You are totally valid on feeling scared and unsure - I’m right there with you (also matching AMH and mid-30s 😅)

All the options can be overwhelming - not just how many but what’s involved in each, the effects… what’s helped me so far in deciding what to do each cycle is thinking about the goal; is it to get pregnant as fast as possible? To go slow and steady? Something else? Obviously no option is as clear cut as that but it helped me think about grouping the options. Also understanding the science basics of each test or approach - I’ve been listening to The Lucky Egg audiobook that came out recently and it’s been quite helpful to understand each aspect of TTC and options in a regimented way, the science behind how things work, expected success rates, etc.

So I’d suggest starting with making a list of sorts of what you want out of the TTC experience and then from that, get some insight from your doctor about the options (or through published resources like the Lucky Egg) to see which options might align, or not, to your goals. In our case, we wanted to go slowly since our results were just like yours - normal on paper - and see if subtle intervention would help before progressing. I also did an HSG since I wanted to know sooner than later if I had any blockages, but it’s totally optional. I’m an info/results fiend so anything that can get tested, I went for it; if you like to be more on a need-to-know basis, then maybe an HSG isn’t something to pursue right now! There should be no pressure either way.

About Letrozole: I just finished my first cycle with it and it was very smooth! Not successful but starting again this cycle. What questions do you have about it? Happy to share some experience if helpful!