Iui- should I do 1 insemination or 2 inseminations?

Sarah1516

One should be performed 36 hours after the trigger and 2 will be 24 and 48 hours after the trigger. Which one is better?

alexiskiriluk

I am doing one 12 hrs after trigger and another 36 hrs after.

KidShrink

Studies show that unless there's MFI, there's no benefit to having 2. Also, you need to consider timing. You should be ovulating within 36 hrs of the trigger, and you typically want the sperm waiting around, not the eggs. It also probably should be based on your bloodwork: we thought I had an extra day to go before the trigger, but then it turns out I was having my LH surge, so my IUI was done 12hrs after the trigger.

HBamama2B

I agree with @Kidshrink about the BW being the best determinate. My office didn't confirm LH surge with bw and bc I ovulated late (more than 72 hours after, very rare So you shouldn't worry about that!) we missed the window. I just wish we had done BW. Talk to your RE about why they recommend 2 for you and see if doing BW and 1 might be a more effective option.

Whiggrrl65

My RE does not offer back to back IUIs because as PP said research shows that it doesn't increase chances.
GL with whatever you decide to do!

mskeenan

I don't think mine offers back to back IUIs either - he never even mentioned it (though I may ask ) but I don't know if insurance would pay twice in one round ??

laur2835

If insurance covers it, my doctors office does it. I triggered at 5pm one night and went for IUI 1 the next morning at 9am and then IUI 2 the morning after that. I figure if they pay for it, no harm in going for it!

Sarah1516

Thank you all, ladies! @KidShrink why you need blood work to check the surge? Home pregnancy test won't do that?

emsmama15

I asked my RE about it after seeing people on here doing it.  He also said research doesn't show increased success for my diagnosis (PCOS) so we just did TI night of trigger and IUI 36 hours later.

KidShrink

LH surge indicates when your body is getting ready to ovulate (what you might detect with OPKs or temping, just a lot more precise because you get actual hormone levels present in your blood). My RE did BW and US on CD3 (baseline; started Femara), CD6 (starting injectibles as I was on Femara and Follistim), CD9, and then every day until the IUI (CD13 in my case, even though it looked by the size of a few straggling follies I may have a day or two left). It allows for much better timing, which is of the essence with IUI.

Sarah1516

@KidShrink thank you. I know timing is the most important thing, but it's hard to control. I don't ovulate within 36 hours after the trigger. My first iui was on 50mg clomid and I believe I ovulated after 60 hours after the trigger. And my second iui was on 100 mg clomid and I ovulated around 48 hours after the trigger. I wonder what determine how many hours after which I will ovulate after the trigger. Is that the amount of clomid or the size of my follicle? Have you heard a research which said that washed sperm will lose potency within 12 hours? So I can't make my DH sperms wait too long. My third iui will be at the end of this month. And I currently plan to do one insemination. But I still don't know the what's the best time for the iui. 36 hours after the trigger of 42 hours.