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Multiples
Multiples and IUI
We have our 3 beautiful daughters Isla, Eden and Olivia ( a singleton and twins, IVF frozen embryos) and now I think I want a fourth- my twins are 11 weeks old today, but that hasnt scratched the baby itch. But 4 is definatly where I stop. I am not eager to have another twin pregnancy, even though it was almost text book perfect( I developed pre-e the day before Iwas scheduled to deliver at 38 weeks). We have exhausted our IVF coverage through our insurance, but not the IUI coverage. Somehow we did it backwards, we didnt do IUI first , we went straight to IVF.
I dont know much about IUI. Is there a way to control the egg development so that I dont have be concerned about twins? After having had a litter already, it would be a real treat to only be pregnant with one baby.
I am happy with the family that I have and if another multiple pg is a big risk then I guess my childbearing days are over. I have PCOS so its not likely to happen on its own, although stranger things have happened (thankyou TLC)
I want a boy. I have his name picked out and everything LOL
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Re: Multiples and IUI
IUI has nothing to do with how many eggs. The follicle stimulation drugs are what do that, Clomid, Follistim, etc., the IUI just ups your chance for sperm to meet egg.
I have PCOS also and used Follistim to have my twins and we have considered another baby, but the possibility of twins makes us hesistant. We agreed to start out at the most basic step with Clomid again (even though I didn't respond to it 4 years ago), in the hopes that I wouldn't have multiple follicles.
The goal of any RE is to have ONE baby and I would discuss it with your RE to get their take on it and maybe a possible protocol.
I think it also depends on if you're a high responder to injectables. I was meaning that I produced a lot of follicles--most stayed immature....but...at the time of the IUIs, there were always at least 2 that were mature and one that was on the fence.For us, it became way too risky. That just made us too nervous and our RE said I was a better candidate for IVF since it was more controlled.All my injects+ IUIs were BFNs.
Does your RE offer cash contracts for IVF? We have limited coverage left after doing IVF #1 (twins) and FET #1 (singleton), but our clinic offered a very reasonable OOP contract. I'd encourage looking into an option like that. And I'd ask your RE if you're a high responder or not to the injects used for your fresh IVF cycle to help determine if you'd be a risky candidate for IUIs.
Wishing you the best of luck! We too want other children and will have to explore our options down the road with the RE.
BTW, I love all of your DDs names. Beautiful! We have an Eden who's a twin, too!
As a fellow PCOSer, I can say that controlling the number of follies for an IUI type cycle can be tricky and take a bit to nail down. Since whatever number of follies you produce (based upon your meds) would be the potential for the number of babies you could have, you'll have to play the odds game. If you STRICTLY only want 1, then you're going to probabaly have to really play with the meds which may take some cycles. PCOS tends to produce a lot of follies, so it can be hard to control.
Personally, I only had one follie on Clomid, but it caused other problems for me. With injectables alone, I waaay overstimulated (like 15 follies were trying to mature....RE said I was a perfect IVF canidate). We finally settled on Femara + injectibles...the femara reduced the number of follies the injections could act. I ended up with 4 follies for my successful IUI cycle, which would have normally been too many to proceed. However, due to my ectopic, I only have one tube. Since I had 2 on each side, we decided to proceed since our RE felt that one tube could only pick up from one side. As luck would have it, we ended up with twins.
So I agree with PP....its not the IUI itself, its the meds that produce the follies you need to worry about. Be prepared for cancelled cycles if you are not willing for multiples again.