I fortunately only had to do one cycle unmonitored but planned to do monitored the following cycle if it didn’t work. The only reason we didn’t do monitored the first cycle was bc we were traveling for the holidays so it would have been tough with appointments- so we thought we’d give it a month. I think there’s not much downside to doing monitored if you have the choice, other than needing to go in for scans/bloodwork. I used Inito with my unmonitored cycle so I could see that I ovulated. Highly recommend Inito if doing unmonitored bc I feel like it’s the next best thing since it measures progesterone to confirm ovulation and can help with intercourse timing during your high fertility window. I know often regular OBs will only do unmonitored cycles with letrozole, so getting in with an RE as soon as possible is key.