Infertility

any type of information from people who have done fertilty injections before starting IUI

If anyone out there has had an IUI done and could give me some insight on how that process works that would be great. I was just denied going ahead with IVF (ugh insurance companies are obnoxious) So the stupid protocol is three iui's before we can get approval for IVF. Has anyone out there been able to get around going through all three IUI's before getting authorized for IVF? I'm so concerned that time is slipping away from us I'm 34 and I feel like them having delayed us moving straight to IVF we are wasting time with IUI. I was wondering has anyone out there had success with IUI??

                 

TTC since 2012 

Dx : DOR

IUI #1 (Follistim switched over to Menopur injections) - BFN

Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

  Clomid + Ovidrel protocol worked still a BFN as a result

Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

EDD 10/27/14

Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
March 2016 (ectopic pregnancy) :( 

 

 

 

Lilypie Premature Baby tickers

Re: any type of information from people who have done fertilty injections before starting IUI

  • You're not going to find success stories here. I would post on PAIF for that. However, IUI success stories seem to be pretty rare. The rate is only 15%. 

    Someone posted the other day about the insurance mandating IUIs first and how to get around that. I would search the past posts to see what was said (I didn't see the responses)  


    Me: 33 DH: 32 SA#1 low count (6mil) SA#2- now in IUI range!(30mil) Dx:MFI
    11/1- IUI#1,12/1- IUI#2, 1/2- IUI#3 all BFFN
    IVF#1. Long Lupron.ER 3/8 10R,4M,5F. ET 3/3-one 1AB, 2 frosties 5dp5dt-BFP!! Beta 3/25-794 Beta 3/27- 1794
    First u/s 4/8 saw hb. 4/22 missed mc 8w3d. d&c 4/26
    FET #1- bcp start 6/9. ET 7/12. 2 perfect blasts.5dpt-BFP!! 
    Beta 7/24 -1,239!! Beta 7/26- 2569 Beta 7/29- 7120.  U/S 8/7 hb 118! U/S 8/14 hb 143! U/S 8/20 hb 170. Graduated!! Stick baby stick! 


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  • This board has mostly people using ivf as their IF treatment. Obviously, iui did not work for me see my sig below. We welcome you here but I'm just not sure how helpful we'll be since we have moved past the iui stage. Btw my insurance paid for none of my treatments and I am 34. I have been doing this for 4 years. Wish I hadn't wasted time with iui's.
    Five IUI 's and two 3 day IVF transfers and two chemical pregnancies. Unknown to me at the time was that I was hypothyroid and had endometriosis. All that heartache and money and I would have never gotten pregnant. Time for new RE. New RE found the thyroid and endo. I had another 5 day transfer in April when all 7 embryos arrested on day four. Transferred three morali and didn't conceive. Thyroid function is excellent now. DH SCSA came back perfect. Now for IVF number four in June 2013. I had two perfectly expanded blasts put back and five frosties! I have never gotten this far! Now to wait for blood test on 6/26. My heart is In my throat! Please let this work, BFP with HPT 7 days and 8 days after transfer.
  • ***siggy warning*** 

     

    We had success on our 4th cycle of IUI (2nd with injectables). I too had to go through three IUI's with injectable medication before insurance would give us coverage for IVF. Honestly I know it's frustrating but going through the IUI's your RE can learn so much about how your body responds to medication. By the time you go through IVF (if you need to) the RE will have so much information about your body which is important as they can make changes to your protocol to have success.  If you have other medical reasons and the RE can prove that IUI will not be successful for you,there are ways to get around it. For me, I thought 3 try's of SOMETHING was better than 3 tries of nothing.  

    Many of the women here are completely OOP for all of their treatments so you have to remember we are very blessed to have some coverage. After being on the IF board and listening to people use up their life savings for these treatments and still not have a baby in their arms I was even more grateful. IMO, going through 3 IUI's to get to IVF was the least of my worries.  

    Good luck to you on your journey!!  

