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Picking between IUI and IVF with PCOS

Emilysan16Emilysan16 member
in Trouble TTC
After too many cycles to remember of pill combinations, we are going to the injectables. My RE said that she isn't trying to get me to do IVF, but with my PCOS and lots eggs that just don't do anything, she is concerned that I might have too many respond at once and have to cancel. I went in sure I was just doing the injects. But now, my husband and I are considering maybe IVF. Just wanted some opinions. Thanks!
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Re: Picking between IUI and IVF with PCOS

  • Emilysan16Emilysan16 member
    Yeah, we are all OOP. I was thinking of doing a cycle and seeing how I respond. My husband is convinced that we will have to eventually go to IVF, so he thinks going straight to that would save money. I am a little more hopeful about the IUI, though.
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  • runawaylaurelrunawaylaurel member
    I don't have PCOS but I have super stubborn ovaries and tons of follicles. After 2 cycles of trying to get them to respond well with "low and slow" injects I ended up with a few too many follicles all maturing at the same time, both times. And it took 25 and 20 days of injects, with appointments every other day. We semi-cancelled both cycles and went with TI instead of IUI. 

    I have REALLY great insurance coverage and we were offered IVF as a good option for us right off the bat by my RE. I wasn't emotionally ready but after 2 of these long, uncomfortable, and miserable injects cycles, I with I hadn't spent these months that basically feel wasted. 

    Long story short: yes, IVF. I know it's not an easy process, but neither is a horrendous IUI cycle. 
    *****************siggy/ticker warning*****************************


    -Me: anovulatory/ hypothalamic amenorrhea / H: all good
    -IUI  Medicated TI Cycle #1 (Dec): Menopur  + Ovidrel + TI  = BFN
    -Benched for work issues Jan/Feb
    -IUI 1.2: Menopur + Ovidrel = BFN
    -IVF #1- Menopur + Follistim = 12R / 7M / 4F -- first beta-260, second 520. EDD 2/22/15

    Welcome Dane 02/09!


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  • MissEm15MissEm15 member

    I don't have PCOS so I really don't have any advice. I just wanted to say good luck in whatever you decide!

    ****siggy warning****

    Me 29/ DH 28
    DH- MFI (low count, 2-3% morph)
    IUI #1 January - Clomid, Ovidrel: BFN
    IUI #2 February - Letrozole, Follistim, Ovidrel: BFP 1st beta-25, 2nd beta-56, 3rd beta-45, miscarriage
    IUI #3 April - CD3 U/S 4-10. Letrozole, Follistim, Ovidrel CD11 - Cancelled.. TI w/5 follicles-BFN
    IUI #3.1 May - CD3 U/S 5-6, Follistim start 5-11 thru 5-17, u/s 5-18 3 mature w/ a close 4th, IUI 5-20 - BFP!
                 Beta #1 12dpo - 164 & progesterone - 89!, Beta #2 16 dpo - 1189, 5w3d - u/s shows TWINS!
                 6/19- u/s showed heartbeats! Baby A 111 & Baby B 118, both measuring 6w1d
                 7/3- Baby A hb 170, Baby B hb 166 - both measuring perfect.
                 7/18 - Baby A 165, Baby B 171 - both measuring right on track & moving all around!

    image

    Pregnancy Ticker

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  • Emilysan16Emilysan16 member
    Thanks everyone! I really appreciate it.
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  • pmpknbridepmpknbride member
    I think doing one to see how you respond might not be a terrible idea, but I'd probably go straight to IVF. This inject cycle exhausted me and it's a lot to put yourself through for a 15% chance (that's what I was given). When I had my WTF appointment I got the sense my RE would have preferred to move straight to IVF since it wouldn't matter how many mature follicles I had after stimming and to reduce the risk of multiples. My sympathies for all of you who had to stimm for so long, I only did it for 10'days and I was just about to loose it by that last day!
    *** SIGGY WARNING ***

    Happily Married Since 10.2006  •  TTC since 07.2012
    HSG Good & SA mostly Normal  •  DX lean PCOS
    MAR - NOV 2013  •  5 Cycles Clomid + TI = 2 Late O's/BFN & 3 Big Fat FAILS
    DEC 2013 - FEB 2014  •  IUI #1-3  •  Femara 5mg + Trigger = 3 BFNs
    MAR 2014  •  IUI #4  •  Follistim + Trigger + Crinone = BFN
    APR 2014  •  Benched  •  BCPs to clear up Cysts

    MAY 2014  •  IUI #5  •  Follistim + Ganirelix + Trigger = BFP
    E.D.D. 2/18/2015
    6/11 +HPT • 6/13 BETA 447 • 6/16 BETA 1535
    6/23 U/S Adorable Little Bean • 6/30 U/S Beautiful Strong Heartbeat

    image

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  • WillCMyInkWillCMyInk member

    I have PCOS and wonderful insurance coverage when it comes to TI. DH and I have decided to try and exhaust the TI option before we give in and go to IVF (even though the doctor says IVF is the best option).

    My first cycle I over stimulated and it SUCKED. This cycle though, I did a combination of Femara & Injects (very low dose for 4 days only, my ovaries look like honey combs at the beginning of a cycle) and have been having a very pleasant experience this second cycle.

    At the end of the day the decision will come down to finances. Good luck with your decision!

    Jan15 December Siggy Challenge: Holiday Fails
    image
    image
    TTC Since 4/13 | Me: 28 DH: 29 | DX: PCOS + High T + Arcuate Uterus (11/13)
    Cycle #1+2 (4/13-6/13): Natural Cycles = BFN | Cycle #3+4 (6/13-11/13): Anovulatory (Provera)
    Cycle #5 (11/13-1/14): Femara + Clomid + Follistim = Cancelled | Cycle #6 (1/14-3/14): Benched
    Cycle #7 (3/14-4/14): Femara + Follistim + Estradiol + Pregnyl + Progesterone
    BFP: 4/22/14 | Due: 1/1/15 | TEAM BLUE!

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  • hope2bmom83hope2bmom83 member
    I have PCOS as well, i've done IUIs and I have not over responded... yet!  Can I get some wood to knock on?  One cycle I did get a cyst but that is it.  My insurance does cover ultrasounds but not the actual IUI procedure or IVF.  For me the IUI is only $547 so I definitely want to use up that option first because it is such a big price difference.  Good luck with whatever you decide.
    Ba hahahaha!


    image

    Me-30 DH-34
    2002- Diagnosed with PCOS at 18
    10/11-10/12 - tried to conceive naturally with Metformin, due to PCOS never had a cycle
    10/12-12/12 3 cycles of Clomid - fail
    6/13- 1st cycle on Clomid 50mg, Metformin, Follistim, and Ovidrel- BFN
    7/13 2nd cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel 1st IUI - BFN
    8/13 3rd cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel 2nd IUI - BFN
    9/13 4th cycle on Clomid 50 mg, Metformin, Follistim, and Ovidrel - Benched with Cysts
    From 12/13 to current I have ovulated 4 times naturally
    Currently on break to get healthy.... 35 pounds down, 13 to go!
    All Are Welcome!!

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