Trouble TTC

should I do IUI?

Hi ladies, I am a drop in from the infertility board. I have never tried IUI. Because of my low AMH numbers I tried IVF last month and it failed. Now I am waiting to do another fresh IVF cycle in July. But today I took the ovulation test (FirstResponse) and it showed that I will be ovulating in a couple of days. I called my doctor. She said that we can try IUI (without medication or injection just simple washing of the sperm and inseminating). I just do not know whether IUI makes a difference or whether I should try to get pregnant naturally and save the money for IVF. The thing is DH's sperms are in great condition. Our infertility problem is related to my low egg reserves. I have read before that IUI is good for those with low sperm counts or mortility rates. Is there any other advantage to IUI that I am not aware of? 

---- Siggy warning ------

Me 34 y/o  DH 35 y/o

IVF#1 (ICSI)-- April 2014-- MDL with BCP, 5R, 4 ICSID, 3dt with three embryos, 1 six-day freeze (2BA grade)-- BFN

IVF#2.1 (ICSI)-- August 2014: MDL without BCP-- cancelled

Natural IUI on 11/8 -- BFN

IVF#2.2 (ICSI)--Nov/Dec 2014: MDL without BCP, 5R, 1 ICSID, frozen on day 6 (grade 2BB)

FET #1: transferred two 5 (or 6?)day embryos on January 27. Beta #1 (2/4): 158, Beta #2 (2/6): 391 Beta #3(2/9): 1187 BFP! 

First u/s at 5w1d showed one gestational sac and yolk sac. Second u/s at 6w showed heartbeat at 102. Third u/s at 7w heart rate 145. EDD 10/15/2015


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Re: should I do IUI?

  • wcasarwcasar member
    How much is it? If its not expensive or covered I say go for it. Whats the harm in trying. Sorry to hear IVF didn't work for you. :(
    Daisypath Anniversary tickers
    Married: 09-08-2012 

    Me: 34 | DH: 38
    TTC Since September 2012 
    DX: DH - Low Counts 

    Clomid, 5 IUIs, 2 rounds of IVF and several FETs
    Baby Girl is estimated to arrive around February 27, 2016! 

    Pregnancy Ticker
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  • Pintobean39Pintobean39 member
    edited May 2014
    I've never done an IUI and it's never been recommended by my RE because we don't have MFI and my problem is just egg quality. Actually my RE said I'd be wasting money because it would not give me any better % of success.

    My RE wanted me to just trigger and do TI on a non medicated cycle just to get timing better. Do you think maybe you could do that if you don't want to do an IUI? A trigger shot isn't that expensive.


    ETA: sorry the last cycle didn't work and Good luck!
    Fucking bump!!!!
  • BFP Mentioned

    My IF is cause of my PCOS and inability to ovulate without medication.  DH is in great shape with his sperm.  We did 3 yrs of natural and 4 cycles of medication + TI with no luck.  2 cycles of IUI a I got my BFP.   More than half of the sperm get stuck or die in the cervix so by doing IUI it allows more healthy sperm to reach the uterus giving you a better chance of success.  If it's covered then I say go for it.  If not, see how much it cost with your RE and decide if it's an option for you. 
    Siggie Warning, BFP/Loss mentioned



    Me 31
        DH 35
    Married since 4/16/11
    NTNP since 2008
    Actively TTC # 1 since 4/16/2011

    Sept 2012- Change Gyn after 3 yrs with no Diagnosis
    Oct 2012- Dx PCOS

    April 2013- 50mg Clomid.....BFN
    May 2013- Referred to RE
    Sept 2013- Clomid 50mg (no response), 100mg (2 mature follies), Trigger, TI.....BFN
    Oct 2013- Clomid 100mg, 2 Mature follies, Trigger, TI....BFN

    Nov 2013- Break to discuss IUI and other options
    Dec 2013- Clomid 100mg, Brevelle 75iu (CD 9,11,13-15) 112iu (CD 16-21) 150iu (CD 22-24)
    2 Follies vanished, Cycle scratched
    Jan 2014- Provera, awaiting AF
    Feb-Mar 2014- Gonal F 150iu (CD 3-9) 187.5iu (CD 10-12) 225iu (CD 13-22), 3 Follies, Trigger, IUI....BFN
    April 2014-Gonal F 225iu (CD 3-17), 1 Follie Trigger, IUI....BFP!!  Ectopic :*(
    Break after Ectopic May-Aug 2013

    Sept 2014- Fermera (CD 3-7), Pregnitude, 1 Follie, Trigger, IUI...BFN
    Oct 2014-
    Fermera (CD 3-7), Pregnitude, 2 Follies, Trigger, IUI...BFP!!!
                 Beta #1: 144   Beta #2: 365    Beta #3: 1278     Miscarriage @ 6wks

