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01-16-2013 at 9:31 AM
jburke1
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jburke1 is not online. Last active: 01-21-2013, 1:57 PMNewbie

Contemplating IUI, feedback appreciated

Hi ladies. Well we received some bad new today and I am hoping some of you may have similar experiences and can give me some words of advice. Went to my appt this morning with my RE and he told us that DH has only 2% morph and sperm count 11 mil. he said our best option would be IVF, but when I told him that just isn't a option for us right now he said that we could try IUI, but I needed to be aware of the miscarriage rate and he just didn't seem very hopeful. im curious if anyone else gone through IUI with low morph? Successful or unsuccessful? Do your RE say the same thing? I would appreciate any feedback! Thanks in advance! 
Jackie (32), DH (32) TTC#2 for 12 months with low morph, low count 
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01-16-2013 at 9:38 AM
Balabusta
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Balabusta is not online. Last active: 05-18-2013, 4:53 PMNewbie

My RE told us that if the count is under 10 million, he doesn't have very high hopes for success. But then again, it only takes 1! 

 

I'm sorry you received such bad news, but you're not alone! Good Luck! 


**TTC since April 2010**
May 2011- Diagnosed with mature teratoma on right ovary and low AMH (1.23 at age 26)
June 2011- Removed Mature teratoma, HSG to clear tubes and diagnosed with mild endometriosis
August 2011- CD3 bloodwork- ALL CLEAR!
January 2012- SIS- Results ALL CLEAR!
January 2012- SA- Dx with MFI/Count- 6mil/ Morph- 4%/ Motility- 50%
August, 2012 IUI#1- DH counts 17mil post wash day 1, 5 mil post wash day 2...Results: BFFN!
September, 2012 IUI#2- DH counts 500K post wash day 1, 3mil day 2... Results: BFN
September, 2012 IUI#2- DH counts 500K post wash day 1, 3mil day 2... Results: BFN
December, 2012 IUI #3- DH counts 9mil post was day 1, 12mil day 2... Results: BFN and moving to IVF.
January, 2013- IVF consult, new AMH 1.1, update SIS ALL CLEAR and going to be an May Emerald!!
May, 2013 ER on 5/2- 16 eggs retrieved, 11 fertilized! Tentative ET- 5/7! Excited and extremely bloated! 
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01-16-2013 at 9:45 AM
solisilou
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solisilou is online. Last active: 05-20-2013, 10:21 AMBronze

Hi, I'm sorry you got bad news. MFI can be a very hard Dx to accept and deal with.

We're also MFI (morph 4-5%, motility low, count 1-5 million/ml) and we were told by our RE that with these numbers we only have a good chance with IVF/ICSI. With ICSI they just choose the best sperm and inject it directly in the egg to help fertilization. We asked about IUI and were told that it would be a waste of money and mental energy. Nobody also said it was impossible but just very, very unlikely.

We did a fresh cycle in June that ended in an m/c and are just now in the 2ww of our 3rd and last FET from IVF#1.

I wish you all the best, regardless of what path you choose.

Me 32 / DH 36
TTC since 08/2010
Me: Lap in 2007 due to pelvic pain: Dx mild endo
Lap in 2011: ovarian cyst and endo removal
2 Clomid cycles: good response but both BFN
borderline high anti-cardiolipin IgM Abs - now on baby aspirin
DH: S/A low all three - unexplained

IVF/ICSI #1: 06/2012 11R/11M/9F 2dt of one 4-cell embie - BFP,
beta hell, U/S hell, m/c and D&C at 9w6d
FET #1: 10/2012 3dt of one 10-cell embie - BFN
FET #2: 11/2012 2dt of one 2-cell embie - BFN
FET #3: 01/2013 3dt of one 6-cell embie - BFN
IVF/ICSI #2: 02/2013 14R/13M/7F 5dt of one blast 2/16 - BFP,
beta hell, m/c at 5w3d
FET #4: 04/2013 5dt of 2 morulas - BFN
FET #5: 05/2013


