Infertility Veterans

How many IUI's before moving on to IVF?

just wondering your thoughts...we're considering IUI #5 in August or September..

after last m/c in March....doc suggested moving on to IVF...

Is it worth doing another cycle of IUI?

The key to life is to enjoy the journey IUI#1 & #3=BFN (2010) IUI #2=c/p (2010) IUI#4-BFP,but ruled ectopic(2011) IUI#5: Feb 2012 (clomid, bravelle & ovidrel)

Re: How many IUI's before moving on to IVF?

  • We moved on to IVF after 3 IUI's but we would not have been ready to before that. So it all has to do with what you guys are comfortable with and ready for.
    TTC#1 since 7/07 with MFI and Endo/PCOS IUI #1 and #2 with 50mg of clomid= BFN IUI#3 with 100mg of clomid and Bravelle= BFN Lap surgery 11-18-09= found Stage IV Endo :( Three months of Depot Lupron Shots and adding 2000mg Metformin IVF w/ ICSI May 2010 = BFP, M/C at 6 weeks Break to lose weight, down 60 pounds and gearing up for IVF #2 in August 2011
  • I think DH and I will probably do all 6 IUIs, mostly for financial reasons.  We have no coverage for IVF. 

    I think it really depends on your diagnosis, though.  If you have any MFI issues or egg quality issues, it might not make sense to keep doing IUIs...

    GL with whatever path you choose!!

    imageimageimage

    TTC since March 2009 // Me and DH - 28
    Testing Summer/Fall 2010 - Unexplained IF
    IUIs #1-4 ~ Clomid/Ovidrel/TI/IUI ~ all BFNs
    IUI #5 ~ Femara/Ovidrel/TI/IUI ~ BFN
    IUIs #6-9 ~ Research Study Meds/Pregnyl/TI/IUI ~ all BFNs
    IVF Consultation, More Testing
    Diagnostic Cycle ~ Mucinex/Progesterone/TI ~ BFN
    IVF #1 ~ Menopur/Bravelle/Ganirelix/Novarel/Progesterone/Lupron
    7R, 6F // 2 transferred // 3 frosties ~ BFN
    FET #1 ~ Estrace/PIO/Lupron
    3 thawed // 2 transferred // 1 lost // no more frosties ~ BFP!!
    Beta #1 - 456 // Beta #2 - 1176 // Beta #3 - 2933 // Beta #4 - 6753
    EDD: May 16, 2013
    Threatened MC at 6w2d
    Bedrest for SCH // 6w2d through 10w1d
    Elevated TSH and Lazy Thyroid DX @ 10w - Started Synthroid
    Finally released from RE at 13w
    Charles Everett ~ Born 5/20/2013

    Baby Birthday Ticker Ticker


    ~~ My IF Blog ~~ 

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  • Given my Dx, we did 0 IUIs - we went straight to IVF.  I think your Dx and odds of success are important factors to consider.
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  • It really depends on your diagnosis as well as your emotional and financial situation.
    +++
  • no MFI or egg quality issues..same thing no coverage for IVF
    The key to life is to enjoy the journey IUI#1 & #3=BFN (2010) IUI #2=c/p (2010) IUI#4-BFP,but ruled ectopic(2011) IUI#5: Feb 2012 (clomid, bravelle & ovidrel)
  • We're doing 6. At this point, we (including my RE) aren't very hopeful they're going to work but the way I'm rationalizing it is I did 3 prior to my lap where they removed endo and some polyps and fibroids so I'll do 3 after. If this next one is a bust we're moving on to IVF in January of 2012.

    Are you 100% OOP or do you have some IUI coverage? That would be a big deciding factor for me. If you have some coverage I would say go for it.

    TTC 12/2009
    Me: 32 - Stage II Endo / DH: 36 - Low count and morphology (1%)
    IUIs 1-3 BFN, lap Dec. 2010, IUIs 4-6 BFN
    IVF w/ICSI #1 - ER 2/8: 24R 19M 9F ET 2/13 2-5 day blasts (no frosties) = BFP - b/g twins!
    E & C Born 10/19/2012
    Lilypie First Birthday tickers
  • imagejessicandavies:

    We're doing 6. At this point, we (including my RE) aren't very hopeful they're going to work but the way I'm rationalizing it is I did 3 prior to my lap where they removed endo and some polyps and fibroids so I'll do 3 after. If this next one is a bust we're moving on to IVF in January of 2012.

    Are you 100% OOP or do you have some IUI coverage? That would be a big deciding factor for me. If you have some coverage I would say go for it.

    100% OOP for IVF..copays for IUI.

    Our RE has never actually performed our IUI.  We go to location closer to our house for IUI and used the same doc each time...

    our RE office is great for betas M-F since it opens earlier than location by house

     

    The key to life is to enjoy the journey IUI#1 & #3=BFN (2010) IUI #2=c/p (2010) IUI#4-BFP,but ruled ectopic(2011) IUI#5: Feb 2012 (clomid, bravelle & ovidrel)
  • I would say it depends on your situation (insurance coverage, dx, age, etc.).  We moved on to IVF after three IUI's.  Best of luck to you!
    TTK 9/06 / TTC 10/08 / Twins 12/11 / Life Blog
    5 REs + 3 surgical hysteroscopies for septum/lap + 3 failed IUIs
    IVF w/ICSI/AH & acu = BFP!, unexplained spontaneous m/c @ 8w2d (our little girl),
    FET w/acu = BFP!, B/G twins!, lost MP @19w, dx w/funneling cervix @20w,
    twins nearly lost to IC @21w, saved by rescue cerclage, 17P & 16w of bedrest
    Our twins born @36w4d via CS when A came foot first

    Thankful for every day

    Baby Birthday Ticker Ticker

  • We did 6 IUIs through our insurance, then moved onto IVF (OOP for this)...although the 1st attempt had to be converted to our 7th IUI. 

