Dear Professor Winston,
I am 43 years old, and unfortunately I find myself still single. I am considering whether to have a child, trying to use my own eggs. I have had a number of tests done: AMH, LH, FSH.
I am aware of the low success rates at my age and as I am single I would need donor sperm. I was wondering if you could give me your thoughts on whether to try IUI, IVF, or just accept that I’ve left it too late and start the grieving process? I do feel a need to at least try in order to get closure rather than not knowing.
I would be very grateful for your thoughts and thank you so much for offering this service.
I can’t answer this because I don’t know you. This kind of decision is so personal and depends on so many issues in your life and previous experience as well as future plans, that I think it very presumptuous for me to try.
As you say, you are aware of the low chance of success at your age with an evens chance of a miscarriage if you do get pregnant, and about 3% chance of a live birth on average. There’s approximately 100 : 1 chance of a baby with a chromosome abnormality. Normally, I would argue that natural sexual activity its as good our better than IVF. But IUI and donor insemination are probably least good options.
Sorry not to be more use