IF/Testing Checkin Week of 10/10

mrsdaddario

**General TW that this thread can and will mention MC and loss.***

This is a place for those of us who have already started TTC, but have started infertility testing and/or treatments. You can express your thoughts, feelings, and frustrations on infertility. TTC can be a long journey naturally, then add in the difficulties associated with infertility and it becomes a whole new ball game. The road to infertility can be lonely, frustrating, and complicated, so let's make this a place where we can vent, ask questions, and support one another.  Feel free to resurrect this thread at any point in the week if you have something to say, and treat this like an ongoing conversation. 

Diagnosis (If you've been): 

Cycle/CD: 

Status (WTO/TWW/TTA):  

What are you doing this cycle? (Testing? Treatment?)

  

How are things going?

  

Any questions? 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 

BaileyM321

Diagnosis (If you've been):  Unexplained secondary (with a mostly-obstructed left tube and low morph on SA, neither of which explain our issues according to our RE)

Cycle/CD:  cycle 12 / cd 17

Status (WTO/TWW/TTA):  TWW

What are you doing this cycle? (Testing? Treatment?). First-ever treatment cycle: Femara + Ovidrel + IUI + progesterone 

  

How are things going?  3 dpiui, so I start progesterone suppositories this morning.  Not super looking forward to that, but I'm sure I'll figure out the mechanics once I try.  Yesterday was the first day I didn't feel completely demolished by the Ovidrel trigger, so now that the fake-pregnancy side effects from that seem to be fading, I'm really hoping the progesterone doesn't add a whole bunch of new ones!  I'm feeling pretty positive and hopeful this week -- and that scares me.

  

Any questions?  None right now.

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for?  I'm not sure these count as superficial enough but here we go... 1) For the place I live (necessitated by DH's job) to have 4 real seasons so I could stop missing the place I grew up, 2) For my house to be just one room bigger so we wouldn't have to move if we get pregnant!, and 3) For a higher GRE score without having to waste time re-learning silly high school geometry just to execute my back-up plan for if we can't get pregnant.

LadyMillil

Cycle 22, CD23
TWW - 7 or 8 dpo
Me - unexplained bleeding, DH -low morph
Waiting for appointment with new RE - 1 month down, 6 to go.
This is my third cycle since moving and my third cycle with minimal spotting. It's so weird, it's like something about my old job/city/life was the "unexplained" thing that was causing the bleeding.
GTKY: 1) The landlord increased the number of pets we can have 2) that we get the super cute kitten DH wanted to adopt 3) A super cute, very warm winter coat and boots

britters314

Diagnosis (If you've been): Subclinical Hypothyroidism

Cycle/CD: cycle 15, CD 13

Status (WTO/TWW/TTA):  WTO

What are you doing this cycle? (Testing? Treatment?)
I did bloodwork and an HSG. Now we're just waiting to see if this cycle works out.

  

How are things going?
Pretty good. H agreed (reluctantly) to go to an informational meeting about adoption if we don't get KU this cycle, so that's progress.

  

Any questions? 
I asked this on the WTO thread today, but I figure I'll get more responses here. After getting an HSG, did that push back O date for anyone? I had some soreness and spotting for a few days after, so I'm wondering if my body was focusing on healing before ovulating and therefore I'll ovulate late. Usually I have EWCM by now, but I don't yet this cycle.

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1) the power to conjure cheese  2) a secret passage in my house  3) longer hair

LadyMillil

It's completely normal to O later than normal after an HSG @britters314

mrsdaddario

@BaileyM321 Hope, although scary, is never a bad thing! And during IF treatments it's a must. I'm happy you have that to hold on to.

@LadyMillil I think your lack of spotting, or a decrease in it since you've moved is huge. I really think your environment and how you were travelling for work so much, pre-move, negatively affected your health. And I'm really glad it seems things are getting better in that aspect for you. Now if only the RE would have a cancellation sooner than 6 freaking months!!

@britters314 The power to conjure cheese made me LOL. And impressed me. 

