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From what I understand, multiple births are very common with fertility treatments and ICSI. One question then to ask is "Would you be prepared for twins or more?"
I just recently had my tubes tied at 31. I love my daughter, never had any thought of ending my pregnancy, but I HATED pregnancy. My body was miserable throughout pregnancy and I did NOT throw up from morning sickness - just nauseated the entire time. I enjoy children and if I ever changed my mind and wanted another child I would adopt rather than have my tubal reversed.
Hubby was adopted as well as his sister. They both had great lives growing up. They have both been lucky enough to meet their biological parents (they were infants at adoption) and seen how lucky they were to be adopted. Adoption can be a rough process but I've seen the rewards in more than one family.
Ultimately it can only come down to how much you want the child to be your's biologically. Because after they've been with your for 10-20 years it will not matter much at all how you became a family. ICSI as well as adoption can be hard on a marriage. You are hoping and waiting for a long time sometimes for SOMETHING to happen.
I wish you good luck whichever way you go.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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