    Me: 29 DH: 32 Married: 10.25.07 Been dealing with amenorrheoa since I was young. (Literally go years w/o AF) Unexpected and very surprising BFP in Feb 2007. M/C April 2007. :( TTC since 2008 Metformin- Didn't help. :( Clomid 50mg/Provera cycle #1 7/2009 - BFN Clomid 50mg/Provera cycle #2- 8/2009- BFN Clomid 100mg/Provera cycle #3- 1/2010- BFN ...Took a break... 2012- Met with RE 09/12- Day 3 Labs- FSH 2.5, Estradiol 47, TSH 4.5 (Doc re-ordering Day 3 labs) DH sperm analysis- all good 11/12- Day 3 Labs- FSH 4.3, estradiol 38, TSH 2.51 Prescribed Synthroid 11/12- HSG all clear 1/13- IUI with Femara and trigger shot on 1/31- BFN 2/13-IUI #2- cancelled due to low response 3/13- planning IUI with injectables
  • Hey there - I know you have been posting here for a little while now, so I remember when you posted your disappointment about not being approved by insurance. I'm so sorry. For whatever reason (luck? the right diagnosis?) my insurance approved my DH and I straight to IVF. Now, IUI would never have worked for us, because we are doing PGD for a genetic disorder, but I think we were approved solely based on my DX of endometriosis and my hubby's DX of low morphology. I can't remember your diagnosis, but if you want to share some more in your siggy, maybe you have enough of a case to push back and request a trip straight to IVF? 

    I was going to cite AngieOO's success on here - but definitely go post on the PAIF board to see if others have had success. There ARE successes with IUI, so if your DX is the right one for that, it might be your ticket! Good luck. It's so hard dealing with insurance, because they put artificial hurdles in your way, but hopefully one of these things will get you there eventually. And with little cost overall... 

    | Married since 2008 | DH and I: Both 30 | Me: Endometriosis and Carrier of an X-Linked Dominant Genetic Disorder | DH: Low Morph | Planning IVF with PGD and PGS in 2013 | Freeze-All IVF #1: March 2013 ER 3/26. 29R, 12M, 11F. 4 5AA frozen blasts. Freeze-All IVF#2: May 2013 ER 5/15. 31R, 21M, 20F. 6 5AA frozen blasts. Our PGD probe was completed in late June (total of 20 weeks to develop). PGD and PGS Results came on 6/19: 3 healthy embryos (normal chromosomes and unaffected by my family's genetic disorder). FET #1: July 2013 Natural Cycle - Cancelled due to insufficient lining (only got to 7.5mm). FET #1.2: August 2013 - Medicated Cycle with Lupron & Estrogen Patches to build up lining. Single embryo transfer was 8/23. Beta #1: 240! Beta #2: 578! U/S on 9/19 at 6w4d: We saw the heart beating at 131bpm. Second U/S on 10/4 at 8w5d: We saw the heart beating at 178bpm. EDD 5/11/2014
    image
    PAIF/SAIF/Everyone Welcome! 


  • imageJennySC34:
    This board has mostly people using ivf as their IF treatment. Obviously, iui did not work for me see my sig below. We welcome you here but I'm just not sure how helpful we'll be since we have moved past the iui stage. Btw my insurance paid for none of my treatments and I am 34. I have been doing this for 4 years. Wish I hadn't wasted time with iui's.

    Ugh posted my message  on the wrong board.

                     

    TTC since 2012 

    Dx : DOR

    IUI #1 (Follistim switched over to Menopur injections) - BFN

    Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

      Clomid + Ovidrel protocol worked still a BFN as a result

    Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

    IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

    EDD 10/27/14

    Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
    March 2016 (ectopic pregnancy) :( 

     

     

     

    Lilypie Premature Baby tickers
  • imageRosyGlow:

    Hey there - I know you have been posting here for a little while now, so I remember when you posted your disappointment about not being approved by insurance. I'm so sorry. For whatever reason (luck? the right diagnosis?) my insurance approved my DH and I straight to IVF. Now, IUI would never have worked for us, because we are doing PGD for a genetic disorder, but I think we were approved solely based on my DX of endometriosis and my hubby's DX of low morphology. I can't remember your diagnosis, but if you want to share some more in your siggy, maybe you have enough of a case to push back and request a trip straight to IVF? 

