Just FYI: I think the study that found
birth defects was done in Canada, so it might be a little harder to get it prescribed there. However, the study was on women who used Femara WHILE they were pregnant, and it has since been challenged. Like candie said, since it is used prior to ovulation when TTC, it is already out of your system by the time a possible egg implants.
As for the pros and cons.