My wife got pregnant naturally a year ago April 2011, she was 41 years old then. 5-6 weeks later, miscarriage. No OB-Gyn or doctor visits (we didn't have insurance at the time).
August 2012, now 42, she gets pregnant, again naturally. Now we see her OB doc and the 5 or 6 week sonogram shows an empty sac, no heartbeat, nothing... a few days later this pregnancy ends in another miscarriage.
So we start to see a fertility specialist, runs a bunch of tests on her and sperm analysis on me. He cleans out her uterus because they found polyps or something, benign. She starts taking progesterone vaginal suppositories. We check our insurance for IVF coverage but they will only cover it after 6 months of trying, so we elect to do IUI, or intrauterine insemination. About 6 or so weeks ago we do intrauterine insemination (IUI) along with intercourse per doctor's orders, which results in another pregnancy. Doctor says it's a miracle. At this point I'm not sure if it's because of IUI or intercourse but the bottom line is that she got pregnant again... 6 week sonogram shows the baby at 5 weeks and it doesn't look good. We come back a week later to confirm and there's no fetal tones.. nothing. Doctor wants her to have a D&C now.
I'm trying to stay positive but realistic at the same time. I know she's 42 and we want to have a baby but I do not want to go spending so much money, time, and effort if there isn't a reasonable chance of a healthy baby. I thought most women in their 40s had problems getting pregnant so at first we took our first 2 pregnancies as a positive sign. I mean, she can get pregnant naturally, the problem is miscarriages within the first 5-8 weeks.
Do we face reality or do we keep trying, maybe IVF?
Does she need a D&C? If so, does she need general anesthesia or can we go with local?