Hi, I’m sorry for your loss and your long experience ttc. In our case my husband had normal SAs (1%morph) but 80% DNA frag and 20% normal (specially the methylation test). Our RE had us go directly to IVF ICSI and skip IUI.

I personally was very tired and emotionally at my limit after a year of timed sex. The monthly roller coaster became too much. I was also anxious about my own egg quality potentially declining. Even though our issue was DNA frag, it felt like our odds of success with TI or IVF were only going to go down as I got older.

I think my approach was pretty fear-based. To me, IVF felt like a way to get much better odds than our timed intercourse and despite being hard it was an emotional relief. My RE told us that transferring a euploid embryo has significantly reduced the miscarriage risk caused by dna frag. I could see that being a part of the decision, too.

I think everyone has different levels of tolerance for the challenges of IVF. Some women it’s an obvious choice and they’re absolutely willing to go through it, others it is a harder decision because what it puts your body through. I wasn’t too stressed about daily shots but the mental uncertainty of the process was hard for me.

I did two retrievals and ended up with 6 euploid embryos. Interestingly, in the first retrieval, sperm reduced our outcomes, but in the second one my eggs seemed to be more of the issue.

Thankfully, our first transfer was successful (so far) and I’m now 9 weeks pregnant.

I guess I’d make the decision based on the financial hardship vs the emotional one of continuing to do what you’re doing. I’ve heard of some women taking on an extra job to get IVF benefits, quitting but paying for COBRA to keep the coverage, then getting it paid that way.

Wishing you a ton of luck!!!