Secondary IF

RE's that do IVF vs those that don't

Do you think that RE's that do IVF are quicker to say you need IVF vs those that don't?

 I ask this because I went to a consult a couple of weeks ago at a new clinic (bigger clinic that does IVF) and he was quick to think that I probably won't get pregnant on my own.  But with my previous RE he didn't think it was out of the realm of possibility at all that I could still get pregnant on my own since I am unexplained.

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Re: RE's that do IVF vs those that don't

  • I am at a clinic that does both and I didn't feel that way.  The doctor reviewed our issues and discussed all of the options, which for us was IUI and IVF.  He also gave us percentages of success for both.  He said we could have time to think about it and let him know, although at that point we already knew we needed to do IVF.  What helped us the most is knowing that with IUI we had a less than 10% conception rate each time and our insurance doesn't cover either.  We didn't want to pay money for only a 10% chance.
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  • My doctor does meds + TI all the way throught IVF. She has never recommended that for us and hasn't pushed IUI either. Her philosophy is to take a minimalist approach. Why go through IVF if you don't need to.

    Now, I have heard of other clinics where the doctors won't treat you unless you do IUI and some are more focused on IVF. I think if you are uncomfortable, I would have him explain why IVF is best for you and then possibly get another opinion.

    Dx: PCOS and short luteal phase
    18 cycles (3 with our RE) - Metformin + Clomid + HCG booster did the trick!
    BFP #1 6/22/09 EDD: 3/2/10 DS born: 3/8/10

    TTC #2 since Dec 2011
    BFP #2 7/8/12 EDD: 3/18/12 M/C @ 9w1d: 8/16/12

  • I've often wondered this...but I know in my instance my RE never pushed IVF but did recommend it after our 2nd IUI failed...but we still did another IUI before IVF...think their goal is to get their patients pregnant so will recommend what has the best success rate. I would have kept doing IUIs because my insurance covered unlimited but I have really low AMH and with my age (38 now) that made me decide to go more aggressive and go on to IVF (and my insurance covers 4 over a lifetime)...so it made it an easier (but still not easy) decision to go for IVF...good luck!
  • I should clarify, they didn't push IVF - he is willing to do more IUI's but he was pretty clear that he didn't think I would get pregnant on my own without any treatments at this point.

    It was just a big contrast to what my other RE said (and I didn't leave because I didn't like him but he doesn't do treatment himself so I needed to move on).  Anyway the old RE said he thought it was still definitely possible for me to get pregnant without treatment.

    Makes perfect sense about the success rates though.

     Thanks!

    Lilypie Fourth Birthday tickers
  • My RE does IVF.

    When I first met w/my RE many many years ago (we were u/e) she said she didn't want to jump right to IVF.  That w/out trying some less invasive things first it would be like using a shot gun instead of a fly swatter to get rid of a bug.  She said, "you might kill the bug but you've put a lot of unnecessary holes in things" lol.  We did 4 IUIs before moving onto IVF and it was our choice - we were not pressured. 

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