TTC after 35

Did anyone skip IUI and go right to IVF?

Just wondering what some of the reasons might have been. DH and I just started seeing an RE and I've had some BW and he'll have his SA and BW next week. I'm just wondering what dx's would make the dr. decide to right to IVF. Is age factored in at all?

Re: Did anyone skip IUI and go right to IVF?

  • We are going straight to IVF due to severe endometriosis. Time is a factor, so the doc wants to get me pregnant as soon as possible, before the endo comes back and mucks everything up again.

    I don't think chronological age will matter as much as your "fertility age", meaning FSH levels, ovarian reserve, hormone levels, etc.

    Good luck!

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  • My RE has given me the option of IUI with injectionables or IVF.  My DH had another SA on Thursday, his first was ok, but that was about a year ago.  I am really leaning towards going straight to IVF, no matter what the SA says.  I am 35 and my dx is PCOS.
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  • imagefloridakat:

    We are going straight to IVF due to severe endometriosis. Time is a factor, so the doc wants to get me pregnant as soon as possible, before the endo comes back and mucks everything up again.

    I don't think chronological age will matter as much as your "fertility age", meaning FSH levels, ovarian reserve, hormone levels, etc.

    Good luck!

    This exactly. GL!

  • I am going straight to IVF starting in January.  I am 37 and have high FSH - basically have diminishing ovarian reserve.  I will be 38 in less than 2 months.  My DH has sperm issues as well, so we will be doing IVF with ICSI.  Basically, I need help getting quality eggs and he needs help with his swimmers.

    And time is not on my side, so we will be aggressive.

    Good luck.

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  • I am no dr or RE but it looks like you've been pregnant twice since the summer.  I think you have a good chance of getting pregnant so IVF may not need to be tried at first.  Good luck to you!
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  • I am going straight to IVF, starting this weekend with injectibles. I have a few reasons... I am 40, never been pregnant. DH has never gotten anyone pregnant. Our insurance covers a limited amount of $ for fertility treatments. My RE agrees with me about taking the most aggressive approach. I am going to be 41 in April, and once you hit 40, your chances decrease exponentially every year afterwards.

  • Thanks girls for your replys. I'm 38 and will be 39 in a few months so time is not on my side. I know it seems my issue is not with getting pregnant but until all the tests are back I'm not sure what or if there is an issue. I'm just trying to get as much information I can so I can have an intelligent conversation with my RE.
  • I went right to IVF due to my age, FSH, DOR and DH's sperm issues. My chances of conception with IUI was very low compared to IVF. I agree with MD, it seems you don't have trouble getting pregnant so IUI may be the most cost effective way to start, providing that your CD 3 hormones are low, you have a good reserve and DH doesn't have any MFI. Good luck!!
    TTC since 3/08 DOR, High FSH, Hypothyroid, Uterine Polyps, blocked tube, MFI, 5 rounds of clomid, 5 IVF attempts, 2 hysteroscopies, 2 natural conceptions=2 losses (Methotrexate, D&C) Successful DE cycle twins born 10/7/11 Baby Birthday Ticker Ticker
  • RE wants us to skip IUIs and go right to IVF because of my age and high FSH and no other IF issues.  However, I am OOP for IVF but do have coverage for IUIs.  So I asked if we could try IUIs and that's what we are going to do.

    If we had the coverage, we would have completely skipped IUIs and gone for IVF.  

  • My insurance doesn't cover either, so I'm OOP for everything. If I'm going to pay $5k+ for IUI and if it doesn't work I have to pay $10k + for IVF. I'm just tyring to find out other peoples reasons. I still have to wait another couple of weeks to get most of our tests back, then we will have a f/u with the RE to discuss our plan.
  • I went straight to IVF due to my age and high AMH number.  Also, I knew that we wanted more than one child, so IVF would give us the possibility of embryos to freeze.  (Of course, that hasn't worked out, unfortunately!)  My insurance covers it, so that wasn't a consideration, which I am very grateful for!
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