Community› The Bump Message Boards› Infertility
Infertility
New Discussion
Options

Timed Intercourse+Clomid&Trigger VS IUI?

sarich2020sarich2020 member
in Infertility
Hi everyone, 
Im due to start my next medicated cycled with clomid and trigger shot soon. I was wondering if anyone has experience with IUI and timed intercourse? Im wondering if I should just go straight to IUI. My first TI cycle resulted in a BFN . My insurance doesn't cover any fertility treatment. The out of pocket cost for TI is $1000 vs $1300 for IUI. Its not a huge difference if my chances are higher. 
Me 30 DH 30
TTC for 3 years
August 2019 first appt with RE
Normal Bloodwork, good AMH
DH- within normal ranges

HSG August 2019- Left hydrosalpinx
September 2019 Lap to remove hydrosalpinx D&C to remove uterine polyps
RE recommended medicated/time cycles with injection

10/23/19 Started Clomid
11/4/19 trigger shot
11/11/19 low progesterone, 200 mg 2x/day
11/18/19 BFN

Benched this cycle for personal reasons. 

12/24/19 Started medicated IUI cycle
1/03/20 IUI day
01/20/20 BFP! (home test)
01/22/20 Beta Negative- Chemical pregnancy 

Report Reply to Post

Re: Timed Intercourse+Clomid&Trigger VS IUI?

  • Options
    suzycupcakesuzycupcake member
    Do you have an Infertility diagnosis?
    People think we become mothers when we give birth but the truth is we become mothers the moment we start calling our babies to us in our thoughts, dreams and prayers. Some paths are short and some are so long that you can easily forget where you were headed.

    How I feel all of the time.
    My 7 Year Journey ***Tw in spoiler***
    IVF
    IVF #1 - September 2018; Follistim, Menopur, Cetrotide & Lupron/HCG combo trigger; PGS; ICSI
    Back on Levothyroxine
    FET #1 - October 2018; cancelled, all PGS aneuploid
    FET #1 - November 30th, transferred anyway
    Wondfo BFP 5dp5dt, CB Digi 6dpt, 
    1st Beta on 7dpt 93
    2nd Beta on 10dpt 510!

    TTC #1 since 2011. Tried for 5 years before we knew there was a one year rule.
    Diag w/MS 2016; w/PCOS & IF 2017
    New RE 2018; PCOS diagnosis taken away, IF due to ovary adhesions, but prev. RE insists PCOS IF

    IUI
    IUI #1 July 2017 w/100mg Clo+trigger; BFN; benched w/big cysts
    IUI #2 October 2017 w/50mg Clo+trigger; BFN; benched w/big cysts
    IUI #3 February 2018 w/5mg Femara+trigger; low P
    BFP February; mc March; Subclinical hypothyroid started Levothyroxine 
    IUI #4 March 2018 w/7.5mg Femara+trigger; BFN
    Medicated cycle & TI April 2018 w/7.5mg Femara+trigger; BFN
    Tried several cycles on our own; all BFN
     
    Report Reply
  • Options
    chichiphinchichiphin member
    also - is there anything in the semen analysis or CM swab to indicate that they may need help getting past the cervix? if your SA is on the poor side or you have a CM swab that shows your CM is hostile to sperm, an IUI would probably be preferred to TI. 
    **tw**


    married 11.1.14

    ttc #1 since 5.18

    bfp 12.22.18 letrozole + progesterone

    d&e due to trisomy 13/hydrops at 15wks

    bfp 7.21.19 letrozole + IUI 

    little girl A born 3.26.20

    Report Reply
  • Loading the player...
  • Options
    sarich2020sarich2020 member
    Just the left sided hydro and uterine polyps. I had a laparoscopy and D&C to take care of those a few months ago. My RE told me that just because I only had the hydro on my left, it doesnt necessary mean that my right tube is "perfect". He also said that without assistance I might get pregnant on my own, once in 8-10 years. I didn't have a CM swab as part of my fertility testing, is that standard? My DH's SA was normal. 
    Me 30 DH 30
    TTC for 3 years
    August 2019 first appt with RE
    Normal Bloodwork, good AMH
    DH- within normal ranges

    HSG August 2019- Left hydrosalpinx
    September 2019 Lap to remove hydrosalpinx D&C to remove uterine polyps
    RE recommended medicated/time cycles with injection

    10/23/19 Started Clomid
    11/4/19 trigger shot
    11/11/19 low progesterone, 200 mg 2x/day
    11/18/19 BFN

    Benched this cycle for personal reasons. 