 
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01-16-2013 at 9:51 AM
jburke1
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jburke1 is not online. Last active: 01-21-2013, 1:57 PMNewbie
I think I was wrong. His count must have been 11 mil. His count was a big of an issue as morph. :( thanks for the help! And good luck to you as well!
Jackie (32), DH (32) TTC#2 for 12 months with low morph, low count 
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01-16-2013 at 9:55 AM
jburke1
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jburke1 is not online. Last active: 01-21-2013, 1:57 PMNewbie
Best of you too solisilou and thank u! 
Jackie (32), DH (32) TTC#2 for 12 months with low morph, low count 
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01-16-2013 at 10:23 AM
katka512
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katka512 is online. Last active: 05-20-2013, 10:10 AMNewbie

We have severe MFI. Our RE also said IVF is our best option but he was ok with trying IUI first. We are lucky to have insurance coverage so we opted to try IUI first. IUI #1 was negative and we're in the 2ww of #2. DH's post wash count was 4.2 million. Over 5 million is what our RE wants to see but he still acted hopeful probably because 4.2 was a good number for us. 

If this IUI is negative, we will opt for IVF in a couple months after we come back from a vacation. We may try one more IUI while waiting.  

Our RE said our chance of success with IVF with ICSI is 70%, which was great news! However, we also weren't ready to go straight to IVF. When we first started trying I remember telling DH that I didn't think I could ever go through IVF - but we're almost there! I've learned that this is a very fluid process and my mind and feelings can change at any time! 
TTC since December 2011 Me: 28 ovulatory disorder DH: 30 MFI - low everything
IUI #1: 11/5/12 BFN
December IUI cancelled due to cyst
IUI #2: 1/8/13 BFN
IVF in April 2013 transferred one beautiful blast on 4/13
Beta #1 4/22: BFP!! 33 Beta #2 54 Beta #3 70 Beta #4 83 Beta #5 105. Possible ectopic, Methotrexate and M/C 5w4d
 
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01-16-2013 at 10:40 AM
JewelsW198...
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Joined on 04-27-2008
Central Virginia
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JewelsW1980 is online. Last active: 05-20-2013, 10:17 AMBronze

Our RE suggested we start with IUI even though our morphology is at 3% washed.  He told us that people have gotten pregnant with less so we tried with IUI more times than I'd like to admit.  We have normal count and our motility is hit or miss...looking back now, I wish we wouldn't have moved past the 3rd IUI and just put that money & time towards IVF; our RE wasn't rushing us into IVF.
* Me- 32 * DH- 32 * TTC for 4 Years
* *IUIs 1-6 BFN*
*IVF #1= BFP- M/C *FET- * *Beta#1: 69 *Beta#2:482 *Beta#3 1088
*Beta#4 28,318 * Ultrasound- 1 beautiful heartbeat
IT'S A BOY!!! MAX LIAM
 
