I’ve recently done the whole work up. Twice In fact, different doctors. She would have had several blood tests (FSH, AMH, thyroid...) then she would have had an ultrasound for antral follicle count, which has to be done on cycle day 3. My first question when I saw her go back for testing was, “so she scheduled this appointment for cycle day 3?” I know way too much about this. You can definitely extract seman without doing a reversal, but you’d need to do an IUI (artificial insemination or IVF) IUI runs about $1,000 a cycle. If everything is ok on her end this should work after a few tries. But if after several tries it doesn’t work or if she does truly have an egg quality issue, IVF would be next step. Drugs for IVF start at $6,000. Low egg count means higher drugs and she would be looking at $8,000 plus $20,000 for the actual IVF. Most fertility doctors in this situation would start with IUIs since her tubes are open. That’s another test I doubt she had done during that appointment though because that needs done during another part of the cycle.