My insurance requires us to go through 2 IUIs but if those fail they cover up to 6 rounds of IVF. So even if IUIs are a waste, we dont have a choice.
Editing because words are hard
TTC since June 2015
DH {29} Me {26}
PCOS Diagnosis | September 2015 IF Specialist | November 2015 Provera | November 2015 | 179 Days since last AF HSG | December 2015 | All Clear Provera | January 2016 | 46 Days since last AF 1st round of Femara 2.5mgs | January 2016 | No response Provera | February 2016 | 44 Days since last AF 2nd round of Femara 5mgs | March 2016 | O CD18 | AF 3/28/2016 3rd round of Femara 5mgs | March/April 2016 | No response | AF 5/6/2016 4th round of Femara 7.5mgs | May 2016 | BFP June 4, 2015 EDD: 2/15/2017 | Loss Discovered: 6/11/2016 | NMC: 6/15/2015 Gonal-F 75 IU upped to 100 IU | June 2016 | IUI June 29, 2016 | Beta: July 13, 2016 | AF 7/12/2016 Gonal-F 75 IU upped to 112.5IU | July 2016 | IUI July 27, 2016 | Beta: August 10, 2016 | + Beta 171! BFP on Digi 8/8/2016 | Beta #2: 396 = 39 hour doubling time | Beta #3: 1659 = 34 hour doubling time First ultrasound: August 17, 2016; 5 weeks; Gestational Sac and yolk Second ultrasound: August 25, 2016; 6W+1D; Heartbeat 105bpm Third ultrasound: August 31, 2016; 7 weeks; Heartbeat 136bpm Graduated from RE: August 31, 2016 EDD: April 17, 2017
We didn't do IUIs because there was no point. Depends on what your issues are. I have bum tubes and had three ectopic pregnancies. So an IUI would have been pointless.
I think that is hard question to answer because there are so many variables to consider..what are your issues and your finances being the biggest two. If your tubes are blocked than IUI is stupid but if things are generally working and your issues don't affect that IUI might be worth it..It is a very case by case thing
It is a tough question to answer, however, if after 3 failed IUIs I would move onto IVF. All of my tests and labs looked great - I'm 35 but my AMH is 5.15 (Not diagnosed with PCOS); low testosterone, FSH is where it should be, I responded to femara, I always have plenty of follicles, etc. DH's SA is great. Looks good, right? Well, after my first egg retrieval, they harvested 24 eggs, 15 fertilized, only 4 made it to day 5 and only 3 made it to freeze. And, on top of that, their quality is only fair-poor. IVF is the only way to actually test and analyze egg quality.
IVF is not covered my insurance, but I will definitely make it happen again in 2016 if this FET fails next month.
I can't answer because my insurance covers neither. And I've had success with IUI. But that was several years ago. Now I'm not having success - yet. I'm in the midst of 2nd IUI this time around. There seems to be so many different circumstances from financial to DX's and age really that have to be considered.
As PPs stated, there are a lot of variables to consider. IUIs have helped a lot of women conceive. We had the option to skip IUI and go straight to ivf and we chose to do two IUI attempts. Both failed but I'm glad we did them. The ivf process is so long, daunting, expensive and hard on the body that if IUI is a viable option, I would always suggest that first to anyone I know.
I'm on my 7th IUI. If unsuccessful, I move on to IVF. But for me, these IUIs are still worth the try, even if I don't succeed. I'm gay, and never tried to get pregnant before. It would have been kind of bizarre for me to jump straight to IVF without even trying some lower tech inseminations first. Besides, IUIs are way cheaper, even if they have a significantly lower success rate.
They also taught me that I do have a problem, though I had a hint when my blood work showed low reserve. And they gave us some experience with stimulation drugs (bravelle, menopur, gonal-f) and ultrasound monitoring, which will help my doctor decide how to stimulate me in IVF. With the dose of meds I had, some women end up with 5 or 6 follicles, and I only had 1-3. So we'll probably blast my ovaries pretty hard for IVF.
And this experience has taught me to moderate my expectations with IVF. I'm not going to get a ton of embryos. I'll be lucky to get one or two. I'm also ready to just give it a try once, and if doesn't work, then move on to partner IVF using my wife's eggs.
So bottom line-- it's been a necessary and educational experience to have the IUIs, even if this last one doesn't get me pregnant (I test on Sunday). I won't regret them.
Me- 39 (turning 40 in April), TTC for the first time ever (since Jan 2015), low ovarian reserve
Married 3/14/14 to my wonderful wife, but her sperm count is rather low
TTC with frozen donor sperm and science
7 IUIs, 7 BFNs. 2 IVF attempts, both cancelled and converted to IUI, both BFNs. Decided that my tired old ovaries are ready to retire. Next step- reciprocal IVF, using my wife's eggs, my uterus! fresh 5 day transfer (2 embryos) 4/17/17- BFP! Identical twins "due" 1/2/17 (but anticipated arrival sometime December)
I'm in the minority. I don't like IUIs for most candidates. As pp said-Dx/age are critical factors but in my very personal, and in no way judging others decisions, opinion:
The success rates are very low (just read the IUI vs the IVF boards, I can't read the IUI cycles without crying for the ladies' heartaches) compared to IVF, and the re control over outcome is greatly diminished. There's actually a higher risk of high order multiples with IUI too, especially when they do it with injectibles. ivf is more expensive, but has come so far as an ART and is regulated and has required reporting whereas IUI is still much more of a crapshoot that REs aren't required to report on. Reading the two boards really helped me decide that I was ok with IVF. I'm sorry we bothered with IUI, it was never going to work for us.