Diagnosis (If you've been): NIR PCOS 

Cycle/CD: CD 22

Status (WTO/TWW/TTA):  TWW - but more like WFAF 

What are you doing this cycle? (Testing? Treatment?) Gonal-f, Lupron Trigger, IUI 

  

How are things going? I'm to the point where I know I'm out so I just want to be able to stop all meds and let AF come. I haven't tested, my beta in Thursday, but after so many failed cycles I can recognize one from space. The last few days are always the worst IMO. I'm convinced the only way we are going to get KU is through IVF (not actually convinced, but I think that is the best chance we have). So thinking about doing one, possibly two more injectable cycles is exhausting. I promised my H we would do at least one more round of injectables since insurance covers it. Don't know if I have a third in me. I'm getting to the point where I'm hitting a wall with IF treatments resulting in nothing. 

  

Any questions? 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1. Dream Kitchen
2. A driver to take me to work and back
3. Free Subway for life 

wabash15

@BaileyM321 I would wear a panty-liner... those progesterone suppositories make a mess...

@LadyMillil I'm sorry you have such a long wait to see your new RE. 

@britters314 Glad your DH, even if reluctantly agreed to explore all avenues to becoming a parent.

@mrsdaddario I'm so sorry your feeling out and hitting your IF wall. creepy internet hugs. AF after AF is devastating and numbing all at the same time. There are no words to make it better, I'm thinking about you.

britters314

Thanks @LadyMillil

@mrsdaddario  I'm sorry you're feeling down. Does your insurance require you to go through a certain number of IUI cycles before trying IVF? Or do they not even cover IVF?

mrsdaddario

@britters314 Unfortunately our insurance doesn't cover IVF at all. But the price is extremely reasonable at our clinic compared to others I've seen. However it's still a larger chunk than we just have on hand, so we would need to save. 

LadyMillil

@mrsdaddario My commuting lifestyle was really hard on my body so I wouldn't be surprised if removing that combined with the changes I've been making in preparation for IVF helped. I've been trying to do some research to figure out what could have been going on, because all my tests were normal and uterine bleeding was really the only physical symptom that went away after moving.
I won't go on the cancellation list until about January. From what I understand they have a waiting list of 300-400 people and schedule from the top of the list about 3 months out. Once you're scheduled for an appointment you go on the cancellation list, so it's possible to cut a month or 2 off the wait but much more than that is unlikely.

courtney7784

@britters314 I had my HSG this cycle too and my ovulation has been funky. I have had positive OPK's for 6 days straight (like strong positives) which has never happened in any of my previous cycles. Of course I took this cycle off from temping so I am even more in the dark. I think based on CM I have already ovulated but if I haven't this would be a delayed ovulation for me. I'm on CD 18 and in the last year it has always fallen between CD 13-15 with a 14 day LP.

Diagnosis (If you've been): Looking like unexplained but have my follow up appt with the RE today to go over everything and come up with a plan moving forward.

Cycle/CD: 13/18

Status (WTO/TWW/TTA):  TWW... I think? (not temping this cycle)

What are you doing this cycle? (Testing? Treatment?) Just testing this cycle. Hopefully will have a plan for next cycle after my follow up appt today.

  

How are things going? Good - just ready to have a plan moving forward to next cycle - makes me feel like I'm somewhat accomplishing something and moving in the right direction.

  

Any questions? Not right now but I'm sure as I enter this treatment phase I will have plenty!

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 1) a bigger and fenced in backyard so DH can have the puppy he's been begging me to get for as long as I can remember 2) a daily hair/makeup person and fashion stylist so I can wakeup every morning and have other people take care of it for me (I loathe getting ready and picking out clothes in the morning) 3) unlimited PTO and a private plane so I can vacation anywhere at moments notice.

mrsdaddario

@LadyMillil I just looked at your chart, it looks verrrry nice lol. FX SO HARD! I keep saying I want to get a new job closer to home, I'm in the car for 3+ hours four days a week. An hour and a half to work each way. But I live in the middle of no where and the jobs are few and far between for the amount of money I need. What things are you doing to prepare for IVF? 

mrsdee15

Diagnosis (If you've been): Unexplained IF

Cycle/CD: Cycle 12 (month 14 or something), no idea on CD because I don't chart with monitored cycles

Status (WTO/TWW/TTA):  TWW, but waiting on AF.

