I am coming to the end of our 7th ART cycle (4th blast transfer) and Im really confused about what I should do next. I guess you always think that IVF is going to be the silver bullet - the cure all. Even my clinic said that I would get pregnant easily (well if it was that easy I wouldnt be having IVF!) and are suprised that I haven't fallen yet.

How do you know when to look at other options because honestly right now I don't feel like I have any options. I've thought about-
-adoption, but there is around a five year wait and it is still expensive with a lot of hoops to jump through
-fostering, but financially it would be really difficult for me to leave work (i get significant maternity leave if I fall pregnant), and also having to give the child back - its such a difficult job
-surrogacy - WA has just passed a law allowing altruistic surrogacy which could be an option, but we don't know anyone that would do it and for me being pregnant is a really special thing that I want to experience.
-More IVF - Possibly ending up in hospital from OHSS again, plus the money side - financially we are in a hole from spending so much on fertility treatment over the last 18 months.
-Donor eggs or sperm - I had never given this much thought before, as I am so young and we never thought there was an issue with my eggs. We still dont but how do you really know? Murrays sperm is a big issue - what if we used donor sperm instead, so many issues this brings up...

PGD - I dont know if this would even help us as what would we be looking for?

Are there any other tests that I should get done? I've never had a laparoscopy or hsg, but considering I have had three egg collections - surely they would have picked up any issues during these procedures, or at least I would have thought so.

I've done the weight loss thing, I lost 18kg last year to try and help get my body to ovulate but it really hasnt helped.

I really would like some "look outside the box" advice on what we could do, and also how other people handle this. I no longer have that feeling that IVF will work for us.

(Sorry for the verbal diarrhoea, I just wanted to get it all out there)
ETA - I should mention that we have one more frozen embryo left, so we have to make a decision about that also, as money is tight and we are over the safety net, it makes sense to do it now, but who knows...