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Chance of Multiples with FSH and IUI

post #1 of 10
Thread Starter 
We are about to do our first month of injectibles (FSH) and IUI. Our doctor talked with us extensively about how we would go about "selectively reducing" babies if we have more than 3.
He couldn't supply us with any statistics b/c there are too many variables.

Do any of you guys have any #s, stats, thoughts, or experiences with injections and the possibility of multiples.

I mean, does it increase the chances a lot or is it a rare thing?
post #2 of 10
I have a friend who got pregnant on injectibles and IUI and she had triplets. My cousin did the exact same protocol as my friend and only had one baby.

When you have your monitoring ultrasound your doctor will be able to see the number of follicles and if you have more than you feel comfortable with you can always cancel the cycle or stop the meds and check again in a few days.

Good luck, infertility sucks!
post #3 of 10

Multiples with Injectables

The stats I came across and was also given by my doctors (and in my FSH insert) was that there is a 30% chance of conceiving multiples on an injectable cycle (that is if you conceive, there is a 30% chance of being more than one) but how many varies. Most of the time that is still just twins. It depends on how many eggs you end up releasing as well though.

I was told they were shooting for 3 eggs and with that I'd have a pretty good chance of twins, but only about a 2% chance of triplets. I ended up releasing 5 eggs though and none of them took.

Your doctor should monitor your cycles closely to see how many eggs you release and if you are really uncomfortable with reducing or carrying more than two I'd let him/her know so they don't try for more than 2-3 eggs. Of course you can't exactly know for sure until you reach that point.

Hope this helps.

Heather
post #4 of 10
Thread Starter 
It is funny because sometimes the thought of twins is so exciting I can't wait. When you can't get pregnant with one, wouldn't 2 be better?
Then there are other moments when I have an absolute panic attack at the thought of twins and think "what the heck am I doing?". I hope this is normal.
post #5 of 10
Quote:
Originally Posted by elf View Post
It is funny because sometimes the thought of twins is so exciting I can't wait. When you can't get pregnant with one, wouldn't 2 be better?
Then there are other moments when I have an absolute panic attack at the thought of twins and think "what the heck am I doing?". I hope this is normal.
Totally normal. I was actually a little disappointed the other day to hear that I only had one viable follicle. Turns out, two were in fact viable!

The idea of twins is nuts for me, especially because I'm single, but I can't help but be like "but it would be so great!"
post #6 of 10
is it standard for them to check the number of follicles released?

When they called me to take the Ovidrill the nurse said there were three really large ones and that may result in multiples, "if you are OK with that" - as if there was another answer! They haven't done an ultrasound since the IUI (Saturday!)

I'm pretty sure I'm on the same schedule as you are. Good luck!
post #7 of 10
Yes, counting the follicles is standard. At one point I had too many, and they wouldn't do an IUI that cycle. Later, I had 2 large follicles, and that's how the boys got here! Best of luck to everyone!
post #8 of 10
Quote:
Originally Posted by elf View Post
It is funny because sometimes the thought of twins is so exciting I can't wait. When you can't get pregnant with one, wouldn't 2 be better?
Then there are other moments when I have an absolute panic attack at the thought of twins and think "what the heck am I doing?". I hope this is normal.

Ditto. But...I just read a book called Everything Conceivable: How Assisted Reproduction Is Changing Men, Women, and the World and I have to tell you, it has changed my perspective quite a bit. The author goes into detail about this very topic - how many of us are so determined to get pregnant we think in bulk...if one is good, two is better! The problem is multiples often have an increased chance of being born prematurely and suffering potential s/e as a result. And of course...there's the issue of how incredibly challenging (and I'm sure rewarding also) parenting two of the same aged children must be.

That said, I'm still doing the injectibles and taking my chances.
post #9 of 10
Quote:
Originally Posted by jacappell View Post
is it standard for them to check the number of follicles released?

When they called me to take the Ovidrill the nurse said there were three really large ones and that may result in multiples, "if you are OK with that" - as if there was another answer! They haven't done an ultrasound since the IUI (Saturday!)

I'm pretty sure I'm on the same schedule as you are. Good luck!
Sort of, but not exactly. I get an ultrasound the day of each IUI. Last time I inseminated, the first US showed that the follicles hadn't yet hatched, but were about to - plus it coincided with the HCG trigger timing. THe second day of IUI, the US showed that I still hadn't ovulated, but that I would any minute. This was not encouraging, to say the least. It looked then like four follicles would hatch, how many actually did is anybody's guess.

This time, it looked like nothing was happening, I had an HCG trigger shot, and came in the next day to do the insemination only to find out that the two follicles had already released. I only did one IUI this cycle, because there would be no point in doing it the day after.
post #10 of 10
Thread Starter 
I am really interested in the book you guys have read--How assisted reproduction changed....

Even though I want this more than anything, I won't lie, it makes me really nervous. I work in high risk labor and delivery (multiples are unfortunately always high risk) so on a daily basis, I see what can happen when you have more than 1 baby in there.

However, I am still willing to take the risk. My question is: Is this selfish of me?
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