IUI is not what causes multiples... clomid and injectable drugs cause the HOM's - when not being monitored.
Irresponsible doctors and uninformed and irresponsible patients cause HOMs like this. OB's who dole out clomid without monitoring cause HOMs like this because women hyperstimulate and never know it because they didn't have an ultrasound- and then went on to have sex....
My RE would not do an IUI if I had 6 follies from clomid.... he would have changed it to an IVF retrieval.
IUI is not scary. Meds without monitoring is scary.
Goldie she was taking follistim and you are right-she probably wasn't being monitored to see how many follies she had. I am taking clomid but I go in for my ultrasound. But isn't it true that even if there are 4 follies and you do an IUI that doesn't mean all will get fertilized. They told her the chances of having sextuplets through IUI with meds was 1 in 1 million. I guess that is why they went ahead with it.
Ditto Goldie...We had two follies and our doctor made sure we were well aware of it and asked us if we wanted to proceed. We knew our possibilities and would have never proceeded if there were more than two.
IUI is not what causes multiples... clomid and injectable drugs cause the HOM's - when not being monitored.
Irresponsible doctors and uninformed and irresponsible patients cause HOMs like this. OB's who dole out clomid without monitoring cause HOMs like this because women hyperstimulate and never know it because they didn't have an ultrasound- and then went on to have sex....
My RE would not do an IUI if I had 6 follies from clomid.... he would have changed it to an IVF retrieval.
IUI is not scary. Meds without monitoring is scary.
BIG ditto.
FWIW, my 2nd IUI cycle produced too many follicles for IUI so my Dr. gave me the option to cancel it or to convert it to IVF. We went to IVF and are thrilled to be expecting twins. But publicity like this is what gives IF a stigma (IMO) because most of the Drs. out there are responsible.
I'm curious to know what the general cut-off is, like what the # of follicles is before most dr's will cancel the IUI. Are there guidelines issued regarding this?
We were monitored and told that if there were too many follicles that we would not proceed. I had five that looked ready to go and he said we were right on the border and it was up to us if we wanted to proceed. Obviously, the risks of multiples were explained to us, but that the chances were only one egg would fertilize. It's a tough decision to make, especially when you combine the emotional and financial factors.
Looking back though, my OB prescribed clomid and never monitored. After doing my own research that worried me and caused me to see the RE. The RE diagnosed me with PCOS and said we needed to watch VERY closely while I was on the follitsim. Guess it's a good thing the clomid wasn't working, or who knows what would have happened.
*Siggy Warning*
About me 2007: Started TTC. 2008: OB prescribed clomid, went to RE and was Dx with PCOS. 2009: IUI #1 w/follitsim and trigger = BFP. B/G Twins born at 33 weeks. 2012: TTC #3, Round 2 of Letrozole w/TI = BFP, missed m/c at 8 1/2 wks. Currently on the bench as we make plans for a new home. Anxious to start TTC #3 within the next year!
I'm curious to know what the general cut-off is, like what the # of follicles is before most dr's will cancel the IUI. Are there guidelines issued regarding this?
We were monitored and told that if there were too many follicles that we would not proceed. I had five that looked ready to go and he said we were right on the border and it was up to us if we wanted to proceed. Obviously, the risks of multiples were explained to us, but that the chances were only one egg would fertilize. It's a tough decision to make, especially when you combine the emotional and financial factors.
Looking back though, my OB prescribed clomid and never monitored. After doing my own research that worried me and caused me to see the RE. The RE diagnosed me with PCOS and said we needed to watch VERY closely while I was on the follitsim. Guess it's a good thing the clomid wasn't working, or who knows what would have happened.
It really varies by clinic/doctor and patient. For us if there were more than 3 we would not have gone forward- esp since we got pg on our first cycle with my DS and only one mature follie... we knew our "stuff" could do the job- and we'd be very nervous about it doing the job more than 3x's... even that would have been very scary to me - twins was all I really felt comfortable with.
It depends on if you will reduce, too. My RE will make you sign something that says you will reduce if you are doing something that will likely end up with HOMs (ie- a friend of mine who has had lots of issues needs to transfer many embies to try and get one to stick... she needed to sign this). Also- if the clinic will reduce from triplets to twins- because some clinics will not.. they will only reduce if it's quads or more.
