TTC After a Loss 6 Months+

A question for those doing IUI or those planning on doing IUI

I have noticed that a lot of people do a certain amount of IUI's and then move on to IVF (it seems like the magic number is 3-5.) My RE has never once mentioned IVF to me as an option. In fact, I am under the impression that he intends to keep inseminating me endlessly until I finally get pregnant or give up so my question is: has your Dr. mentioned to you how many IUI's you will do, if there is a cap on how many you should do and if there will be a point where you move on to something else?
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Re: A question for those doing IUI or those planning on doing IUI

  • My RE said he usually does 3-4 IUI's with the injectables then moves on to IVF. He said that usually if it's not successful after the 4th one, it probably won't be. I've also seen this on https://www.allexperts.com/el/Infertility-Fertility/
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  • Mine was the same as Amy. 3 with clomid and then 3 with follistim. Then she said on to ivf.
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  • I have one planned for next month, but my RE also said that if it doesn't work after 3 or 4 times the likelihood that it will work goes way down and he would not recommend to keep trying that way.

    I do know that part of that reasoning (for us at least) is cost since nothing is covered for us.  He said there is no point in doing 4+ more IUIs when for the same price we could do IVF.  I know if I had IUIs covered though I might be willing to try longer there before moving on.

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  • ::lurking::

    When I first started the IUI process (before PG), my RE said that she recommended doing 3, and then if those all didn't work, considering IVF. However, there's going to be a few factors in play:

    -has it been proven that you can get PG if an egg is produced, if so, than you may have good luck with IUI

    -cost/insurance coverage (I have 6 IUIs through my insurance and DH has 6 through his, so we feel more comfortable "burning" through the IUIs before breaking the bank for IVF)

    -how well you respond

    -sperm counts (if these are low, IVF is a better choice)


    BFP #1 via IUI ~ L (Fatal Birth Defect) 4/7/10
    BFP #2 via IUI ~ m/c
    BFP #3 via cancelled IUI ~ C (2lb 3oz; HELLP) 5/16/11
    BFP #4 via the natural (free!) way ~ E (8lb 11oz) 9/13/12
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  • My RE was willing to do all we wanted but believed in only 2. This is only because of my age.
  • Great question and one that I think your RE should be talking to you about.

    My doctor stated he will only do 4 IUIs (if I want to do more I know he would).

    My doctor then refers his patients out to specialists for IVF.

    Hope this helped.

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  • My RE did 3 IUI's before we moved on to IVF.

    Jenn

    image 3 IUI's all BFN

    IVF#1 BFN IVF#2 BFP, loss at 19 weeks FET#1 BFN IVF#3 BFP, m/c FET#2 BFN

    Missing our twins Zachary and Madison, lost at 19 weeks on 11/13/09, edd 4/9/10

    BFP 7/17/10, m/c 7/25/10, edd 3/25/11

    Ectopic, lost left tube 4/20/11, edd 12/6/11

    my blog

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