Our unexplained infertility is SUPER unexplained - need protocol and clinic advice šŸ™

Our experience is that Canada is very conservative and cautious with treatment.

Our clinic is not confident in next steps.

Iā€™d love your protocol advice, and your clinic advice ā€” there is no clinic where I live, so we have to travel regardless. Open to Canadian or International options outside the US.

I also welcome advice on further testing.

Thank you for reading, if you do. ā™„ļø

I am 36 and my husband is 38.

IVF CYCLES:

1st Egg Retrieval - AFC 26 - Estrogen Priming, Pergoveris, and HCG trigger. - 12 eggs > 10 fertilized > 8 Day 3 > 2 Day 5

1st Fresh Transfer Failed - Suppository progesterone, estrogen

2nd Egg Retrieval - AFC 22 - Same protocol with max units of Pergoveris - 19 eggs > 12 fertilized > 9 Day 3 > 1 Day 5

2nd Fresh Transfer Failed - Same protocol

Plus, 1st spontaneous pregnancy following failed transfer ended in 7 week miscarriage. I think it could have been a blighted ovum. No prior positive pregnancy tests in 5 years.

TESTING/RESULTS: - 29 day cycle, LH peak CD15 - Estrogen, Progesterone, TSH, Iron + Ferritin, Cortisol, red blood count all within range. - White blood count just below normal range. - AMH 1.3 - Sperm count and motility both very good - Sperm DNA frag 19% - Karotype DNA testing normal for both - We were advised against PGT-A testing because of low blast numbers.

OTHER - I did a food sensitivity test and have cut out all gluten, dairy, and most grains. - My husband was just diagnosed with h pylori and is completing treatment. - I am on the bird and be power prenatal, an NAD supplement, a pro and prebiotic, and take extra iron and vitamin D - he takes the NAD, CoQ10, cinnamon, and a host of other dietary supplements - We are both about 145 pounds and 5ā€™8

Iā€™m at a loss, folks. I need something to point at or try differently if Iā€™m going to try a third egg retrieval. Thank you šŸ™