I did 6 IUI's, the last 3 on Clomid 100mg the first 5 IUI's failed...used OPK's only. On IUI #6 I had an US I had 2 larger follies, 1 med, and 1 small. I triggered and did the IUI. 3 of the eggs took. I refused to reduce for anything less than 5. The last 6 weeks of my pregnancy were rough but totally do-able. It's very hard for me to agree with Doc cutting an IUI off to do an IVF if there are more than 4 eggs. Not everyone can afford IVF, most insurance does not cover anything IF related and for many going from a $500 IUI cycle to a $5000 IVF cycle is just not an option. We plan to try for another baby in 2 years, I am torn between using Clomid again (our IF is male factor and I was given the Clomid because our 1st 3 non medicated IUI's didn't work...they thought it would help up our chances). I am not scared of twins or even triplets again...maybe that's because our outcome was really good.
Xander, Hayden & Lily 5 1/2 and Jericho 3 My Blog!
Well, this is what happened to us as well. We were very strictly monitored while injecting follistim. They told us there was only one mature follicle with some other smaller ones and did not think we would have multiples of any kind if this worked at all (it was our first one). Well, we had an IUI and were all shocked to have 5 babies. Our dr. had this happen only once before years ago because he is very cautious and said he would have stopped the cycle if he thought this could happen (he didn't even mention converting to IVF). Unfortunately, we chose to go through with a reduction because of the insane risks to the babies and me. It was the hardest thing we've ever had to deal with both emotionally (on so many levels) and financially. The dr said if I need fertility treatments again, he would go straight to IVF because there is much more control that way. So, I guess sometimes things just happen - no matter how careful and responsible everyone is. (Though I do kinda wish that I could have sued our dr. to recover the crazy cost of the reduction!)
Re: "Rasing Sextuplets" mom got pregnant through IUI
IUI is not what causes multiples... clomid and injectable drugs cause the HOM's - when not being monitored.
Irresponsible doctors and uninformed and irresponsible patients cause HOMs like this. OB's who dole out clomid without monitoring cause HOMs like this because women hyperstimulate and never know it because they didn't have an ultrasound- and then went on to have sex....
My RE would not do an IUI if I had 6 follies from clomid.... he would have changed it to an IVF retrieval.
IUI is not scary. Meds without monitoring is scary.
Goldie she was taking follistim and you are right-she probably wasn't being monitored to see how many follies she had. I am taking clomid but I go in for my ultrasound. But isn't it true that even if there are 4 follies and you do an IUI that doesn't mean all will get fertilized. They told her the chances of having sextuplets through IUI with meds was 1 in 1 million. I guess that is why they went ahead with it.
BIG ditto.
FWIW, my 2nd IUI cycle produced too many follicles for IUI so my Dr. gave me the option to cancel it or to convert it to IVF. We went to IVF and are thrilled to be expecting twins. But publicity like this is what gives IF a stigma (IMO) because most of the Drs. out there are responsible.
Photography site | Photoblog | ...into the womb| My beachbody
I'm curious to know what the general cut-off is, like what the # of follicles is before most dr's will cancel the IUI. Are there guidelines issued regarding this?
We were monitored and told that if there were too many follicles that we would not proceed. I had five that looked ready to go and he said we were right on the border and it was up to us if we wanted to proceed. Obviously, the risks of multiples were explained to us, but that the chances were only one egg would fertilize. It's a tough decision to make, especially when you combine the emotional and financial factors.
Looking back though, my OB prescribed clomid and never monitored. After doing my own research that worried me and caused me to see the RE. The RE diagnosed me with PCOS and said we needed to watch VERY closely while I was on the follitsim. Guess it's a good thing the clomid wasn't working, or who knows what would have happened.
*Siggy Warning*
About me 2007: Started TTC. 2008: OB prescribed clomid, went to RE and was Dx with PCOS. 2009: IUI #1 w/follitsim and trigger = BFP. B/G Twins born at 33 weeks. 2012: TTC #3, Round 2 of Letrozole w/TI = BFP, missed m/c at 8 1/2 wks. Currently on the bench as we make plans for a new home. Anxious to start TTC #3 within the next year!
It really varies by clinic/doctor and patient. For us if there were more than 3 we would not have gone forward- esp since we got pg on our first cycle with my DS and only one mature follie... we knew our "stuff" could do the job- and we'd be very nervous about it doing the job more than 3x's... even that would have been very scary to me - twins was all I really felt comfortable with.
It depends on if you will reduce, too. My RE will make you sign something that says you will reduce if you are doing something that will likely end up with HOMs (ie- a friend of mine who has had lots of issues needs to transfer many embies to try and get one to stick... she needed to sign this). Also- if the clinic will reduce from triplets to twins- because some clinics will not.. they will only reduce if it's quads or more.
thank God you saw the RE!