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Too soon for IUI/IVF? UPDATE


Forum: Trying to Conceive with Medical Assistance

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  #1  
March 25th, 2012, 09:55 AM
Member
Join Date: Jul 2011
Posts: 21
Sorry this is a bit long, but if you can get through it, I can sure use some advice. First a little background: I am 32 years old and have a 3 and a half year old son. We have been trying for a year and a half, but somewhat on and off. There were about 3 months within that timeframe I wasn't trying and another 7 months during which hubby and I were living apart due to our jobs. During those 7 months, we had maybe 2 good tries during ovulation time. So really we've had about 8 or 9 good cycles of trying. Now hubby and I are living together again (yay!), so we're able to time it right.

My ovulation is generally late. I tend to ovulate anytime between day 21 and day 28. My luteal phase is usually around 11-12 days but has been as short as 8 days. I tried 50 mg clomid a couple of times last year, which moved up my ovulation, but it got expensive with the multiple appointments, follicle scans and drugs, that i gave up and tried naturally again. Well, now I'm at a point where I feel that maybe I shoud start paying up if I wanna get pregnant. I got a new OB doc through a friend's recommendation, but I'm having my doubts. The first thing he did was start me on 150 mg of clomid (the highest dose). We did one cycle and my eggs were too small to ovulate at the right time, so it looks like I didn't respond. I have yet to ovulate on that cycle and am on cycle day 22. He said I should move on to injectables. I could stand to lose about 20 lbs and I thought maybe that was the problem, but my doctor said my labs were normal (although the physician's assistant said they were abnormal ???). My husband's sperm is also normal. My cycles have always been around 35 days, and I got pregnant with my son really quickly.

The problem is, the physician's assistant keeps talking to me about IUI/IVF. She says I need to try it next cycle with the injectables. I haven't looked into insurance coverage, but if it's not insured, it'll cost $3000 total. She said I should do that once and then move straight to IVF, which will cost $12-15000 per cycle. My question is, do you think this is too soon?? Maybe I should try the injectables without the IUI or keep trying naturally for a while? Is my doctor moving too fast? Thanks in advance for the help!

UPDATE: Thanks for all the advice ladies! Unfortunately, I thought my husband's sperm was normal, but it was only normal in number. I just found out that he has abnormal morphology. Again, I talked to the PA who insisted on IVF and not even try IUI. *sigh* I haven't talked to my doctor yet. He is a general ob/gyn, but maybe i'll talk to him just to get a clearer picture of exactly what's goin on, including what's going on with my cycle, before finding a good REI doctor. This has been a big blow to me and hubby's not to thrilled about the idea of dropping 15 grand for a 50% success rate. I'm gonna take my time to research IVF and lose some weight while I'm at it. BMI is 28 now and i need to get it below 25. I'm sure that'll help my chances and also make me a better candidate for IVF. Of course we will continue trying naturally until we make a decision.


UPDATE

Last edited by sharon999; April 4th, 2012 at 09:31 PM. Reason: update
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  #2  
March 25th, 2012, 10:14 AM
KMH KMH is offline
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First of all, big hugs to you! It really stinks to have to think about any of this stuff.

Based on what you have told us, I wouldn't be jumping into IUI or IVF at this point...there are other avenues and things to do first before you start spending thousands of dollars unnecessarily.

It seems like you are getting mixed signals about your labs...I'd start there and get answers. You can ask for copies of your lab results so you can look at the numbers yourself and compare them to what the "normal" results should be. I would also ask about an HSG to make sure your tubes are open...if they are closed then IUI would be a waste of time and money.

Losing weight could jump start your ovulation and help your hormones to be at normal levels...do you know what your BMI is? If you are significantly over- or under-weight, fertility treatments could be less successful.

A call to your insurance company could tell you what you need to know about your infertility coverage. If you don't get the answers you need, you can call the insurance specialist at Fertility Lifelines. It is a free service, and they are wonderful. You can call, give them your plan info, and they will call you back with an explanation of exactly what your insurance will cover. They will also send it to you in writing, along with other helpful treatment info. They are online at Infertility Treatment and Information - Fertility LifeLines™, or 1-866-LETS-TRY.

I hope I have helped a little? I wouldn't do anything drastic yet until you get some answers...as sad as it is, some doctors know we will do anything to get pregnant and take advantage of that to make money. I want you to get a BFP for free if you can!!
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IVF babies Claire (5), Abigail (3) and George (3)

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  #3  
March 25th, 2012, 11:01 AM
*JenJen*'s Avatar impatiently waiting
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*hugs* I think Melissa gave you some great advice. Are you seeing an OB or an RE? You really should see an RE, and if you already are, don't hesitate to try a different one if you are unhappy with your current one.

