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Help and Advice - IUI before IVF? (orginally in "Fertility")  

post #1 of 2
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Hello, my wife and I are new at this. Don't have all the acronyms down and what not so bear with my longhand.

TTC: 4 years, first time in fertility program

Her: Hypothyroidism starting at 12 down to 4 on 50µg treatments, up to 75µg
Hypothyroidism due to antibodies.
Low AMH
Before treatment Ultrasound shows 10 follicles

Him: High volume, High Count, Low Morphology (1%)

The doctor we are seeing will do 3 IUI before going to IVF, in most cases. However once our results were in, he is recommending IVF ICII. Since it takes 8 weeks of treatment to prepare for IVF, he mentioned doing an IUI attempt.

Now here is my question- with a 1% morphology is there really a point to doing the IUI?

I tried to pin the doctor down because he was making comments like "at least you'll have tried everything" and when pressured he gave us a 2% chance trying at home and a 10% with IUI. His base IUI rate is 12%.

So if that is true (1 in 10 with IUI) why not do all three IUI attempts before moving to IVF?

I don't want to spend the $1000 on IUI if it really is just to put our minds at ease, but on the other hand if there is a legitimate chance for IUI for us, I would rather put $3000 towards that and know for next time that it works or not (the implications for a subsequent fertility treatment are IUI again or straight to IVF so it could be a difference of double the cost of IVF)

Once IVF whether or not we do IUI we are going to do ICII, mainly due to the low morphology (at that point why take a chance with my sperm).

So we are wrestling with to IUI, to not IUI. Please feel free to advise, comment or question. Thanks!
post #2 of 2
You know, I am not sure. I think that if it were me I would move straight to IVF. We suffered with infertility for 7.5 years, many many IUI's, a couple of surgeries, 4 miscarriages etc, before we moved onto IVF. We conceived and now have a 21 month old son because of God and IVF.

Now we are trying again with IUI because like you, we are trying before moving on. Our insurance will pay for 3 IUI's and we have already done one that was unsuccessful. We might be able to do an IVF if my Mom helps out.

Good luck. and I pray that you have good success with all you do.

laural
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