What are you doing this cycle? (Testing? Treatment?)  Our last IUI after AF starts

  

How are things going?  Welp, another negative beta.  I really am having a hard time holding out hope for anything, including IVF if it comes to that.  I'm also having a hard time coming to terms with IVF at all.  I'm not sure why, I was feeling really good about it.  I've had pretty bad anxiety recently so I'm wondering if that's part of it.

  

Any questions?  Not at the moment.

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
Good question!  1) The ability to change my hair, Tonks-style (ok so this gif isn't her hair changing, but HP fans probably get what I'm saying).

2) A bigger condo, or the ability to change the size as easily as it changes on The Sims.

3) A driver, I got hit by a drunk driver right after I got my license and just never got over the fear of driving after that.

LadyMillil

@mrsdaddario Implementing the recommendations from It Starts With The Egg, changing my personal care items to ones that don't contain parabens and phthalates, trying to drink less than 1 caffeinated beverage a day, only drinking on special occasions or social events, following the Mediterranean diet. I've been researching acupuncture and TCM and will probably start that by the end of the year.

JDW0325

@LadyMillil
just lurked your blog hard and I love it!

pretzel2plus1

@britters314 My HSG didn't push my O date back at all, but I tend to O later anyway. I did read that it can be expected, but I hope you'll O on time, too!

So sorry, @mrsdaddario! That's such a tough place to be, but I'm thinking of you!

@LadyMillil Your wait sounds brutal. I can't even imagine. It sounds like you're doing all the right things in the meantime, though. It's also great that your bleeding has gotten better! 

Diagnosis (If you've been): endometriosis

Cycle/CD: I'm going to go ahead and call it CD 1 of Cycle 13/Month 15, but that might actually end up being tomorrow.

Status (WTO/TWW/TTA):  WTO

What are you doing this cycle? Hopefully getting an appt with an RE and making a plan!

  

How are things going? Okay, I guess. AF should be here today (temp drop this morning) or tomorrow at the latest. I went to my follow up this morning with my OBGYN and he referred us to an RE, which I was expecting. I'm working on the paperwork now, and then they'll call me to schedule an appointment, but I have no idea what to expect as far as their wait time. 

With the rest of my day off, I went shopping! I got H a new pair of pants for work and a couple of shirts, and a couple of new cute fall things for myself. Period presents.

  

Any questions? nothing right now.

GTKY: 1. The ability to be present (or be teleported in) whenever @britters314 conjures her cheese.
2. For my house to be magically remodeled exactly how I want it. 
3. A closet full of cute clothes that renews itself each with season and trend (the ones I like, anyway!)

BaileyM321

@wabash15: Heh, I saw your recommendation to wear a pantyliner because of the progesterone suppositories about 5 minutes _after_ I went to the bathroom and was like, "AHHH!!!!!"  Good call!  I don't know what I was thinking not to put one on earlier.  So very... pink.

ClaireCF

@mrsdaddario sorry you're feeling like your out. I know exactly what you mean with wanting to move on to the next step. It feels so hopeless to  keep doing something that hasn't worked.

@courtney7784 I hope your RE was able to come up with a plan!

@mrsdee15 I'm sorry you're feeling anxious and down on IVF right now. I hope you won't end up having to do it!

@pretzel2plus1 I hope you're able to get in to see an RE soon!

Diagnosis (If you've been): PCOS-ish. I don't have all the symptoms but I do have an abundance of eggs and don't ovulate on my own.

Cycle/CD: 12/6

Status (WTO/TWW/TTA):  TWW

What are you doing this cycle? (Testing? Treatment?) Femara, trigger, IUI

  

How are things going? Ok, just waiting. I'm 12 or 13 DPO and I was so nervous that I would have a temp drop this morning I almost didn't even want to look, but it stayed up! Last cycle I had the drop on 13 DPO and AF arrived the next day. Later on I told H how nervous I was this morning about looking at my temp and he said that he was nervous too and hadn't been able to sleep well because he was worrying about it, but he hadn't said a word to me! He said he figured I would have told him if it dropped. It's nice to know he's thinking about it as much as I am, but it would be nice if he actually said something about it! I hadn't said anything to him because I figured he wasn't aware really of the timing and didn't want him to get all anxious.