    Good luck with your decision!

    TTC #1 Since 11/08 - Dx: MFI & PCOS
    7 IUIs = All BFNs
    2011: March IVF #1.2 = e/p @ 6w: May IVF #2 = BFN: July sFET #1 = BFN

    2012: Jan We're Certified FC/A Parents
    May IVF #3 = c/p
    June-Nov Foster Mommy to M (Toddler)
    July FET #2 = BFN
    Aug FET #3 = BFN
    Sept-Nov Foster Mommy to Baby Bella (Newborn)
    Nov HSG/Sono = Clear!
    Dec FET #4 = BFN

    2013: Feb FET #5 = m/c @ 6.5w
    May-July Foster Mom to H (8 yr old girl)
    June/July/Aug IVF #4 = Freeze All
    July = Unofficially Adopting T (10 yr old boy)
    Sept FET #6 = TBD
    **PAIF/SAIF Welcome**
  • We did 4. I really only wanted to do 3 but Dr thought that we would have a really good chance on the fourth. Now I feel very ready for IVF since we know we have at least tried the low tech way.
    Pursing Domestic Infant Adoption through a local agency. In the meantime, our dog is our baby.  Bumping from Portland, Oregon. 
  • I am going to ignore my unmedicated/unmonitored IUIs in this, b/c I think they were a waste of time (for us personally).

    Initially, we were going to do 3 clomid IUIS, then move onto 3 injectible IUS, then IVF. We got a BFP after our 2nd clomid IUI but had a m/c. Our RE suggested we do 3 more Clomid IUIs since it worked, although he would be OK if we wanted to move to injectibles now. We have done 1 more clomid cycle that resulted in a BFN.

    We are completely OOP for all infertility related expenses.

    Mommies to 5 fur babies!
    TTC#1 since 2004
    LGBT
    4 cycles @ home with known donor - BFN
    RE un-medicated IUI cycles # 1-7= BFN
    NEW RE Clomid 50mg/ Ovidrel/ IUI #8 BFN
    Took long break
    Nov 2009 - Clomid 50mg/ Ovidrel/IUI #9 = BFP
    Beta 12/4 - 10...Beta #2 12/7- 28 Beta #3 12/9 - 80!
    1st sonogram 12/28 - slow hb and growth
    m/c 1/1/2010 Courtland 8w0d
    Nov 2010 cycle cancelled - polyp removal/hysteroscopy
    April 4 2011 - IUI #10 BFFN
    July 5, 2011 - #11 BFFN AMH .62 Boo
  • That totally depends on your diagnosis and your insurance/finances.

    With our MFI, IUI wasn't an option so zero IUIs before moving to IVF! 

    TTC with severe MFI since 9/08 IVF w/ ICSI #1 May/June 2010= BFP twins
    Callan George and Bennett Charles born and died 11/7/10
    Lilypie Angel and Memorial tickers
    FET #1 April 2011= BFN
    FET #2 July 2011= no transfer because my lining sucked
    FET #3 February 2012= BFP! 1st beta 9dp5dt=314 2nd beta 11dp5dt=977 1st U/S 3/20 Twins- Heart rates of 111 and 138 Pregnancy Ticker
    Living After Losing
  • I agree it depends on your Dx.

    We are going to do one or two more IUI's before moving on to IVF. All the IUI's are covered. IVF is not.

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  • I'm in a similar boat.  I have done 4 IUI's and I'm ready to move onto IVF.  I'm OOP for everything which is kind of holding me up.  My Dh thinks we should do 1 or 2 more but I think they are a waste of money with our diagnosis.  But, then I see people getting a BFP on their 5th or 6th IUI and I second guess my self.  But, as of now I'm done with IUI's and trying to figure out how to pay for IVF.  Good luck in yoru decision!! If I only had to pay co-pays for IUI's I would maybe try them again.
  • My RE suggests three of each kind of treatment. We did one clomid IUI (clomid was not my friend) and three injectable IUIs before we moved on. I. Glad we moved to IVF when we did because IVF let us see that my eggs were just awful. We could have done endless IUIs and never had success.
    Trying to grow our family with both fertility treatments and adoption since March 2009 
    IUIs#1-4 = BFN, IVF#1 = c/p, IVF#2 = OHSS, FET#1=BFP
    BabyFruit Ticker
    image
  • we did 3, we were going to do one more with injects but taking the stats into consideration we decided to move to IVF we are OOP as well, and considering we spent over $3000 on the 3 IUI's, the inject one would have been even more it made more sense to us to move on to IVF. good luck in your decision.

    TTCing since 2008 Unexplained 3 - IUI's all BFN's IVF#1 July, 2 grade A, 8 cell embies put back, 12 frosties. BFN FET #1 10/30, beta #1 on 11/11/11-352!!!BFP!! Beta #2-1152 image
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