One try at injects and then straight to IVF seems pretty extreme. Has your DH had an SA? Have you had an HSG? What was your baseline bloodwork like? Those things can really make a difference with TTCMA.
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Me: 27, PCOS, ENDO, RPL, severe vitamin D defficiency
Him: 36, severe MFI post VR but counts climbing

2006-2015 7+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

IVF referral in= 7/2017
RE Appt #1- 8/22/2017- doctor swears I don't have PCOS or RPL, go VEGAN to cure all
RE Appt #2- 8/24/2017- sono shows clear cysts, high afc, all bloodwork comes back PCOS typical

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  #4  
March 25th, 2012, 02:06 PM
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I agree with the others and no way would I agree to an IUI without an HSG first and all of my levels in my hand, as well as my husband's. I hate it when they're vague and worse when they give mixed signals.
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  #5  
March 27th, 2012, 07:48 AM
kayakr's Avatar Persuaded by POAS’ers
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Well - I agree with these other ladies. You are only 32 and have a little time, so I wouldn't jump right to IVF without knowing why you need to. You've really only just started with the medical help. Also - I do recommend going to RE instead of OB, but it does sound like you are already doing that. If this clinic is to pushy, then switch. I switched cause they just wouldn't, couldn't answer my questions and were also pushy but then were not available when I had questions. This process has a lot of questions and you want someone that will tell you what is going on when you need to know.

Good Luck.
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Gretchen
Me (43) DH(33) 12 years together - ttc our first together-I have 14yr old DS
Cycles 1-6 = BFN
Cycle 7 SA results abnormal morphology 2%, 50 mg clomid = BFN
Cycle 8 sonogram normal 50 mg clomid + trigger = BFN
Cycle 9 SA results abnormal morphology and motility. Count 200 mill, 100mg clomid + trigger = BFN
Cycle 10 natural = BFN
Cycle 11 hsg tubes clear, natural + trigger+IUI = BFN
Cycle 12 repronex + trigger + 2 IUI = BFN
Cycle 13 natural ovaries to stimulated for more meds = BFN
Cycle 14-22 natural cycle with Acupuncture and planning ivf/icsi/DE = ALL BFN
Cycle 23 Clomid 50 mg & Progesterone = BFN
Cycle 24 Natural = BFN
Cycle 25 BCP, SA result 7% morphology = BFN
Cycle 26 BCP and Lupron preparing for IVF
Cycle 27 IVF Acupuncture, DE Retrieval April 7, Transfer April 12 =
7 eggs retrieved, 3 fertilized, 2 transferred - zero snow babies
BETA # 1 16DPO or 11dp5dt = 569
BETA # 2 19 DPO or 14dp5dt = 1078
BETA # 3 22DPO or 17dp5dt = 2414 TWINS!
BETA # 4 30DPO or 25dp5dt = 12,685 6weeks 3days 2 heartbeats! 114 & 116
Clayton and Colton Born @ 34 weeks 11/22/13
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  #6  
March 27th, 2012, 10:51 AM
Joliving4Jesus's Avatar Mega Super Mommy
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I think the advice of the other ladies is great, I definitely think its too soon to jump to IUI/IVF...I didn't start thinking of either until close to 2 years of TTC each month but we already know our problem which lies with my husband, we both had been tested thoroughly, HSG's, bloodwork, ultrasounds, SA's...so I'd work on getting a diagnosis as to why your ovulating so late, CD 11-16 is where you should be with ovulating unless there is something causing it to happen later. Wishing you luck and hope you get some answers, do not let them rush you, its a long, hard process when you start ART's
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  #7  
April 4th, 2012, 09:42 PM
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update in my original post. so bummed.
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  #8  
April 5th, 2012, 06:11 AM
*JenJen*'s Avatar impatiently waiting
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Location: west, but east. south, but not north.
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*hugs* I would defintiely speak with an RE and a urologist, to see if you guys are candidates for IUI. Most doctors push for IVF because it's a lot more expensive, so don't hesitate to get a couple of opinions before you move forward.
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My Blog
Me: 27, PCOS, ENDO, RPL, severe vitamin D defficiency
Him: 36, severe MFI post VR but counts climbing

2006-2015 7+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

IVF referral in= 7/2017
RE Appt #1- 8/22/2017- doctor swears I don't have PCOS or RPL, go VEGAN to cure all
RE Appt #2- 8/24/2017- sono shows clear cysts, high afc, all bloodwork comes back PCOS typical

PAUSED UNTIL JANUARY 2018 to find a new IVF clinic







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  #9  
April 5th, 2012, 11:38 AM
Joliving4Jesus's Avatar Mega Super Mommy
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I'm sorry to hear ...how bad was the morph? If its very low, the chance of success with IUI is dramatically decreased with morph issues because if they are not shaped properly it doesn't matter how many are put in, if they are not shaped right, they won't penetrate the egg, low morph is the reason we never tried IUI because our counts have been normal before but due to the morph we were not good candidates for IUI. If your dh's counts are really high and he still has some properly shaped sperm then IUI might be potential, but my dh's counts would go mild low/moderate low/normal, they fluctuated so much, we couldn't take that chance. So sorry, this is so tough to deal with, we finally decided on IVF but it took a long time to get there.
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  #10  
April 5th, 2012, 12:16 PM
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Manda taught me anything to do with semen, anything, should go through a urologist. Period. A urologist specializing in male fertility will know more than your OB and may be able to give you more information and options.
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