  

Any questions? Not at the moment.

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1. Lots of house renovations
2. Some way to make traveling a lot easier/faster to see family and friends
3. A personal stylist

mrsdaddario

@ClaireCF When are you testing?! Or are you waiting for a beta? 

ClaireCF

@mrsdaddario I told myself I have to wait until at least Thursday! Trying so hard to hold out.

mrsdaddario

I'm holding out for my Thursday beta too! But I can tell I'm out. I feel absolutely nothing. I'm keeping my FX for you!!

ClaireCF

@mrsdaddario I also feel absolutely nothing, but considering I usually have pretty bad lower back cramps before AF arrives I'm trying to consider that to be a good thing. FX for you too! 

Marley629

Diagnosis (If you've been):  DOR & MFI

Cycle/CD: cycle 14, cd5

Status (WTO/TWW/TTA):  WTO 

What are you doing this cycle? (Testing? Treatment?)

  Clomid with Ovidrel 

How are things going?  Ok! I had my baseline US this last Sunday. I had 6 follicles on one side and 5 on the other.  I thought that was ok until I consulted dr Google. But I'll see what happens at next ultrasound on Sunday. 

Any questions?  None right now but I may as this cycle progresses. 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
- a shower that never ran out of hot water 
- a metabolism that allowed me to eat whatever with no consequences on my waistline or overall health 
- a robot that did my laundry, including folding and putting away. 

MMMMM27

First time posting -- figured I may end up being here for a while so I may as well stop lurking and jump in!

Diagnosis (If you've been): Limited access to sperm (same sex relationship).  All tests have been normal (HSG/blood tests/etc).

Cycle/CD: 5/24

Status (WTO/TWW/TTA):  TWW

What are you doing this cycle? (Testing? Treatment?)  Ovidrel Trigger + IUI w frozen sperm + Progesterone

  

How are things going? Negative Beta today after BFN 9dpo and 11dpo (glutton for punishment).   Bummed. Looks like we are headed toward IVF.  Insurance requires 2 clomid cycles before they will even consider IVF even though my dr doesn't think it will do much for me.

  

Any questions? We start clomid this cycle. Any tips / things to look out for?  I'm terrified about multiples even though I know this is a) unlikely and b) we will have plenty of monitoring and c) this would be a blessing.  

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1) unlimited chocolate 2) unlimited beer delivery 3) cheese conjuring? (tooooo good)

wabash15

@Marley629 will you remind me, are you doing IUI? were your follicles all similar sized or did you have a few more dominant ones? That is a lot of folicles, but if some are much smaller than its probably not a big deal. I know that most RE's won't trigger you if you have more than 2-3 dominant follicles due to the risk of HOM. 

@MMMMM27 fx that your just testing early. TW***as a MOM I was scared when I first found out, I knew the increased risk during pregnancy and the potential challenges once they arrived. They are a lot of work but they are the biggest blessing x2.  I can't imagine them as singletons. DH only wanted 2 but here we are trying for more. You cross what ever bridge when you get there. End TW***

Marley629

@wabash15  it was my Antral follicle count so
they were all really small still. I have an US this Sunday to check to see growth etc. We aren't doing IUI this cycle. I have no infertility coverage right now so we are just doing a medicated cycle with timed inter course.

courtney7784

@clairecf thank you! RE suggested 100mg Clomid cd 3-7 and IUI so that's what we're going to try to start. It feels good to be moving in hopefully a good direction! RE also 'officially' diagnosed me as unexplained which I was anticipating. FX for you this cycle! 

@mmmmm27 I start Clomid this cycle too. DH's main concern with doing any fertility medication/treatments was multiples. RE assured us the likelihood was low so that helped calm his fears a bit. I think I'm more anxious about what/if any side effects I may have from it. I spent all day yesterday googling it which was a bad idea! haha

wabash15

@Marley629 ok, it's still early then, and I wouldn't worry too much about your follies yet. DH and I no longer have fertility coverage and have had a lot of discussions about weather we will pursue more treatments fully out of pocket. Good luck on Sunday, I hope things look good!

