we should keep trying for another while, or go straight for IVF with ICSI, due to our ages and his poor results. We would be going private.

Any thoughts?

We conceived my son first time trying but then started investigation and then treatment after 14 months of trying for the second. I didn't want to waste any time

To be honest if you have the funds available I'd just get on with it now? Took me 5 rounds of IVF done over 18 months but I was doing short protocol IVF so could cycle quicker and faster - if had been doing conventional IVF it would have taken twice as long (I was 36 when I started). Egg quality is only going to decline with time so best to take advantage of your good AMH levels now as they can drop fairly quickly

That's really good AMH and AFC, I am sure you'd respond very well if you went down the IVF. I would keep doing all the things you and your partner are doing for sperm quality (eg taking proceive) and defo consider moving forward with ivf soon if you have funds available.

I am 38 been ttc #1 for 18 months and wish I hadn't waited, starting ivf in feb. Good luck x

Thank you for your responses ladies.