  • I think it might be worth it. The biggest expense of an IUI cycle for me is the monitoring. The IUI is only $350. Even if you don't have MFI, you are bypassing the cervical mucus, so it would give you a bit of an edge. If it is going to be much more than $500 for whatever reason, then I would just save for another round of IVF. I'm sorry you even have to deal with this. Good luck with whatever you decide!
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
    image


  • dh2613dh2613 member
    BFP Mentioned

    My IF is cause of my PCOS and inability to ovulate without medication.  DH is in great shape with his sperm.  We did 3 yrs of natural and 4 cycles of medication + TI with no luck.  2 cycles of IUI a I got my BFP.   More than half of the sperm get stuck or die in the cervix so by doing IUI it allows more healthy sperm to reach the uterus giving you a better chance of success.  If it's covered then I say go for it.  If not, see how much it cost with your RE and decide if it's an option for you. 
    I would agree, I also have PCOS caused IF and have been unable to ovulate on my own. We did Clomid for 4 months, then for some reason they tried natural cycles for 4 more months. We took a short break after that to switch insurances to my husbands, but when we started back up again we did 1 cycle of IUI with the trigger shot (can't remember the name of the injection) and got our BFP. They do say that it is very unlikely for that to happen the first cycle, so I would not be discouraged if it does not work the first time. Our doctor said we should try at least 3. At the end of the treatment it did not turn out to be very costly.  Good luck, and I hope everything works out well for you!!
  • DharmaChickDharmaChick member
    edited May 2014
    Agreed.  Unless it is particularly expensive, the IUI would help avoid any CM or cervix issues and get those swimmers to where they need to be, so it may be worthwhile.  If it is costly, though, I don't think that you are at a disadvantage doing TI instead.  Good luck!
    ________
    ME: 34, Atypical PCOS (lean, no O without meds) + unexplained; DH: 33, mildly low motility
    09/2012: Start TTC after stopping NuvaRing.  No cycles seemed to occur.
    01/2013 - 05/2013: Tried Provera to "jumpstart" cycles. No luck.
    12/2013-
    01/2014: Clomid 50mg - no big follies, stepped to 100mg; One mature follie, Ovidrel (HCG trigger), IUI #1 completed - BFN
    02/2014: Clomid 100mg;
    One mature follie, Ovidrel trigger, IUI #2 completed, Crinone - BFN
    03/2014: Clomid 100mg -
    no big follies on 1st round, 2nd round prescribed; One mature follie, Ovidrel, IUI #3 completed, Crinone - BFN
    04/2014-05/2014: Letrozole 5mg + Ovidrel HG to prep for IUI #4 switched to TI, Crinone - BFN
    05/2014-06/2014: Letrozole 5mg; one mature follie,
    Ovidrel, IUI #4.1 completed, Crinone - BFN
    07/2014-08/2014: Letrozole 5mg; one mature follie,
    Ovidrel, IUI #5 completed, Crinone - BFN
    09/2014-10/2014: IVF Prep - Insurance requires IUI #6;
    Letrozole 5mg - no big follies 1st round, 2nd round prescribed; IUI #6, Crinone - BFN
    11/2014: "Break" - Letrozole 5mg to cycle before prepping for IVF - successfully O'ed, but BFN
    12/2014: Extending 'break' one more Letrozole-only TI cycle for mental health break - BFN
    01/2015-
    02/2015: Prep for IVF - BCP then Gonal-F, Ganirelex, Novarel trigger;  ER scheduled 2/11!
    http://www.fertilityfriend.com/home/4cf919
    PAIF/SAIF Welcome.
    December 3T Siggy Challenge: Favorite Holiday Movie
    image
  • I agree, go for it if it is not too expensive for you.  Delivering the sperm right to the front lines has to have some appreciable advantage notwithstanding your dx. Good luck!!

    ME:      36, on BC since 1996,  irregular periods.   HUBS:      37, healthy

    2001—meet.  2005—marry.  2006—Furbaby is born. 

    On BC till end of 2009.  2010 NTNP.   

    New Year’s Eve 2010—BFP?! January 13, 2011—early loss, HCG peaked at 324, no D&C needed.

    +++++

    Feb 2011-Nov 2012—NTNP 

    Dec 2012 --present (TTC 20 months) Not even a hint of a BFP

    Me:  BW, U/S, HSG, HSN normal.  AMH 2.33.  Hubs: SA normal 

    +++++

    April 2014--IUI #1 Clomid 100 4-8 Follistim 150 9-14, 5 mature follies at trigger, Peak E2 5/5 1100, BFN 

    May 2014 ---IUI#2 Clomid 100 3-7 Follistim 150 8-13, 3 mature follies at trigger, Peak E2 6/6 547, BFN

    June 2014--IUI#3 Follistim 150/225 3-15, 3-5 mature follies at trigger, Peak E2 7/11 1450, BFN

    July 2014--IUI#4 Follistim 225 2-12, 3 mature follies at trigger, Peak E2 8/12 841, BFN

    Breaking till after Christmas, then IVF...taking 4000 mgs daily Inositol and Melatonin 3mg


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