What would you do?

blsav23 · January 2015

I'm prepping myself for failed IUI #4. While I go for my beta on Tuesday and I know "it's not over until AF shows", I'm plotting my next step. I feel AF is imminent and of course, am devastated. I responded great, had a 7 day progesterone of 52.8 & my husband doesn't have any issues. I have no effing clue why IUI isn't working!
Anyhow-my question is this: would you stick it out for another IUI or two, knowing ovulation is happening, sperm are swimming & lining is great? Or would you consider just moving on to IVF? I know there are 100 differ t variables-finances, job situation, etc. We aren't overly prepared to drop that much $ on IVF but would do it if needed.
As always--thanks ladies. This road is rough and unfriendly but it is nice to have people to talk to who truly understand.

LoveActually55 · January 2015

It ain't over till it's over! We said we would try IUI 2 times then move onto IVF. If this cycles fails I'd go for IVF consult but that's just my 2 cents

LindseyM2012 · January 2015

I'm so sorry you're not feeling optimistic

I really hope you don't have to make this decision come Tuesday.

There is a lot to consider when changing your treatment plan. Have you ever had a WTF consult with your RE? Has the RE given any feedback as to why something might not be working? It might be worth having a face-to-face WTF appointment to see if there are more tests they could run or reasons they can identify. In that consult you could also get the medical opinion of IUI vs. IVF.

I haven't had to make these sorts of decisions so I don't have personal experience to offer about deciding.

emmuffy · January 2015

It depends on how you feel about IVF and what your insurance coverage is like. You've given it a reasonable shot with the IUIs. If you're open to IVF, it might be time to move on, given the higher success rates. GL!

SND1231 · January 2015

I think it is definitely a person decision. You have to think about insurance coverage, money, jobs, what you and DH think, etc. I would schedule a time to talk to your RE and see where he stands. Good luck!

MustangChic · January 2015

Exactly what @SND1231‌ said. Good luck!

blsav23 · January 2015

Thanks everyone for your support! My insurance covers nada as far as fertility treatments go. It's frustrating but I also understand. I think it's time for a WTF appt with my RE & attempt to get some sort of understanding as to why the IUIs aren't working. I am 31 & my husband is 41 so while we aren't medically on a time crunch per se, my husband doesn't really want to be 70 when the child leaves the house

It's a frustrating situation with no clear direction in which to choose.
Again, I really appreciate everyone taking the time to respond.

rosalynd06 · January 2015

I know how you feel when it comes to feeling disappoint I've been ttc 1.5 yrs. never give up!! I say one more then go for a consult. Hey if your Progestrone was good give it one more go sister!! You got this. It's going to happen. Everyone is different but hang in there. Prayers & light

deelopi9 · January 2015

Hugs... I had the same frustrations. Have you thought about getting a 2nd opinion with another RE? What about trying the next IUI w/injectibles? Don't give up

GoBucksOH · January 2015

Hi @blsav23!! <<waves>>

I am sure you are totally overwhelmed with decisions to make right now, so I only want to offer you what we did and what our thought process was in hopes that it might help you out.

We are not spring chickens.... I am 34 and DH is 43.... so we are definitely feeling that ticking clock. Going into this IF thing, we sort of knew right away (and especially after hearing the success rates on IVF vs IUI) that we were not going to wait long before jumping to IVF. Soooo we tried 2 cycles of IUI both of which failed. I am glad we tried, b/c I wanted to be totally sure that we had tried every option before moving on. Plus, the Dr had a chance to see how I reacted to those meds in preparation for IVF.

After the BFN of IUI #2, we of course had the option to try again. However, since we are 100% OOP, we decided to use the $$ that we would have put towards another failed IUI right into our first IVF with ICSI. Now that we are about halfway through this IVF cycle, we are so glad that we chose this path.

