OMG the new RE was a breath of fresh air. He was direct and thorough, but compassionate and empathetic.
I'm in the gray area. My FSH levels are elevated and I'll likely be menopausal in my early to mid 40s, but they're not crazy high. My antral follicle count was borderline - I had 7 and he likes 8 or above given my #s. I'm young (31) so I at least have age on my side. He wasn't too concerned about my AMH level - he's had many women get pg, even on their own with undetectable levels.
He did echo the prior REs need to be aggressive. He recommended a natural cycle dIUI to warm up to the process and then jump into IVF if the natural cycle didn't work. I would need injectibles regardless - except for natural cycle.
It's a bit of a crap shoot, I may have gotten pg on my own, but since we have no sperm, I never had a chance.
So what it boils down to now is my/our tolerance for using a donor. I'm having a really hard time with it. I see the it's just an ingredient argument, but I struggle with effectively having another man's baby. Then there's all the emotional and added difficulty of raising a donor produced child. There's also a bit of a weird ick factor to it.
I don't have any ethical or moral objections to donors, but I need to work through whether it's the right decision for us.
I'm glad you got a second opinion. Its never a bad idea regardless of what it is for. I completely understand your reservations on the donor thing. If it ever came to that for us, it would be a massive decision for us to decide. Good luck!