One of the hardest decisions Dan and I faced during fertility treatment was making the transition from IUI (intrauterine insemination) to IVF (in vitro fertilization). I remember after failing our third round of IUI treatment (yes, I know, the politically correct way of putting this is, “after my third failed cycle”, but let’s face it, it felt like a personal failure when there was no positive pregnancy test!), my husband and I came face to face with a decision making moment: to pursue another round of IUI or bust out the big guns, moving ahead with IVF. There was a lot of time discussing this potentially life changing decision. We made tons of pros and cons lists because we wanted to ensure we were choosing the best option for the two of us and our situation. We considered lots of factors, but two kept rising to the top of importance: financial cost and our emotional sanity.