Risk ratio for overall or only the biochemistry?
Instead of CVS, did you ask for doc about Anmiocentsis instead as the risk of MC is lesser for the latter...
My wife almost the same situation as you, Oscar ratio very low due to PAPP-A too, and we opt to go for Anmio. Appt next week.
I know exactly how you feel cos both me and wifey also go through rollercoaster ride for the past weeks. But we soon realise there's nothing much we can doing but to accept fate and god's will. Meanwhile, just stay positive and dont't worry too much. Make sure you go by your routine of noutrishing your health and for the fetus. Negative thoughts and mood can affect the fetal health..
Goodluck and take care.