Am I crazy to be asking this?

nrjf01 · June 2011

So, we are on the journey to TTC #2. First IUI I had 4 mature follicles and a sperm count of 130 million. I did get pregnant. It was an extreme beta hell. I ended up having what looked like an empty sac but my RE suggested getting the MTX shot because my betas were continuing to rise but not appropriately. My dosage of Bravelle that cycle was 225 iu.

Second IUI, same dosage. 4 months later. I had one mature follicle with the possibility of another one maybe maturing in time. I was very disappointed at my response. But our sperm count was 150 million! When I got pregnant with DD. I had four mature follicles. I had a feeling that this cycle would be a BFN because of my poor response and of course it was. I questioned the nurse about increasing my dosage next time to try to insure I would have a better response. On the phone she said they could but would not be able to get much higher than that. So it would be 300 iu of Bravelle.

When I went in for my day 3 three ultrasound. The nurse said Dr. N (one of the five REs of the practice, the one that I don't really know) Said no to increasing my dosage because I have gotten pregnant twice on my orginal dosage. I was kind of annoyed, but it turns out I had a couple of cycts anyway and would not be cycling. I left with instructions to call back with my next day one.

I have since given it alot of thought and called today asking to speak with the RE that knows me. I in no way want to have HOMs and want to ask him if the thinks it is not reasonable to increase my dosage and adjust it accordingly to how I respond. Going on my past it seems I need four mature to get a BFP. Maybe I am crazy. But we are not going to do IVF and I want to do all that I can in my power to try to make this work. So just in case it doesn't I have the peace of mind of knowing I did all that I could. I also want to ask if the IUI is really necessary with these crazy high sperm counts. So, what do you guys think? And if you read all of this, THANK YOU!!!

NiniJ55 · June 2011

When trying for #2 my RE wanted to lower my dosage since he felt like we dodged a bullet with DS - I had 4 mature follicles also. I spoke with him and requested that the dosage remain since I felt like it's what did the trick and I did not want to change anything. Turns out I was right. 3 mature follicles this time and ended up with twins - but baby B did not make it. Anyway - my point is - it does not hurt to speak with the RE that you are comfortable with and see what he says.

Also regarding your last question......Are your IUIs covered by insurance. Mine were - although we had really (really) high sperm count we decided to do the IUI anyway. I just felt like if I was going to be taking all those meds (gonal-f and ovidrel) I wanted to "go all out"-- sort of speak. We knew that IVF was not in the cards for us also.

I don't find IUIs uncomfortable or anything - unlike IVF it's not all that invasive so I had no reservations in regards to that also.

Good luck on #2!

nrjf01 · June 2011

No my insurance doesn't cover anything :-( Completely OOP. I always had the same thinking as you that IUI doesn't hurt and if I was going to go throught all the trouble that I would do the IUI as well. But since having DD I am a mostly a SAHM. So our income has become a bit tighter and the added cost of increasing my dosage is making me question just how necessary the IUI is. But honestly, I don't think I'll be able to cut it out. Because again if it doesn't work I'll always wonder maybe it was because I didn't do the IUI.

NiniJ55 · June 2011

Gotcha. You probably don't need the IUI though since sperm is not an issue for you. Maybe you can try the next cycle without (with increased meds for extra humph) and if that does not work out then go back to IUI? Again, good luck.

nrjf01 · June 2011

Thanks, NiniJ55, and congrats on your success!!!

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