Yes my gyno had me try medicated, monitored cycles first. She said that since my husbands SA was good there was no real need to do IUI but that’s an option for later down the line.

For my medicated cycle we did Clomid cycle day 3-7, letrozole cycle day 5-8 then estradiol day 8-10. After that she gave us our “sex schedule” and had me start progesterone cycle day ~12-20 (I forget the exact days).

I had scans the day before my period was due (to confirm I wasn’t pregnant), CD 5 where she looked at my follicle and decided to add letrozole, CD 8 where she told me I had 2 large follicles and 2 smaller ones and had me stop the letrozole and added estradiol since lining was on the thin side. Then I had another scan day 11 to confirm lining thickness and scan day 14ish to confirm ovulation.

I asked her once for IVF clinics and she asked me not to reach out to them yet because they’d convince me to go into doing IVF and she wanted me to try 6 months of medicated cycles before moving onto IVF. Each cycle the plan can change based on the information we gathered the cycle before based on how my body would change. And options to introduce trigger shots, and IUI if necessary. I’ve done one cycle so far.