    I was going to cite AngieOO's success on here - but definitely go post on the PAIF board to see if others have had success. There ARE successes with IUI, so if your DX is the right one for that, it might be your ticket! Good luck. It's so hard dealing with insurance, because they put artificial hurdles in your way, but hopefully one of these things will get you there eventually. And with little cost overall... 

    What does the PAIF board stand for?
                     

    TTC since 2012 

    Dx : DOR

    IUI #1 (Follistim switched over to Menopur injections) - BFN

    Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

      Clomid + Ovidrel protocol worked still a BFN as a result

    Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

    IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

    EDD 10/27/14

    Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
    March 2016 (ectopic pregnancy) :( 

     

     

     

    Lilypie Premature Baby tickers
  • Good question: Pregnant After Infertility! So there are lots of great success stories there. :) 
    | Married since 2008 | DH and I: Both 30 | Me: Endometriosis and Carrier of an X-Linked Dominant Genetic Disorder | DH: Low Morph | Planning IVF with PGD and PGS in 2013 | Freeze-All IVF #1: March 2013 ER 3/26. 29R, 12M, 11F. 4 5AA frozen blasts. Freeze-All IVF#2: May 2013 ER 5/15. 31R, 21M, 20F. 6 5AA frozen blasts. Our PGD probe was completed in late June (total of 20 weeks to develop). PGD and PGS Results came on 6/19: 3 healthy embryos (normal chromosomes and unaffected by my family's genetic disorder). FET #1: July 2013 Natural Cycle - Cancelled due to insufficient lining (only got to 7.5mm). FET #1.2: August 2013 - Medicated Cycle with Lupron & Estrogen Patches to build up lining. Single embryo transfer was 8/23. Beta #1: 240! Beta #2: 578! U/S on 9/19 at 6w4d: We saw the heart beating at 131bpm. Second U/S on 10/4 at 8w5d: We saw the heart beating at 178bpm. EDD 5/11/2014
    image
    PAIF/SAIF/Everyone Welcome! 


  • RoeniRoeni member
    I am not sure why, but my insurance also approved us to go straight to IVF. I never questioned it.
  • imageoO Angie Oo:

    ***siggy warning*** 

     

    We had success on our 4th cycle of IUI (2nd with injectables). I too had to go through three IUI's with injectable medication before insurance would give us coverage for IVF. Honestly I know it's frustrating but going through the IUI's your RE can learn so much about how your body responds to medication. By the time you go through IVF (if you need to) the RE will have so much information about your body which is important as they can make changes to your protocol to have success.  If you have other medical reasons and the RE can prove that IUI will not be successful for you,there are ways to get around it. For me, I thought 3 try's of SOMETHING was better than 3 tries of nothing.  

    Many of the women here are completely OOP for all of their treatments so you have to remember we are very blessed to have some coverage. After being on the IF board and listening to people use up their life savings for these treatments and still not have a baby in their arms I was even more grateful. IMO, going through 3 IUI's to get to IVF was the least of my worries.  

    Good luck to you on your journey!!  

    As someone who is OOP and who will use up our life savings to pay for IVF, thank you for being understanding! 

    OP, you're only 34. 3 IUIs will take you about 3-4 months to complete. From your siggy I can't see that you have DOR or anything that would warrant you absolutely needing to start IVF right this second. Have a little patience, it's worth it to have IVF covered, trust me. You can always go around insurance and just pay for it OOP I suppose Stick out tongue

    Like another poster said, IUIs are also a good way for your RE to see how your body reacts to certain medications before going through the financial/emotional aspect of IVF. 

