Infertility

Clomid with or without IUI

  My husband and I have been trying for 14 months, with one BFP followed by miscarriage after 6 months of trying.  After RE work-up the doc thought I had a hydorsalpinx, so I went in for salppingectomy... come to find out I didnt have a hydrosalpinx, just a diverticulum in my tube.   So he cleaned up some endometriosis.

If I had a salpingectomy than the RE was recommending IVF, however, now that I still have my tubes he is recommending IUI and Clomid.

 I am pretty sure I ovulate every month ( at least that is what the OPK says).  I am terrified about the idea of multiples.

 Does anyone know how IUI makes clomid more effective? 

Re: Clomid with or without IUI

  • The decision ultimately depends on what your comfortable with.  We did 2 rounds of clomid with TI, but that was bc DH refused to pursue "more invasive" treatments at that time (we had 2 losses that were both before meds or IUI).

    Good luck with your decision. 

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    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
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  • We personally went straight to Clomid + IUI. 

    IUI can help overcome hostile CM or minor MFI, because the semen is placed directly into the uterus, bypassing the cervix completely.  Clomid can also make your CM less than ideal.  IUI also helps get more swimmers into the uterus.

    We have some issues with possibly hostile CM.  My RE has did several post coital tests and they have all come back bad.  For us it just seemed right to go straight to IUIs, but really it's a personal choice.

    As far as being afraid of multiples, clomid really doesn't increase your risk that much.  Also you should be monitored, so if you were to have more follies than you are comfortable with you (or your RE) can decide to cancel your cycle.  GL.

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    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • Since we are OOP I am going with clomid and Iui to save money! Plus I think like the others said it helps the swimmers reach eggs!
    TTC for baby #1 since March 2012 DH SA- ZERO Jan 2013, Low T, started clomid. Up and down swimmies since. Me- Ovulation dysfunction, low progesterone, hormone levels all off http://babydreamsinnj.blogspot.com
  • By doing iui you saved money? I am nervous about all these pending costs.
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