I’m 35 and had one natural pregnancy at 32. We’ve been trying for our second for about 7 months without success. I do have hypothyroidism; after my first baby I went off meds, and my TSH was 4-4.5 for about 5 of those months. I’m back on treatment now and my TSH is optimal, and I’ve noticed a stronger luteal cycle and emotional resilience.

I recently saw a fertility specialist. No major issues were found for either of us, but my labs showed AMH 0.9 and FSH 12. The doctor said my TSH likely wasn’t the reason we haven’t conceived and that age-related egg quality may be the bigger factor. I know that I was ovulating every cycle. They said I could try a few more cycles naturally or move forward immediately with IVF.

IVF would be physically demanding but I do really want another baby. I’m struggling with whether to trust that the thyroid didn’t matter, especially since I notice a difference in my health.

Would love to hear advice on whether my doc is right about TSH of ~4 not affecting fertility, and balancing IVF's physical costs with my desire to have another child.

Thank you 🤍