ReesaAnne16

mrsdaddario  I hope you have good news on Thursday, I can't believe you have the will power to not test until then... You are stronger than me

Megzb510

Diagnosis (If you've been): blocked right tube, secondary IF

Cycle/CD: month 15, cycle 11?, doing Ivf so no idea of CD

Status (WTO/TWW/TTA):  day 3 of stims 

What are you doing this cycle? (Testing? Treatment?) treatment -IVF. 225 iu Follistim, 75 iu Menopur. 600 iu CoQ10, baby aspirin, doxycycline. Egg retrieval is between 10/19 and 10/23

  

How are things going?the injections aren't too bad. Menopur burns a bit more going in but follistim is pretty easy. I was symptom free for nearly a day. Then the headache kicked in. I went to bed early last night but slept restlessly. I woke up in the middle of the night and was feeling a lot of discomfort in the general ute region. It seems to have passed this morning though. 

  

Any questions? 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1. Work has an ice and water machine on the second floor. I wish we had one on the first floor where I work. 
2. I wish my commute was like 5 minutes each way instead of 2 hours. 
3. A hair n makeup stylist That could do all their magic in 5 minutes. 

mrsdaddario

@ReesaAnne16 I know your IUI was a day before mine. How did you make out?! Did you test/get your beta yet?? If you posted on the IF group I just haven't seen it yet! 

laurad75

I had to scroll through to make sure I didn't already post my update for the week.  How did I let this go until Wednesday?

Diagnosis (If you've been): DOR

Cycle/CD: 6/25

Status (WTO/TWW/TTA):  TWW

What are you doing this cycle? (Testing? Treatment?) clomid and was supposed to have an IUI but I missed the surge somehow. 

  

How are things going? Everything is fine.  I am 10 dpo but have felt very positive this cycle so I tested (bfn).  I wasn't surprised.  Next cycle the RE's office will monitor O so we don't miss it again (I don't know why they didn't monitor for me this cycle).  

  

Any questions? 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 
1. A driver
2. A hair stylist on call
3. An egg sandwich right now. 

BlueIrises

I'm new here, but have been lurking for a little while. Figured I might as well jump in. 

Diagnosis (If you've been): mthfr, elevated tpo but normal tsh, otherwise normal on my side; dh- mfi

Cycle/CD: lost count of cycles, but 3 years total and 2 years ttcal; cd6

Status (WTO/TWW/TTA):  wto

What are you doing this cycle? (Testing? Treatment?) Trying naturally this cycle. Last cycle we did follistim injectables with ovidrel trigger and back to back iui's, but no luck. Went in Monday for baseline ultrasound but have a cyst on one side, so waiting for next cycle to hopefully do injectables and iui again.

  

How are things going? While not doing the injections this cycle is a little bit of relief, I had such high hopes for the last medicated cycle with iui. And I definitely got hit with the bsc during the last week of tww. And then even with progesterone supp, started spotting right before starting af. So frustrating.

  

Any questions? Not right now. 

GTKY: If a genie gave you three wishes, but they all had to be superficial nonsense type wishes, what would you wish for? 

Hmmm.... 1. The ability to put on makeup properly (not a strong skill I possess). 2. To know how to play bass guitar without having to practice and learn. And 3. The cheese conjuring is a fantastic idea.

saralee797-2

I asked this over in WTO and got one response. Then I searched the boards and sort of scared myself. H's SA came back with normal numbers in count and motility but 4% in morphology. The test itself said "normal". Internet has conflicting studies. My search of the boards says 4% is a one way ticket to IUI but more likely IVF with ICSI. Anyone have any insight here? My f/u appt with the RE is not until the 25th but I would like to mentally prepare myself for possible treatment recommendations. Thanks so much.

ETA: spelling.

wabash15

@mrsdaddario  good luck today! Thinking about you.

@Saralee797 we did not have sperm problems but with morphology being lowish I bet they would recommend at least IUI. They may also do a repeat SA to see if this is a persistent problem or just a one off thing. GL.

