Reoccurring GeneticRisk

I am turning 41 in a couple weeks and unfortunately just had to make the heart wrenching choice to medically terminate our Trisomy 21 pregnancy at 13 weeks. Two years ago, I had a miscarriage/ D&C due to Trisomy 10. My husband is 38 years old and we have 3 healthy children. We never had an issue getting pregnant and always got pregnant the first month of trying … even this last time at age 40 years old we got pregnant in one month. I have had 3 prior c-sections and during this D&E the surgeon mentioned briefly seeing a uterine niche – she was unsure if it covered my complete scar or a small portion, but wanted to make note of it. I am struggling with thinking this is the end of my pregnancy journey. My husband and I still yearn for a 4th child and I don’t want my journey to stop here. However, I have mixed feelings about IVF genetic testing – finding good doctors in my area may be difficult and traveling to neighboring areas might be a bit tricky for us – the costs associated with IVF- and also the spiritual part of having additional embryos in storage that may go unused & all of it seems a little overwhelming … however, I am afraid if we try naturally again we will end up on a similar position with a genetic issue again. I have read about taking Coq10 … but just confused where to turn and how concerned I should be about the uterine niche and 4th c-section & a recurring genetic issue. Can lighting continue to strike? Or just a bad cluster of bad luck? My next step was to rule out we are carriers of anything and get some genetic testing done through Natera- but assuming that comes back ok- what would you guide me to do?

Thank you,
Kim

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