Trouble TTC

Hello...intro and question (step-kids mentioned / repost from Infertility)

Hello - I'm sort of new here. I introduced myself 2 years ago when I went to the RE. We had a treatment plan but didn't pursue it at the time (have only tried acupuncture and chinese herbs with no success), so I haven't been on in a long time. A little background: I'm 35, H is 38, TTC for 5 yrs w/ no success. Unexplained diagnosis. He has 2 kids from previous marriage.

We had our 2nd RE appt with a new dr. He gave us 3 options: Clomid/IUI for 3 cycles, straight to IVF or have a laproscopy to see if we find something though there's nothing specific he's looking for. His recommendation is going straight to IVF, but left the decision to us.

I never guessed we'd have this decision to make so early on. Based on our discussion with the dr, H and I are both leaning toward IVF. I'm just curious  if anyone has any warnings or reasons they'd suggest the IUI/clomid cycle first.

Thank you!
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Re: Hello...intro and question (step-kids mentioned / repost from Infertility)

  • Remylove1011Remylove1011 member
    edited January 2015
    Hi and welcome!  I think for most the decision is based on insurance and doctor recommendations. Did you ask the doctor why they want to go with IVF right away? Maybe there is a reason they suggested this. I'd probably double check with insurance to see what's covered and then discuss again with your doctor. If you're already leaning towards IVF, it might be the right choice for you and a higher likelihood for success. Good luck in your decision! 

    Edit... typing is hard. 
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  • IUIs are considerably less invasive, so many people start there first. However, the success rates with IVF are much better, so if you have the insurance coverage and you feel mentally prepared for it, there's no particular reason you need to do IUIs first.

    Official diagnosis: Unexplained IF. I am 32. I have low ovarian reserve (low AMH), and poor egg quality. I've also been diagnosed with mild glandular developmental arrest (lining problems, detected with EFT).

    We are using open ID donor sperm. IUIs #1-7=BFN. IVF September 2014 antagonist protocol, 8R,5M,3F, 5 day transfer of 1 morula = BFN. IVF#2 planned for January 2015 (antagonist protocol + HGH).

    Image and video hosting by TinyPic image

  • Thanks for all the feedback! It's been so long that I think I'm weighing the probability for success higher than the financial aspect at this point. Good question to know why the dr. is recommending IVF at this point. I do trust him though b/c he is the founder of this well regarded clinic, so we feel like we're in good hands, thank goodness.

    Thanks again....I'm sure I'll be back in time!
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  • Good question. Since your unexplained, and the financial piece is okay with you, then IVF definitely sounds like the right way to go. Yes, it's more invasive, but "on average" you'd need the invasion of many IUIs to reach the chance of pregnancy of one IVF cycle. 
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • Welcome back and good luck!  PPs have covered all the aspects pretty well so I'll just hope your stay here is short!
    Me: 31 (PCOS) possible right tube issues DH: 36 (SA normal) 
    Started dating in 2006, Married 2012 
    TTC since November 2013 
    First RE visit due to irregular periods: June 2014
    Lap/Hysto to remove polyps, cyst and tube blockage 11/6
    Cycle 1 (Dec. 2014) TI with Clomid, Trigger, & Progesterone CX due to no response
    Impatiently Waiting CD1 to try again with Fermara Back on the bench due to giant cyst,
    who know I'd ovulate on my own after a cancelled cycle and end up with a mega cyst :(
    All Welcome
     
    image
  • Welcome and good luck with your decision. PP covered everything. Hope your stay is short and sweet!
    Married: 12/15/2012    TTC: 08/2014
    Husband: 26 SA: normal
    Me: 23 Low AMH and damaged ovaries due to chemotherapy.
    No AF or O in 3 years. HSG showed a slight T shaped uterus.

    High Risk OB 9/29- got the ok to get pregnant.
    RE Appt:  10/28/ U/S showed follicles, but also small damaged ovaries.
    B/W results CD0: all normal except low AMH at 1.3
    Cycle 1-November (TI)- Femera 2.5mg, 2mg Estradoil, and Trigger=BFN
    Cycle 2-December (TI)- Femera 2.5 mg ,4mg Estradoil, and Trigger= No O
    Cycle 3-January (TI)- Femera 5 mg, 2mg Estra
    doil, and Trigger=


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