Kind of a S/O of the "flameworthy" post firstogo

beebe929

I am curious of those with MFI diagnoses.  What did your RE say your treatment should be?

Our RE said IVF right from the get go.  He didn't expect IUI to work.  So his plan for us was IVF.

I was the one that said woooaaaahhh slow down buddy!  I am not ready yet. 

Our RE is super aggressive and wants to get you to your goal, of having a baby.

Is this the norm?

ladychicago

we were low count, but before the RE, our post wash counts were as high as 18m, so the RE thought IUIs were worth a shot.    but shortly after that consult, the post-wash counts started to tank (last one only 900,000),and that is when he threw out the IVF card.   

roaringrock

even if I was a 25 year old with tons of hearty eggs, healthy tubes and low fsh we STILL would have gone through IVF. it was ICSI or nothing.

JackieMac824

Your post exactly - we have MFI and we were told to go straight to IVF.  But I was not ready or prepared to do that - plus IUI were covered by our insurance and IVF was not - so we did 7 IUI's in the hopes that one would stick - which they did not.  So then we did IVF and now my RE is pushing for a FET ASAP - he just wants us to have the family we want.

MBandBud

beebe929:

Our RE is super aggressive and wants to get you to your goal, of having a baby.

Is this the norm?

Hmmm, sometimes I wonder if it is more his goal of getting the $...but that is just my skepticism..

Cajun_gal

DH's count and motility were above normal, but morphology was dismal (1-4%).  All the REs we saw didn't think morphology was that important and that IUI would probably work.  6 IUIs and nada.  IVF w/ ICSI was what did the trick.  I don't know if it's morphology was the reason that nothing else worked, but I can't help but think it's pretty important and that we'll go straight to IVF next time.

schmoodle

Our RE suggested we go straight to IVF in the same call when he called about the SA results. I don't even remember what DH's #s were, just that he had low count, morph and motility. I was fine with it, especially since even with Clomid and trigger I didn't ovulate so MFI wasn't our only hurdle.

InACitySoNice

With our low motility and poor morphology, our RE recommended going straight to IVF.  Without ICSI, we didn't stand a chance.

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

b3bell

We did two femara IUI's with my OB/GYN and then jumped immediately to IVF once I went to the RE.  My RE told us there was no reason to even try IUI's bc our numbers and morph were so bad that we would need ICSI to get pregnant.  I was okay with going right to IVF because we had already been trying for almost two years with no success.

schmoodle

MBandBud:

beebe929:

Our RE is super aggressive and wants to get you to your goal, of having a baby.

Is this the norm?

Hmmm, sometimes I wonder if it is more his goal of getting the $...but that is just my skepticism..

I don't think that's the case with ours being aggressive, since ours is part of a teaching hospital (not for profit). I might be more concerned w/ REs in private practice but not hugely.

roaringrock

InACitySoNice:

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

your RE sounds VERY smart! 

beebe929

roaringrock:

InACitySoNice:

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

your RE sounds VERY smart! 

I trust that my RE is genuine and does want a baby outcome! 

 

PeachyKate

We had poor morph from the get go but our count was always ok so at first they said not to worry.  At our IUI we had less than a million post wash which was a shock to all of us and they said there was no point in doing IUIs with such poor numbers although I did end up pregnant on my own with those numbers several times.

Both of our RE's were very aggressive also but I think it had more to do with helping us have a baby other than getting more money out of our insurance company.

InACitySoNice

beebe - My comment was in response to MBandBud's skepticism about money v. baby.  That's all.

Roaringrock -- tee hee!  He's brilliant and only has brilliant patients!!  God, how I still adore him.

beebe929

InACitySoNice:

beebe - My comment was in response to MBandBud's skepticism about money v. baby.  That's all.

Roaringrock -- tee hee!  He's brilliant and only has brilliant patients!!  God, how I still adore him.

I was supporting your statment with my quote.  Sorry for not being more clear. 

 

roaringrock

beebe929:

roaringrock:

InACitySoNice:

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

your RE sounds VERY smart! 

I trust that my RE is genuine and does want a baby outcome!

 

 

inacity and I share the same doctor.

eyenerd

ICSI or bust!

I suppose that even a blind squirrel finds a nut once in a while, but i wanted a baby---and he gave us the odds, and basically said IUI was a waste of time and money! 

beebe929

roaringrock:

beebe929:

roaringrock:

InACitySoNice:

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

your RE sounds VERY smart! 

I trust that my RE is genuine and does want a baby outcome!

 

 

inacity and I share the same doctor.

LOL I get that.  Geesh... sorry for the mixup

::::Passing RR some wine::::: (which btw how do you actually run out of wine??)

InACitySoNice

Wait ... Mind if I have some of that, too???  I've had some particulary sh*tty days the last few days ... Ugh. 

t.bird

with poor sperm & 2 blocked tubes- it was straight to IVF for us too.

my RE didn't think it'd be worth it to try & open my tubes & i agreed.

also- the hubs sperm was bad enough that we had to do ICSI anyway- so yeah

AvaLikeLava

Our RE offered us to try IUI once if we wanted to, but felt that IVF w/ ICSI would be our best shot.

