If you have heard strange sounds in the past 24 hours, don't worry it is the sound of my brain about to explode. I don't even think we can call this fertility crap a rollercoaster anymore, the ups and downs have far exceeded that analogy. 

So after our meeting this morning with our fertility doctor, I think this is what we have decided taking into light our insurance, finances, the effects of meds on my body and emotional state and our marriage, the odds of a pregnancy and our own desires:

I am going to continue to follow a modified Harvard Fertility Diet (no transfats, no artificial sugar, complex carbs, only water to drink, no caffeine, full fat dairy, lots of fruit and veggies, and choosing organic when possible). I will also continue yoga. I am undecided about continuing accupuncture, unlike the yoga and diet, I haven't felt or noticed any changes in my body from it yet. 

We are going to explore becoming foster parents. This is a long and involved process, the training and background checks will take around 6 months to complete. We haven't decided if we will definitely do this, but we are pursuing it for now. We think with my knowledge of children and my husband's patience we could do this rather well, even though we know it will be incredibly tough. 

Right now we are closing the possibility of IVF, even though my doctor thinks it likely be successful. We have decided for now, it is just too difficult medically and far too expensive ($10-30,000). Since I am only 31, this door will not close for another 10 years, so we could revisit this decision in the future, if our life situation changes. 

Even though the chances are small we are going to do 1-2 more IUI cycles, but not until the Fall. After 3 cycles of IUI, chances of it working begin to drop, up to this point they have been around 20% each attempt. The next two cycles will be 18-15%. Due to our insurance, these will need to be done by 10/25. My doctor feels good about this, but given the odds, not as nearly as confident as he would be in IVF.