Re: IUI vs. IVF
Editing because words are hard
IF Specialist | November 2015
Provera | November 2015 | 179 Days since last AF
HSG | December 2015 | All Clear
Provera | January 2016 | 46 Days since last AF
1st round of Femara 2.5mgs | January 2016 | No response
Provera | February 2016 | 44 Days since last AF
2nd round of Femara 5mgs | March 2016 | O CD18 | AF 3/28/2016
3rd round of Femara 5mgs | March/April 2016 | No response | AF 5/6/2016
4th round of Femara 7.5mgs | May 2016 | BFP June 4, 2015
EDD: 2/15/2017 | Loss Discovered: 6/11/2016 | NMC: 6/15/2015
Gonal-F 75 IU upped to 100 IU | June 2016 | IUI June 29, 2016 | Beta: July 13, 2016 | AF 7/12/2016
Gonal-F 75 IU upped to 112.5IU | July 2016 | IUI July 27, 2016 | Beta: August 10, 2016 | + Beta 171!
BFP on Digi 8/8/2016 | Beta #2: 396 = 39 hour doubling time | Beta #3: 1659 = 34 hour doubling time
First ultrasound: August 17, 2016; 5 weeks; Gestational Sac and yolk
Second ultrasound: August 25, 2016; 6W+1D; Heartbeat 105bpm
Third ultrasound: August 31, 2016; 7 weeks; Heartbeat 136bpm
Graduated from RE: August 31, 2016
EDD: April 17, 2017
DX - MFI Antibodies, High DNA fragmentation
IUI #1 November 2015 - 0% Motility
IVF #2 May 2016 - (FAIL/25 eggs, 1 5BB xx, PGS abnormal)
It is a tough question to answer, however, if after 3 failed IUIs I would move onto IVF. All of my tests and labs looked great - I'm 35 but my AMH is 5.15 (Not diagnosed with PCOS); low testosterone, FSH is where it should be, I responded to femara, I always have plenty of follicles, etc. DH's SA is great. Looks good, right? Well, after my first egg retrieval, they harvested 24 eggs, 15 fertilized, only 4 made it to day 5 and only 3 made it to freeze. And, on top of that, their quality is only fair-poor. IVF is the only way to actually test and analyze egg quality.
IVF is not covered my insurance, but I will definitely make it happen again in 2016 if this FET fails next month.
We had the option to skip IUI and go straight to ivf and we chose to do two IUI attempts. Both failed but I'm glad we did them. The ivf process is so long, daunting, expensive and hard on the body that if IUI is a viable option, I would always suggest that first to anyone I know.
I'm on my 7th IUI. If unsuccessful, I move on to IVF. But for me, these IUIs are still worth the try, even if I don't succeed. I'm gay, and never tried to get pregnant before. It would have been kind of bizarre for me to jump straight to IVF without even trying some lower tech inseminations first. Besides, IUIs are way cheaper, even if they have a significantly lower success rate.
They also taught me that I do have a problem, though I had a hint when my blood work showed low reserve. And they gave us some experience with stimulation drugs (bravelle, menopur, gonal-f) and ultrasound monitoring, which will help my doctor decide how to stimulate me in IVF. With the dose of meds I had, some women end up with 5 or 6 follicles, and I only had 1-3. So we'll probably blast my ovaries pretty hard for IVF.
And this experience has taught me to moderate my expectations with IVF. I'm not going to get a ton of embryos. I'll be lucky to get one or two. I'm also ready to just give it a try once, and if doesn't work, then move on to partner IVF using my wife's eggs.
So bottom line-- it's been a necessary and educational experience to have the IUIs, even if this last one doesn't get me pregnant (I test on Sunday). I won't regret them.
7 IUIs, 7 BFNs.
2 IVF attempts, both cancelled and converted to IUI, both BFNs.
Decided that my tired old ovaries are ready to retire.
Next step- reciprocal IVF, using my wife's eggs, my uterus!
fresh 5 day transfer (2 embryos) 4/17/17- BFP!
Identical twins "due" 1/2/17 (but anticipated arrival sometime December)
The success rates are very low (just read the IUI vs the IVF boards, I can't read the IUI cycles without crying for the ladies' heartaches) compared to IVF, and the re control over outcome is greatly diminished. There's actually a higher risk of high order multiples with IUI too, especially when they do it with injectibles. ivf is more expensive, but has come so far as an ART and is regulated and has required reporting whereas IUI is still much more of a crapshoot that REs aren't required to report on. Reading the two boards really helped me decide that I was ok with IVF. I'm sorry we bothered with IUI, it was never going to work for us.