I am 42 and my partner is 55. I have 3 kids with another father. In May 2022 and in Jan 2023 I got pregnant but miscarried by/before 6 weeks. My partners semen analysis's have been "ok" but his motility is often lacking. It gets better when he takes supplements, which he has been off of for a few months. (He gets tired of taking so many pills). I just had surgery to remove endometriosis in October. The doctor also cleared my right tube with a guidewire, removed a cyst and some uterine polyps. At this point I should be "good to go" in every way, except for the fact that I am 42 and will turn 43 in January. We are doing to start supplements back up by December.

In October I had surgery to remove endometriosis. The doctor also removed a cyst and some uterine plops. This is my first cycle after surgery and the period following the surgery. I turn 43 in January. I got pregnant in May 2022 and January 2023 but miscarried both by 6 weeks. My partner is 55 and has "ok" semen results, though his mobility is low, especially when he isn't taking supplements. Latest blood tests: Cycle Day 3 FSH 9 ESTRADIOL 39 PROGESTERONE .82 DHEA-SULFATE 169 Mira: CD 14 Peak LH 18.5mlU/ml (My LH peak is typically over 30mlU/ml so this month was a very low LH peak) I am heterozygous for the C677T variant and negative (normal) for the A1298C variant. We are about to start up our supplements again and are looking to do IVF if I don't get pregnant by March 2024. I do see a NaPro doctor every 2-3 months and she has prescribed some supplements but isn't keen to prescribe letrozole or clomid. Do you have any suggestions for us?

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