Litmama, I love your perspective. I am so grateful for your presence here. I can relate to the sweetness and aliveness of the adventure--even if parts are difficult. Something is happening.
Thank you to all who sent good wishes. AF started right before I left for the RE's office. Argh. But at least I knew what I was dealing with, and I was going to get some info.
The appointment went about as well as could be hoped (except that my brain did get a bit fogged up from all the info and being a bit sad about AF). I like the doctor very much. She was respectful of my knowing of my own body. (Amazing how that is remarkable.) She honored my financial concerns. She has some interesting ideas. Other great news is that what she saw with the ultrasound was very good. I had plenty of ripening eggs. She said about 3 times that it was "abnormal" in a very good way. The uterine lining I'd built up that I was just starting to shed looked good. She's very positive about the length of my cycle. She thinks, like so many others have said, my problem is likely egg quality due to age. But she ordered a bunch of tests, so finally I can find out about the clotting disorders and we'll re-look at FSH and LH (it's been 2 years), thyroid, and vit D. I'm not even sure what else. They took 7 vials of blood. !!
She wants to look at that data before making any for sure recommendations, but is guessing her recommendation will be for me to take FSH shots. I may need to make some decisions quickly, so I want to start thinking about that. She said that clomid and letrozole only make 1.6 eggs come per month which means many months they don't add anything. She said with the shots I could have 3-4 eggs at once and a better chance of getting a good one. She pointed out that the shots provide FSH directly rather than tricking your brain into creating more. Somehow I like that. I have no idea how much it costs. She said it would depend on my results and we could get more specific with that next week. And she also said that if I'm doing the shots might as well do the IUI. That seems a bit pricey to me when we don't see to have trouble getting pg. Anyway, we'll see. If the shots are too much, I suppose I could do letrozole, because over several months 1.6 is better than 1.
Gumblossom, I don't know if we are having the same tests, but my RE said the ones I was taking (which seemed to cover most everything) could be CD 1-5, not just CD 2-3, and she encouraged me to go today on CD1 (I think just to get things going). So maybe you are fine with either.