I wish you the best of luck and hope that everything turns out great for you!

tiffmich08 · January 2015

Hugs to you and this difficult decision you have to make. I am on IUI #3 and have already scheduled an appt with my RE to have our "WTF" is going on discussion. (But, hoping deep down that this won't be necessary) I haven't even thought about going the IVF route, mainly b/c of financial reasons and hoping that the IUI route works. If I were you, I'd try the WTF consult and go from there! GOOD LUCK!!!!

AndyMSchneider · January 2015

Pretty sure our IUI #1 failed this morning. We're planning on trying 3-4 before moving on. The money is the huge issue for us.

drhooch · January 2015

Sorry to hear that, @notadadyet.

AndyMSchneider · January 2015

I apologize - didn't meant to make that a woe is me thing. TO the OP - the the answer to your question is what you can afford, your ages, the advice of your Dr., your anxiety levels, your tolerance to meds, etc

Best of luck

theholmanherd · January 2015

If it were me, and I didn't have the money for IVF yet, I would (depending on our budget) either keep going with IUI until we had money for IVF, or self-bench/TI until we had the money for IVF. The big factor for me would be whether or not continuing to do IUIs would take away from our IVF savings. Good luck.

blsav23 · January 2015

notadadyet said:
I apologize - didn't meant to make that a woe is me thing. TO the OP - the the answer to your question is what you can afford, your ages, the advice of your Dr., your anxiety levels, your tolerance to meds, etc

Best of luck

Oh gosh--I'm sorry to hear you don't think IUI #1 worked. It's such a bummer! I think trying 4-5 IUIs is reasonable. We aren't really wanting to drop the $ on IVF either--not that we don't want a baby that badly but I have school loans still. We just don't want to dig further in debt.
And absolutely no worries...you didn't make it a "woe is me thing". I'm so sorry you are going through this too.

blsav23 · January 2015

theholmanherd said:
If it were me, and I didn't have the money for IVF yet, I would (depending on our budget) either keep going with IUI until we had money for IVF, or self-bench/TI until we had the money for IVF. The big factor for me would be whether or not continuing to do IUIs would take away from our IVF savings. Good luck.

That's a good point. We can go to our local Air Force base & essentially do IUIs for free but switched to an off base RE for this past round. While it was not free, I started to see some protocols he did that they didn't do on base & it makes me wonder if the base RE missed things. I don't want to go back to the base, wondering if I'm just "another number" & am rushed through a cycle. For example, she would trigger me at 16-18mm follicles and my new RE wouldn't trigger until the lead was well above 20mm. Also-no 7 day progesterone on base which I found strange. Ugh--it's all so stressful!

blsav23 · January 2015

tiffmich08 said:
Hugs to you and this difficult decision you have to make. I am on IUI #3 and have already scheduled an appt with my RE to have our "WTF" is going on discussion. (But, hoping deep down that this won't be necessary) I haven't even thought about going the IVF route, mainly b/c of financial reasons and hoping that the IUI route works. If I were you, I'd try the WTF consult and go from there! GOOD LUCK!!!!

Thanks so much! I think I'm going to be asking a lot of questions at my baseline scan on Friday. I'm not sure how many BFNs I can handle, to be honest.

dukegirlsc · January 2015

blsav23 if I were your age and in your shoes I would go for IUI 2 more times then move to IVF. Everything looks like it has the potential to line up for you, might as well try the most non invasive way a couple of more times. I am sorry for the BFN, I know how badly they suck!

blsav23 · January 2015

dukegirlsc said:

blsav23 if I were your age and in your shoes I would go for IUI 2 more times then move to IVF. Everything looks like it has the potential to line up for you, might as well try the most non invasive way a couple of more times. I am sorry for the BFN, I know how badly they suck!

Thanks so much for your response & support. I am leaning toward giving IUI a couple more shots. I am wondering if I should consider trying injectables? Although, I had 3 follicles (17mm, 21mm & 27mm) at time of trigger, using stair step femara. I"m not sure using injectables would have that much benefit for me. Any thoughts on that?

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