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IUI with Injectables...too aggressive??

susan1017susan1017 member
in Infertility

I was trying for a natural cycle IUI this month with my RE but I an having a very long cycle and ovulation on my bad ovary (tons of scarring from removing a huge ovarian tumor which is why I am only working with one ovary) this month so we canceled.  I was disappointed that I would have to wait another cycle but then my RE said that he wanted to move onto  a 'super-ovulation' protocol for next cycle. I was speechless.  I am supposed to start the Lupron next week.

I just feel this is a little aggressive. I would like to have a chance to have a natural  IUI and if it means waiting a month or so I am fine with it. I think he is being aggressive because of my age (38.5) and physical problems but with regular cycles and low FSH, I think i have a few months to spare.  I trust his judgement as a DR but I feel this is jumping in the deep end pretty quickly.

I am completely overwhelmed with going straight to injectables. I am also not sure what my insurance will cover so the cost is also daunting.  We just dont have tons of cash to throw at this right now.

Yes, I have to have this conversation with my DR but I am not sure what I am going to say at this point. I have some research to do (I don't even know all the drugs he is prescribing at this point) including cost, time, side-effects and why he is going this route. Sorry for rambling I am just trying to figure this all out.  If you have are familiar with IUI, can you give a girl some advise?

TIA

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Re: IUI with Injectables...too aggressive??

  • qtpa2tqtpa2t member
    Well, we moved almost immediately to IUI with injectibles after it was determined that I didn't respond to one cycle each of 50mg and 100 mg clomid. ?I am also 38, and honestly, since we don't have a long window, we don't want to wait, so we were fine with it. ?It doesn't feel aggressive to me. ?IVF would have felt aggressive to me, but then again, I think everyone is different.
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  • Goldengirl16Goldengirl16 member

    We did IUI with clomid, trigger shot and progesterone supplements.  Our next step would have been injectibles since it would have been our 5th IUI.  Maybe your doctor just felt you weren't responding well to the previous protocol. 

    If you feel things are going too fast and too aggressively for you right now, just say so.  That's the only way your doctor is going to understand how you're feeling.  What I learned from this whole procedure is that you have to be an advocate for yourself since noone else is going to do it for you.  I went the other way, I wanted to be more aggressive, but it's a personal preference.

    Good luck!

    Baby Birthday Ticker Ticker IUI #1~BFP!!! Beta #1~13dpo 100 Beta #2~15dpo 216 BabyFruit Ticker
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  • justsayjojustsayjo
    We did one natural cycle, but I wish that we didn't waste our time with it. I was 36 at the time. But that's in hindsight, we needed to get used to the idea of it all too. You do have to do what's comfortable for you, though I'm sure your RE is factoring in age and time. It's not aggressive treatment at this point.
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  • mrsparker2007mrsparker2007
    If it feels too aggressive to you then you should maybe re-think what you're going to do. However, in saying that, you may also sit down with your husband and decide how far you are willing to go. Once you have made a commitment of sorts to IF treatment, you need to be on the same page as far as what treatment is acceptable and when too much is too much. In my case, I'm in my early 20s and if TI or IUI w/ Metformin, Clomid, and Trigger don't work after 3, we'll be straight on to injectables and that is ok with us.?
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  • susan1017susan1017 member

    Thanks ladies! I know there are lots of factors to consider and I just found this out yesterday. So I am feeling really overwhelmed.

    I guess it is not too aggressive but it feels fast since I just found out yesterday he wants to do this. We have been trying for 2+ years and I guess I am used to the waiting game.  Before it was a wait and see what happens and now I have to switch gears and MAKE it happen. I am getting more used to the idea by the minute and I think if we can afford to do it we are going to go for it.

    I am off to call the DR's office and figure some of this out.  Thanks for the great advise!

    :-)

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  • krissyh21krissyh21 member

    I do not want to scare you, but I do want you to go into this knowing exactly what you may be facing. I am 37, and when we did testing I had ZERO signs of diminished ovarian reserve, my FSH was great for my age. It wan't until I did Injectables that is was discovered based on my response to that.

    I know it is really a scary thing, I never ever imagined going straight to injectable IUI, if anything I expected clomid like so many other people and thought what you are pretty much thinking now. But I went to my doctor and I had to trust that she had some knowledge of what to do.

    So now after 3 failed injectable cycles where I did not produce more then 2 eggs, and 3 IVFs where we needed to do a max dose  of meds to get a grand total of 14 eggs for ALL 3 cycles, I am so glad I did not waste more months on something that would not have worked.

    If you have any questions feel free to page me. I do know what you are going through. 

    A lot of years and a million tears finally led me to you.
    After 7 years trying to concieve, 3 failed IUIs and 2 failed IVFs, my third IVF was a success!
    My Christmas baby turned into a turkey bird! Dillon Richard was born at 34 weeks, 5 days on November 28, 2009 after 10 weeks on bedrest for preeclampsia.
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