    Good luck to you


  • Honey, if I can pregnant twice in my 40's, (once on IUI) time is not slipping away from you at 34. IUI's don't take long and as the previous posters have said, its a great way for the RE to see how your body responds to medications.  If everything looks normal on you and your husband's end, you are not going to get approval from Aetna to go straight to IVF.  
  • imagebelgirl:
    Honey, if I can pregnant twice in my 40's, once on IUI time is not slipping away from you at 34. IUI's don't take long and as the previous posters have said, its a great way for the RE to see how your body responds to medications. nbsp;If everything looks normal on you and your husband's end, you are not going to get approval from Aetna to go straight to IVF. nbsp;
    .


    I have an undectable Amh level.
                     

    TTC since 2012 

    Dx : DOR

    IUI #1 (Follistim switched over to Menopur injections) - BFN

    Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

      Clomid + Ovidrel protocol worked still a BFN as a result

    Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

    IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

    EDD 10/27/14

    Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
    March 2016 (ectopic pregnancy) :( 

     

     

     

    Lilypie Premature Baby tickers
  • imageiloveflipflops:
    imagebelgirl:
    Honey, if I can pregnant twice in my 40's, once on IUI time is not slipping away from you at 34. IUI's don't take long and as the previous posters have said, its a great way for the RE to see how your body responds to medications. nbsp;If everything looks normal on you and your husband's end, you are not going to get approval from Aetna to go straight to IVF. nbsp;
    .


    I have an undectable Amh level.Everything is fine on my husband's side.The Re wanted us to start with ivf.
                     

    TTC since 2012 

    Dx : DOR

    IUI #1 (Follistim switched over to Menopur injections) - BFN

    Attempted IUI #2 (Menopur injections only cycle) better response on the Menopur then the Follistim combination treatment cycle however my cycle was still canceled due to my eggs not maturing and follicles not growing enough on a high dose of Menopur (Re said I could try a cycle of comid + ovidrel  for an IUI) for my second IUI( praying this works for us)

      Clomid + Ovidrel protocol worked still a BFN as a result

    Attempted cycle  Clomid  + Ovidrel protocol for IUI # 3 (Unable to do this cycle due to a cyst)

    IUI # 3 Clomid+ Ovidrel protocol - BFP    Beta #1 752  Beta #2  1536    Beta #3 3797

    EDD 10/27/14

    Our sweet baby boy arrived on 9/2/14 TTC # 2 Conceived without help- June 2015 July 2015- Miscarriage ( blighted ovum)
    March 2016 (ectopic pregnancy) :( 

     

     

     

    Lilypie Premature Baby tickers
  • I know some of the insurance companies we compared required a certain number of IUIs first OR a diagnosis that's not favorable for IUI.  Maybe there is a clause like that on yours that your doctor can appeal?




    dx:  Unexplained IF
     TTC since May 2011, 1 year trying, and then 3 TI, 2 IUI = BFN
    IVF #1 (May 2013):  Antagonist Protocol: 
    24R, 18M, 15F w/ICSI; 5dt of 2 early blasts, no frosties = BFN
    IVF #2 (August 2013):  Lupron Stop Protocol: 
    28R, 23M, 15F w/ICSI; 5dt of 1 partially hatched blast, 7 frosties = BFP
    EDD 5/23/14, blighted ovum (6w6d), D&C (8w6d)
    FET #1 (April 2014):  transferred 2 5d blasts = BFP
    C.J. born 01/09/15


  • Contact your insurance company for a copy of your their infertility policy which will spell out their exact cut off values for when you can go straight to IVF etc.  Honestly if you do not meet the cut offs, I would not spend your energy on trying to get a waiver and be approved anyway as it will probably take longer than the three months it takes to do three IUIs and your chance of success with a waiver is slim to none.
    Married: 7/2/11 TTC: 12/2011
    Me: 31, PCOS DH: 37, low morph and low counts

    4 medicated TI, 1 IUI+Femara, 1 IUI+GonalF = BFNs
    IVF #1 Lupron/GonalF (Dec 2012)= 30R, 21M, 21F with ICSI, 18 HIP frosties!!!
    FET in August 2013 

    http://i45.tinypic.com/21pym9.jpg

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