Trouble TTC

back to back IUIs - worth it?

has anyone here done back to back IUIs? I've been reading about them and some people say there isn't any real evidence that there is a higher success... others say there is....... i assume back to back IUIs would just double the cost right? there generally isn't a discount? lol that might be  silly question but if its going to cost me twice as much i would want to see a lot of evidence that it increases my chance of conception... has anyone here done it?
Me: 36 years old   DH: 42 years old
Married: 05.2012  
TW:
TTC #1 Since April 2016
HSG/FSH/AMH/E2/SA all normal DX: unexplained IF

spontaneous BFP 01/01/2017-  Alexander was born sleeping 04/13/2017 at 19w1d  ic/chorio
September 2017 HSG #2 & Gonal-F/Femara/Ovidrel/IUI #1 = ep (Salpingectomy of left fallopian tube)
spontaneous BFP 01/02/2018  EDD Aug 30th  It's a GIRL!
Cerclage placed on 03/02BabyFruit Ticker  Cerclage removal 08/02

Re: back to back IUIs - worth it?

  • I've been wondering this myself. After a lot of reading it seems that it might be worth it if you're paying for the meds out of pocket, have sperm with low numbers, or not using a trigger shot. My RE says the trigger shot allows them to maximize timing so 1 IUI is enough with good counts. But if I was paying $4000 a cycle for meds, I'd throw on an extra $500 for another IUI each cycle even if it was only a small increase in success.

  • Without a trigger shot I could see this having added benefit…  I doubt there is a discount hahaha

    Married since 2011

    TTC since Oct 2014
    DOR + MFI
    3 failed IUIs; IVF August 2017
    FET January 2018 - BFP
  • Loading the player...
  • Thanks guys! That's kind of what i was leaning towards- I don't think there is a lot of added benefit for back to back IUIs when using a trigger shot so I rather request the trigger shot be used.... 
    Me: 36 years old   DH: 42 years old
    Married: 05.2012  
    TW:
    TTC #1 Since April 2016
    HSG/FSH/AMH/E2/SA all normal DX: unexplained IF

    spontaneous BFP 01/01/2017-  Alexander was born sleeping 04/13/2017 at 19w1d  ic/chorio
    September 2017 HSG #2 & Gonal-F/Femara/Ovidrel/IUI #1 = ep (Salpingectomy of left fallopian tube)
    spontaneous BFP 01/02/2018  EDD Aug 30th  It's a GIRL!
    Cerclage placed on 03/02BabyFruit Ticker  Cerclage removal 08/02
  • My RE doesn't do back to backs because of the 'no evidence' piece.  And yes it would add cost.  My RE does use trigger shots though so we get the timing right.

    I know I might sound pessimistic when I say this but IUI is such a crap shoot anyway.  With such awful odds to begin with, I see no point in paying extra money to do them back to back.  And if I was out of pocket, I wouldn't waste my money on IUIs period.
    ***BFP & Child Warning***

    Me: 34, DH: 38 ~ TTC since 2014
    IUI #1-3 (Nov 2015, Feb 2016, May 2016) = BFNs
    IVF ER (July 2016) = 7 PGS normal embryos
    FET #1 (Sept 2016) = BFP! DD born 5/30/17
    FET #2 (April 2019) = BFN
    FET #3 (July 2019) = BFP! DS born 3/27/20
  • I will be starting my third clomid/iui cycle tomorrow (all have been back-to-back). My plan has always been to do three then a month of bc followed by IVF. I guess for me personally, it took so long to get all the blood work, appointments, etc. to the point where I could even start treatment (8 months) that I want to try everything. I know the IUI success rate is not the best, but I figure three IUI's is going to cost about $3,500 while IVF is going to run us $15,000 (with no insurance coverage). IUI seems worth the shot!
    Me: 30 - DH: 33 
    Married 06/26/10
    TTC Since December 2014
    Diagnosis: anovulatory cycles
    IUI #1: 04/17/16 (100mg Clomid & Ovidrel) = BFN 
    IUI #2: 05/14/16 (100 mg Clomid) = BFN
    IUI #3: 06/11/16 (100mg Clomid)= BFN
    IUI #4: 07/12/16 (Non-medicated) = BFN
    IVF#1: 08/28/16 = BFP!
    Baby Girl Coming 05/21/17 <3
  • edited May 2016
    Marissy8 agreed! I think the chance of success really depends on why you are having difficulty conceiving...my RE has not found anything medically wrong with myself or DH and he thinks I have a good shot with IUI- not to mention the entire IUI process while paying out of pocket will cost me about $450 including meds, monitoring etc compared to $7-$10k for ivf ...which we unfortunately just can't afford :)  

    crossing my my fingers for you this IUI round! 
    Me: 36 years old   DH: 42 years old
    Married: 05.2012  
    TW:
    TTC #1 Since April 2016
    HSG/FSH/AMH/E2/SA all normal DX: unexplained IF

    spontaneous BFP 01/01/2017-  Alexander was born sleeping 04/13/2017 at 19w1d  ic/chorio
    September 2017 HSG #2 & Gonal-F/Femara/Ovidrel/IUI #1 = ep (Salpingectomy of left fallopian tube)
    spontaneous BFP 01/02/2018  EDD Aug 30th  It's a GIRL!
    Cerclage placed on 03/02BabyFruit Ticker  Cerclage removal 08/02
  • My RE has never said anything about doing back-to-back IUIs.  I have used a trigger shot for all of them, though.  FX for all of you ladies this cycle!
    About me:
    /loss mentioned/
    TTC#1 July 2014
    dx: MFI (morphology)
    IUI #1 w/Clomid + Ovidrel Sept. 2015 ~ BFN
    IUI #2 w/Clomid + Ovidrel Halloween 2015 ~ BFN
    IUI #3 w/Clomid + Ovidrel Thanksgiving 2015 ~ BFP!!
    hb 146 bpm at 7w5d
    1/28/16 ~ began to say goodbye to our beautiful baby at 11w 
    d&c, followed by cytotec
    TTCAL April 2016
    IUI #4 w/Clomid + Ovidrel Apr. 2016 ~ BFN
    IUI #5 w/Clomid + Ovidrel ~ CP
    IUI#6 w/Clomid + Ovidrel ~ BFN
  • **Loss and Child mentioned**

    I did two rounds of back to back IUIs.  Both were successful, but the first one was a MC (Chemical Pregnancy.)  I'm currently 29 weeks pg, as a result of the 2nd back to back IUI.  Our issue was MFI (low sperm count) and both were done with trigger shot after I responded very well to Clomid (4 mature follicles each time).  For this 2nd IUI, DH's sperm count was actually higher on the last insemination which was a little less than 24 hrs apart from the first insemination.  For obvious reasons, I think it's worth a shot!  Especially compared to the costs of moving to IVF.  Good luck!

    Me: 36, DH: 36

    Married and TTC Since 2/2012

    Me: Mild PCOS, DH: Low Sperm Count and Motility

    IUI #1 w/Clomid + Trigger - BFP 10/15/15, MC (CP) 10/19/15

    IUI #2 w/Clomid + Trigger - BFP 12/14/15  EDD 8/23/16

    Foster to Adopt Placement! DD#1 Born 7/2016

    DD#2 Born 9/2016

    Foster to Adopt Placement! DS Born 7/2018

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