Unmonitored Letrozole v. IUI
I am struggling with the decision to do a couple of unmonitored letrozole cycles or skip straight to IUI. I am 26yo female with high testosterone, no insulin resistance, normal BMI, open tubes, high AMH (19.47), and do not ovulate or have periods at all. My husband is 28 and has a total motile count of 18 million (normal is 30 million according to my RE).
My OBGYN is allowing me to start Letrozole next cycle but they do not monitor or offer trigger shots.
My RE said we could skip straight to IUI but would not be surprised if we ended up pregnant just doing Letrozole.
I am a bit torn between what to do. I could also do a couple of monitored cycles through my RE but insurance doesn’t cover it.
What’s everyone experiences or thoughts?