It is highly unlikely that either IVF or IUI will work at age 46. Regarding
IVF, I am aware of three studies looking at
IVF in women of advanced reproductive age. One, from Cornell, showed a 3.1% live born rate in 45 year olds with IVF, and 3/4 of all positive beta-HCGs end in miscarriage. There were no pregnancies beyond age 45. Two other studies, one from the UK and one from Israel, showed even more discouraging results - 0% pregnancy rates in women aged 44 and older.