Bababatty

@saralee797 4% or greater in morphology is considered normal per the World Health Organization's standards. My RE doesn't even assess morphology when analyzing the samples produced for our IUIs because they care only about motility (although it was included in the initial SA). If you're concerned, I'd look into it more in peer-reviewed research, much of which you can find for free on PubMed. I found this one, which seeks to explain the reasoning behind the 4% threshold: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739680/ How good that particular journal is, I could not tell you, but it may give you some advice.

BaileyM321

*TW previous pregnancies mentioned*

@Saralee797 My DH also has normal SA except for low morphology (3-4%).  My RE considers us "secondary unexplained" despite this.  Basically what she told us is that sperm morphology is unlikely to change over the years, and since our first two pregnancies were both first-cycle-trying (ugh I hate my last-decade self so much for taking this for granted!! *vomit*) his low morph clearly wasn't a factor then and thus she believes isn't the factor now.

I've honestly been having some doubts about this, because we've been trying for 14 months now and we're both still in our early 30s, so clearly /something/ changed and the low morph was the most significant finding on all the tests.  But FWIW, that's what we were told.  (Maybe it makes a difference that it's secondary infertility?)

Anyway, we're doing IUI for now.

Zoey1019

@BaileyM321 I don't mean to just jump in. But did you husband have an SA before the 1st kids? There could have been something between then and now that has changed. It is entirely possible. 

@Saralee797 We have a morph issue as well. It is a very divided topic, but in the end...I think we see a lot of people here with morph issues that aren't getting pregnant. It seems that it is an issue to me. We are going straight to IVF with ICSI, our MD won't even try IUI unless morph is at 3% and even then he doesn't give it a very high % chance of working. MFI's best shot is really IVF with ICSI. I am sorry about the news, but hopefully you can get a good treatment plan in place and move forward! It is frustrating, but there are ways to circumvent. 

BaileyM321

@Zoey1019 No, DH did not have an SA before the previous pregnancies.  But my RE swears that morphology should not change -- something about because the sperm are generated from cells that line the testes and should match them, and they tend to be stable?  (I am the farthest thing from a life sciences sort so I'm probably explaining this wrong, but she was really really confident that whatever his morphology was when we conceived before, that's what it is now!)

When I said before that I'm beginning to doubt her, that's what I was saying I'm beginning to doubt...

saralee797-2

@BaileyM321 @zoey1019 @wabash15 @Bababatty thank you so much for all your input! I guess I'll see what the RE has to say but at least I'll be mentally prepared to potentially move straight to treatment. At least it will be progress of some kind! 

BaileyM321

@Saralee797 @Zoey1019
This thread got me worrying about our low morph and whether my RE was ignoring it when she shouldn't, so I spent the afternoon doing some research.  I hadn't known the 4% threshold for normal was a recent thing and that it used to be 14%!  Found lots of confirmation that many REs won't even try IUI with morph lower than 4%.

Then I decided to follow @Bababatty 's excellent lead about this and go searching for peer-reviewed science.  Here are the two main recent pubs:

https://www.ncbi.nlm.nih.gov/m/pubmed/22335521/
2012: This one concluded that lower morph does not have a statistically significant impact on IUI outcome as long as the woman is under 35, and concluded that IUI should still be used as the first line treatment option for morph <5% unless the woman is 35+ (in which case she should move straight to IVF+ICSI).  The numbers here for low morph pregnancy rate are definitely lower than the other morph subgroups... but the difference is not statistically significant.

https://www.ncbi.nlm.nih.gov/m/pubmed/25439801/
2014:  This one makes an even stronger statement, and unlike the studies above the different pregnancy rates are basically identical:  "There is no statistically significant difference in per cycle PRs when comparing patients with a strict sperm morphology of ≤4% versus >4% who undergo IUI-P (17.3% vs. 16.7%; odds ratio 0.954, 95% confidence interval 0.66-1.37). .... Strict sperm morphology ≤4% is not associated with lower PRs in couples undergoing IUI-P, and thus should not be the sole reason for advancing to IVF."

So based on that, I understand more where my RE is coming from on trying IUI.  That seems very in line with the modern science.