Hi Dr Sher,
I listened to you on The Egg Whisperer podcast. I found your way of explaining and just the overall wealth of knowledge you proved in just a couple of podcasts so incredibly helpful. Thank you for everting that you have done in this field. I recently visited your website as I was curious if I was able to book an appt with you. I saw this option to ask a question, so here we are and here is my question. I will try my best to keep it short.
I am 41 years old. I have a 21 year old daughter. I concisely decided to wait until later in life to have more children. I regularly got my levels checked until the last time which was 2019 (I was 37). Right before COVID. At that time I was considering freezing my eggs. No-one seemed to think I was in a “dangerous” spot and did not overly encourage me but of course COVID came and so it kind of died off.
We decided in July of last year (2022) we wanted to start trying. We started trying on our own by just planned intercourse but we were not able to get the timing right. We wanted to have 2 children so in an effort to not waste time thought it best to contact a clinic as we were aware what we were dealing with regarding my age. So, in September we had a meeting with a doctor at a local Fertility clinic that a colleague had highly recommended. Prior to that meeting I had my blood drawn and an ultrasound. Chris had a sperm check which came back very good. We also did the genetic testing which came back good. And based on all of this combined info the doctor recommended IUI. Although it was brought to my attention after this that I had low ovarian reserve but it wasn’t quite explained to me what this meant and there did not seem to be any urgency. So, the next cycle (October) we did our first IUI and I got pregnant. Sadly, in December at about 8 w 6d our baby stopped growing and there was no heartbeat when I went in for the ultrasound. Obviously we were completely devastated. We did the D&C so we could get testing but they were unable to get any conclusive answers so we will never have a definite confirmation but my Ob said she could say with a very high certainly it was a genetic defect. I decided I did not want to do take any more chances so we went straight to IVF.
On 2/6 I started my first round of IVF with the intention to do a duo stim cycle. I was a slow responder and we ended up getting only 2 eggs. We did discuss canceling but thankfully our insurance covers lifetime cycles so we were able to proceed. I was so shocked as I thought I would get so many more eggs. This was my protocol:

Letrozole 5 mg PO
Gonal 150 iu SQ
Menopur 75 iu SQ
Omnitrope 8 units

The 1 egg made it to blast and was Pgs testing and came back normal!! I was told it was a “good grade”.
On 2/27 I started the duo stim cycle. I ended up getting 5 eggs, 4 normal, 2 made it to blast and 1 is normal and currently being pgs tested.
This was my protocol:
Follistim 225 iu SQ
Menopur 75 iu SQ
Omnitrope 8 units

My question is, should I do another cycle or move ahead with transfer or our normal embryo. I am praying for this 2nd embryo and if I find out it is normal I will likely move ahead with transfer but if I have to make the decision before we find out what do we do?
If I could choose I would transfer as this road has been incredibly difficult and I also do not want to keep getting older and older. I want to have a baby! But I don’t want to not be able to give that baby a sibling as if we transfer in April I will be 42 when the baby is born. Of course that is if all goes well. And I could potentially start IVF again if needed and almost feel like I would feel better about it after having my healthy baby. But I don’t want to not be successful if I wait a year to start again. Please if you can give me your opinion I would so appreciate it.

Thank you so much for your time. And thank you for everything you have done in this field. I had no idea what I was in for with IVF. I think that there definitely needs to be more information out there for women who wait on it thinking it is a cure all. I definitely wish I froze a bunch of eggs in my late 30s and tell anyone who will listen to do just that.