I would say to educate yourself. See what avenues are out there, and keep up with the latest info on fertility treatments. Ask around or search the internet for an outstanding doctor or fertility expert, you may be "partners" with this person for a long time.
Search your heart. If it's what you really want and can't live without, FIND a way to be a mother, be it through pregnancy, a surrogate, adoption or foster parenting. Even volunteering at an elementary school or preschool can help your head and heart.
I've been through it all. I started trying to get pregnant at 22 and couldn't. My doctor suggested adoption. We did apply with the county Adoption agency, but I also found a new doctor who was willing to work with me. After 6 months on clomid and a hysterosalpingogram (sp?) I conceived my son and he was born when I was 24.
Everyone said the second would be so much easier. Wrong! I started trying again at 27. Clomid didn't do it this time around, so we switched to IUI and new drugs. I went through a year of IUI's and was ready to throw in the towel when I got pregnant (finally!) with my daughter. I was now 30. Everyone was of the opinion that I should quit now, since I had a boy and a girl. I searched my heart and knew how much I loved mothering, and decided to try again. To my surprise I conceived immediately, but was devastated when I miscarried 2 months later.
Your head can play games with you. Does God not want this for me? Am I asking too much? Is there something wrong with my eggs? I gave my body a rest for 6 months, did some soul searching and tried again. Again, we had to resort to IUI's and drugs, but within 6 months I was expecting again. Thank God this pregnancy went forward, and I had another son at 33.
I loved being a family of 5, and tried to convince myself I was finished, but as my 30s raced by, I still felt someone was missing from our family. My previous doctor had retired, so I found a new specialist close by. I started it all up again, and miscarried twice. The Dr. suggested that since I had carried and delivered children before, that IVF might be the answer, we just needed to get the embryo in the right place. More fertility drugs and I learned to give myself shots. She retrieved 6 eggs, 5 were implanted, and I got pregnant with twins! Excitement like you wouldn't believe ensued, I was on cloud 9, but one of the twins died at about 12 weeks and was "reabsorbed". I thought it was only a matter of time until I lost the other one. It was a very hard, emotional time. I was grieving for my lost baby, but I was still pregnant. I was sure during the amnio all would be lost. But to my surprise, the other baby held on through it all, and I had a beautiful healthy boy the week I turned 40.
It can be a crazy, emotional roller coaster, but I'm so glad I didn't quit. The miscarriages were the hardest thing I've lived through. All the treatments took a toll on my marriage. Sometimes you have to take a vacation from the whole scene. But that desire to mother is the strongest emotional pull on earth, and I just couldn't give up. I'm so thrilled everytime I look at my 4 beatiful, healthy children. People look at us and assume I got pregnant so easily to have such a large family. Hah! If they only knew....