Trouble TTC

Plan for IUI # 2 & Question for those with MFI

I just got off the phone with the nurse regarding what to do next now that AF is here. She told me my RE is out of town this week so the other RE reviewed my file. That RE wants me to do the same protocol as the first IUI. So that would mean another natural cycle IUI.  Its not that I'm itching to get on meds, and I did ovulate on my own, but I just thought that we'd probably up the protocol this time and not just do the same thing again. We had a 4million post wash for IUI#1 and I just feel like we have no chance if we just do the exact same thing again.

I asked the nurse just that and she said that they wouldn't start me on meds without a sit down appointment to discuss risks first, which I do understand. So the nurse said we can make an appointment for me to talk to her sometime this cycle and then if this next one doesn't work, then she may want to add in meds. I just wonder why we wouldn't have already talked about this before now. Seems like it would be hard to get in a sit down appointment after and BFN but before its time to start a medication.

To those of you that do O on your own, but are dealing with MFI, what has your IUI experience been so far?

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Married October 2009. Me 29 H 28.
After 1 year of infertility, our little miracle was conceived via our 3rd IUI on May 5, 2013.
Holland Sophia was born Jan 24, 2014.
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Re: Plan for IUI # 2 & Question for those with MFI

  • We are doing DIUI so a little different but RE started me on 50 mg Clomid on our first cycle along with HCG. He said even though I ovulate on my own, the Clomid assists with even better, stronger ovulation. We discussed the risks but it just seemed like b
    TTC since June 2011
    DX: DH (30) severe MFI, severely low count & low motility
    Me (32): all clear
    Appt with Urologist 5/21/12: exam, ultrasound, bloodwork all normal.
    Testicular Biopsy with TESE on 6/8/12. good sperm found! (left side only) froze sperm, failed thaw test :(
    Orientation for IVF/ICSI on 6/13/12. Waiting for the green light following biopsy results...results show adequate sperm production both sides.
    2nd SA 6/18/12: sample is "adequate for ICSI"
    Plan: IVF/ICSI July 2012!
    ER: 7/26/12. 15 eggs retrieved, all mature.
    TESE/TESA/aspiration from epididymis, no motile sperm found :(
    froze all eggs, the saga of praying for good sperm continues.
    8/3/12: 2nd opinion from MFI uro on biopsy slides. Suspects "partial late maturation arrest."
    Plan: more SAs, third biopsy/TESE with frozen back-up either from DH or DS.
    SA 8/17/12: Zero sperm
    SA 8/23/12: Zero sperm
    9/26/12: SPERM FOUND! 15 eggs thawed, 12 survived and were ICSI'd, only 3 fertilized normally. Refrozen as embies and will thaw in Nov. Please survive and grow!
    All 3 survived the thaw on 11/15/12!
    FET 11/17/12: transferred 2, one 4B, one 4C. Beta 11/30:BFFN
    moving on to DS
    DIUI#1 2/18/13,50mg Clomid cd 3-7, Ovidrel trigger, Beta 3/4/13: BFN.
    DIUI#2 3/19/13, 50 mg Clomid cd 3-7, Ovidrel trigger, Beta #1 (14dpiui) 4/2/13: BFP!!!! 150. Beta #2 4/4/13: 420 Beta #3 4/8/13: 2691. Beta #4 4/15/13: 15,086
    1st u/s 4/8/13 shows one gestational sac
    2nd u/s 4/15/13 shows yolk sac, fetal pole and early heartbeat
    3rd u/s 4/25/13: measuring right on track. Heart rate 148 bpm
    A/S 7/22/13: IT'S A BOY!!
    PAIF/SAIF Always Welcome
    [IMG]http://i49.tinypic.com/2qmon5u.jpg[/IMG] [IMG]http://i225.photobucket.com/albums/dd243/laurakat24/turkeybaster-1.jpg"[/IMG]Image and video hosting by TinyPic
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  • SAIF response.....

    I do O on my own and we also have low count. My DH has been on clomid to help raise his count. For our first we got pg on IUI 2, I was also on Clomid to get a stronger ovulation.

    I am thinking about asking to
    Diagnosed MFI- low sperm count  
    DS-Born 7/27/11 After 2 years of IF we have our little man
    TTC#2 January 2013
    11 Medicated cycles gave us
    B/G Twins born 10/8/14 @ 32 weeks
  • I know you say dealing with MFI only, and we're dealing with LPD on top of itsomy opinion may be moot ---but I was told to move ahead with medicated cycles even though I clearly ovulate on my own because it could strengthen my ovulation (LPD related),


    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

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  • imagekatib77:

    I know you say dealing with MFI only, and we're dealing with LPD on top of itsomy opinion may be moot ---but I was to

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    Image and video hosting by TinyPic
    Married October 2009. Me 29 H 28.
    After 1 year of infertility, our little miracle was conceived via our 3rd IUI on May 5, 2013.
    Holland Sophia was born Jan 24, 2014.
    Baby Birthday Ticker Ticker
  • I have not heard that, but then again my husband has never been on clomid either.  If there is any concern, I would just stop the FBFM while he's trying clomid.  It's sad that the Uro office makes you feel like they don't have their act together

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

    image



  • imagekatib77:
    I have not heard that, but then again my husband has never been on clomid either.  If there is any concern, I wo
             *********************************************************************************
                      

    Image and video hosting by TinyPic
    Married October 2009. Me 29 H 28.
    After 1 year of infertility, our little miracle was conceived via our 3rd IUI on May 5, 2013.
    Holland Sophia was born Jan 24, 2014.
    Baby Birthday Ticker Ticker
  • That sucks that you haven't gotten to talk to the actual Uro since November.  I would push for an answer.  And see if on their website or ask if you could have the doctor's email address so you could address your concerns straight to the source.

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
    Child Free Now?
    S/PAIFW , S/PALW

    My Blog

    image



  • Sorry you aren't able to do meds this cycle, but hopefully you won't need them and this is a successful cycle!  FX for you my friend!
    TTC #1 since Sept 2011
    Me: 33, DH: 35, DX: PCOS & MFI (low everything)
    IUI #1-3 - Low Post-Wash Counts - All BFNs
    IVF #1 w/ ICSI: Long Lupron Protocol - Freeze-All Cycle due to Severe OHSS
    ER 4/27, 33 Eggs Retrieved, 13 Frosties
    FET #1 6/5, Transferred One Perfect 4AA Blast, HPT BFP @ 6dp5dt
    Beta #1 - 209, Beta #2 - 508, Beta #3 - 1,059
    EDD 2/20/14
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