My husband and I have been TTC consistently for a year and a half. I'm in my early 30s, husband is 40.
I seem to ovulate monthly, albeit a bit late in my cycle (closer to day 19/20). My AMH is good (lots of reserve, apparently), normal sonohyst with patent tubes, hormone levels good. TVUS had borderline follicle count (possible PCOS). We usually time intercourse every 2 days before and after ovulation. I'm on prenatal vitamins.
My husband's blood work is all fine but his sperm samples have not been great. Counts are fine but motility ranges from 10-30%, about 50% abnormal. Volume usually 1.3-1.5 (normal is 1.5). He is on FertilPro.
We have done 1 cycle with femara (unsuccessful, one dominant follicle) and plan to do femara + IUI next cycle.
If we are unsuccessful next cycle, should we continue with femara + IUI for a few more cycles, or should we move straight to IVF? Is there an ideal number of days we should abstain before IUI? I feel like maybe 2 days is too short and that's why the volumes aren't great.