Our insurance company only gives us a $15000 lifetime limit on treatment. IVF is well over 12K, an IUI around 3. If we did the IUI, we would have just enough money to cover a round of IVF, and if we needed additional treament, or wanted more children, our money would've been eaten up.

So... it was a a decision done 1/2 financially and 1/2 based on the treatment that would give us the best chance of having a baby.

It's IVF we did. I got pregnant. I have no regrets. We had enough money to do FET too, so it all worked out for the best.

firsttogo

I think that MFI, fits in with missing tubes, ect. That would probably be a case to jump to the big guns early.

JGirl2005

We did 2 iuis.  We are male factor.  we did those with my obygn.  I think we had to due to insurance puposes before moving on.  that said, had I started with my RE, he would have said 'lets not try iui'.  our count was 12-14mil before wash.

kimarino13

MH's count was 700 million (!) but his motility was between 30-49% and morph was between 3-5%.  Both clinics we met with said we could try IUI as we were in range, but IVF w/ ICSI was recommended for better results, especially considering my PCOS and hyperstimulation.  CCRM wanted to take it a step further with IVF and do additional screening on the sperm with ICSI due to our multiple early losses.

MBandBud

My comment regarding RE's looking at IF as a money maker was generalized and I apologize if I offended.  I agree that some are genuine and recommend the best route; I also have experienced others that are in it only for the business that it is.  

Yes, if you had no shot then the best way to make $ would be multiple IUI's then IVF.  But if IUI may have worked, then by doing IUI they would have missed the IVF $. 

Kim777

We had low count, motility and morph. Post wash count was usually around 16-20 mil and I believe motility and morph were around 20-30%. The RE told us that he expected we would need to do IVF, but gave us around a 20% chance with injectable IUI. He said it was our call. We were oop and had already done several Clomid IUIs with the RE so we just did one injectable IUI before moving to IVF.

laura1

Our RE gave us the option.  DH has poor morph (2-3%) and in Massachusetts (or at least with our insurance), you can go right to IVF with ICSI and have insurance cover it if your morph is 2% on two separate SAs.  He said that some believe morph is more important than others, and we could try clomid/iuis - he actually believed that IUI could work for us.  He didn't think injectables with IUI would help us much more and due to the risk of HOM, he recommended going on to IVF if our clomid/IUIs didn't work.  Thankfully our second IUI did work, but if it hadn't we were planning on moving on to IVF.  

gramos1128

We were severe MFI. My husband's count was so low the primary care doc told us he had a sperm count of 0 and was basically like he had a vasectomy.  In reality, his count is anywhere from about 7,000 to 12,000.  So now way will sex or IUI work.  We went right to IVF with ICSI and even that took 4 times with me having no issues. We have 3 frozen from our last cycle (and one precious little man) so that was our best cycle.  I stupidly still hope for a surprise BFP but that is pretty overly hopeful. 

emmyloustu

InACitySoNice:

With our low motility and poor morphology, our RE recommended going straight to IVF.  Without ICSI, we didn't stand a chance.

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

THIS - 100%. In fact, it was our embryologist who originally called me with the SA results and she was the one who told me that the RE was going to tell us our only shot was IVF w/ICSI.

elliek05

Well the NHS doesn't offer IUI where we live, so we were on the waiting list for it when we went to the private specialist who told us count and morph were low and very low respectively, but still within the limits of what he would do IUI with, so he asked would we be open to egg sharing if it came to IVF and we were and he said it would ultimately be cheaper to try 3 IUIs, and then move on to egg share IVF if needed, but he thought IUI had a good chance of working in 3 gos. We didn't need either in the end as we opted to try stims/TI the month before we were going to do the first IUI and fell that month. 

Mrs.Greenie

InACitySoNice:

With our low motility and poor morphology, our RE recommended going straight to IVF.  Without ICSI, we didn't stand a chance.

If he'd wanted the money, he would've suggested multiple IUIs and then going to IVF.  He wanted us to have a baby.

this exactly

alison43

we were planning on IUI before the MFI dx.

ours was sh*tty morph--less than 1%.  that's it.  count and motility were fine.

RE said, "you could do IUI but chances are less than 10%, since your insurance will pay for IVF that would make more sense..." and i said ok. 

JillRock96

My RE suggested trying a few IUIs, though he was not very optimistic about our chances.  Given our documented MFI, our insurance waived the required three IUIs before IVF.  We ended up doing two IUIs before moving on.

crystalgirl

roaringrock:

even if I was a 25 year old with tons of hearty eggs, healthy tubes and low fsh we STILL would have gone through IVF. it was ICSI or nothing.

This.  Based on DH alone, we were sent straight to IVF+ICSI.  And I have Stage IV endo and DOR to boot.  Our RE would have let us try other options if we pushed it, but he recommended against doing anything short of ICSI.