    12/24/19 Started medicated IUI cycle
    1/03/20 IUI day
    01/20/20 BFP! (home test)
    01/22/20 Beta Negative- Chemical pregnancy 

    Report Reply
  • Options
    chichiphinchichiphin member
    my clinic always did post-coital swabs to see if the sperm was still swimming once it hit my CM. I don't think it is always standard though. If your RE is so pessimistic about your odds, I'd save up for IVF and continue with TI - but that is a personal choice only you can make. I'd also get a second opinion appt with an RE to see how they'd approach things (a second opinion never hurts!)
    **tw**


    married 11.1.14

    ttc #1 since 5.18

    bfp 12.22.18 letrozole + progesterone

    d&e due to trisomy 13/hydrops at 15wks

    bfp 7.21.19 letrozole + IUI 

    little girl A born 3.26.20

    Report Reply
  • Options
    k_mama91k_mama91 member
    I second @chichiphin. Our diagnosis is different but mine was also related to my tubes along with SA results. IUI May have worked and I was told I could get pregnant “once in a blue moon”. For me, the higher chances with more advanced treatment was worth the extra cost vs spending money to *maybe get a BFP. But like she said, this is a personal choice only you can make. My treatments were also out of pocket, it’s defi a big decision to make. 
    Report Reply
  • Options
    cashewchickencashewchicken member
    edited December 2019
    Hi, I did 6 rounds of IUI before moving onto IVF. With the cost you’ve described for TI and IUI, I don’t see much benefit in TI. I’d move onto IUI. The benefit of IUI over TI is that in the case where CM is hostile to the sperm, it by passes it. And they also encourage you to have intercourse right after IUI, and leading up to it (but not immediately before, as that will lower the sperm count) so odds are better with IUI than just TI. And not all clinics perform CM swab testing as solution to that is IUI.
    Another option instead of doing an ultrasound monitored TI (I’m guessing that’s what you’ve tried) is to do a medicated TI with OPK for a few cycles, before moving onto IUI. The cost is considerably lower as you don’t need to see your doctor. 
    As for IUI, they say most people who become pregnant through IUI do so within the first 3 rounds. So after 3 rounds, I recommend moving onto IVF. 
    Me: 41  DH: 46
    Unexplained infertility/AMA, polycystic ovaries, insulin resistance
    FET#1(July 2017): eSET of first of 4 PGS-normal embryos, DS born 3/30/2018
    FET#2(Oct/Nov 2019): eSET  
    Report Reply
  • Options
    sarich2020sarich2020 member
    Thanks for your replies! I decided to do the IUI this cycle and hope for the best. I'll give it a few months before moving forward with IVF
    Me 30 DH 30
    TTC for 3 years
    August 2019 first appt with RE
    Normal Bloodwork, good AMH
    DH- within normal ranges

    HSG August 2019- Left hydrosalpinx
    September 2019 Lap to remove hydrosalpinx D&C to remove uterine polyps
    RE recommended medicated/time cycles with injection

    10/23/19 Started Clomid
    11/4/19 trigger shot
    11/11/19 low progesterone, 200 mg 2x/day
    11/18/19 BFN

    Benched this cycle for personal reasons. 

    12/24/19 Started medicated IUI cycle
    1/03/20 IUI day
    01/20/20 BFP! (home test)
    01/22/20 Beta Negative- Chemical pregnancy 

    Report Reply
  • Options
    cgg2020cgg2020 member
    HI!

    we did Letrozole+Ovidrel and timed IC.

    After our first cycle failed (I say failed, but they did get me to ovulate and get a period, so that much worked), I BEGGED my REI to allow us to do an IUI.

    He said based on my husband’s sperm values, there was zero evidence that it would help.   He said he didn’t feel  comfortable having us pay for a procedure that he knows would not help us any more than timed intercourse.  Had the sperm values been different, needed to be washed, or needed help getting there, it would be a different story, but in our case the count, motility, mobility, and speed were incredibly high.

    I am now pregnant after the second cycle
    Report Reply
Sign In or Register to comment.
Choose Another Board
Search Boards
"
"