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01-16-2013 at 11:02 AM
JSM0801
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JSM0801 is not online. Last active: 05-17-2013, 8:51 AMBronze
I remember being in your shoes, and it is tough! Our first RE also did not recommend IUI for count under 10 mill. He was very aggressive and is known to push everyone straight into IVF. The chances of success are much higher, and it is way more $$ for them. As doctors, they also have to be honest and realistic. We didn't want to go through months of failed IUI's for the mental, emotional and physical aspect, so we chose to go straight to IVF. I think you have to do whatever you are comfortable with, and if IVF is not an option for you right now, then stick with IUI, but just be prepared that it most likely won't work. However, it does only take 1! You also might want to get another SA, because they can vary. We only had 1 when we made our decision for IVF (count 7.5 & motility 19%). However, the 3 after that were b/w 12.5-15 mill & motility 43-64%. As for morph, I am still puzzled, b/c his % are completely normal at urologist but low at fertility clinic. We might have had a shot with IUI, had we known these #'s then. Also, does YH have good motility? You might have a better chance if he does. GL moving forward!
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Me (33)- unexplained MH (35)- MFI due to Vericocele. Straight to IVF w/ICSI 9/12, Antagonist = BFN c/p, poor quality blasts, tested sperm dna fragmentation. Results all good, yay! New RE for IVF #2- 1/13., Long Lupron. ER on 1/22 -10R, 9M, 9F. Transfer on hold due to overstimming. FET in Feb. 2 frozen blasts. Another BFN & another c/p. RPL testing all negative besides MTHFR gene, vericocle repair surgery 4/12/13-Bilateral Grade 3 Vericocele found & fixed, IVF #3 with PGS 4/13- 11R, 9M, 9F. Transferred 2 normal=BFN, 3 normal on ice Everyone Welcome!!!
B Image and video hosting by TinyPic 
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01-16-2013 at 11:10 AM
PPL2011
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You should have your husband do a Semen Culture Test, so see if he has an infection. My husband had a bad semen analysis, then his urologist suggested the culture and they found some bacterial infection, he took antibiotics for 3 weeks and then repeated his SA in 6 weeks and it was totally improved. Does your husband have a urologist? My husband went to a urologist that specializes in male reproduction. CoQ10, L-Carnitine and his multi-vitamin also helped! Good luck!
41.5 yrs old/Husband 49.2 (no mfi). Mild PCOS 01/2011 natural BFP- 02/24/2011 natural miscarriage at 8w0d. 01/2012 1cm polyp inside my uterus removed during Hysteroscopy. 02/2012 Unmedicated IUI #1 BFP, 04/2012 Baby stopped growing D&C at 8w2d. Blood Chromosome Analysis for me and DH-normal. MTHFR (positive for one copy C677T-heterozygous). PAI-1 (positive for one copy 4G Varient-heterozygous). Positive ANA 1:80. Taking Citra Natal plus DHA, Metanx, Synthyroid (for subclinical hypothyroid), CoQ10, Vit D, and Daily Baby Aspirin. 07/2012 AMH 1.8, FSH 7, AFC 16ish. 08/2012 Mini-Lap MYOMECTOMY to remove 3 intramural fibroids. 10/2012 IUI #2 (no meds except trigger) BFN. 11/2012 IUI #3 Gonal F, trigger, endometrin. BFN. 12/2012 IUI #4 Gonal F, trigger, endometrin. BFN. 01-02/2013 IVF #1 MDL protocol (20mdl, 450 follistim, 150 menopur). 13R, 10M, 8F, 6 went to PGS. PGS results=6 genetically abnormal. 03/13-New RE 04/13-05/13 IVF #2 Follistim (not much)/Menopur (a ton)/Ganirelix. 21R, 15M, 12F, 9 blasts, PGSing and Praying for a miracle. Lilypie Assisted Conception tickers 
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01-16-2013 at 11:18 AM
LuClo
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LuClo is not online. Last active: 05-20-2013, 9:00 AMBronze
Ugh, sorry that you have to be here.  MFI is tough.  It takes time to adjust to the news before you can really figure out what's right for you.  Two years ago I couldn't really wrap my head around fertility treatments in general, now I'm jumping into IVF w ICSI.  When it's the only option it suddenly becomes a lot more palatable.
TTC since August 2010
DH diagnosed with Azoospermia in January 2012
Vas reconstruction surgery in April 2012; unsuccessful
IVF with ICSI February 2013; single blastocyst 5dt
First beta March 1 is 147!!!

 
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01-16-2013 at 11:21 AM
jburke1
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jburke1 is not online. Last active: 01-21-2013, 1:57 PMNewbie
His motility is the only thing that is normal. His morph is the biggest concern, followed by the count. They said they want at lease 10 mil for count and he has 11.. He has not had a culture done, so we will have to look into that. Thanks ladies!
Jackie (32), DH (32) TTC#2 for 12 months with low morph, low count 
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01-16-2013 at 11:22 AM
LuClo
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katka512:

Our RE said our chance of success with IVF with ICSI is 70%, which was great news! However, we also weren't ready to go straight to IVF. When we first started trying I remember telling DH that I didn't think I could ever go through IVF - but we're almost there! I've learned that this is a very fluid process and my mind and feelings can change at any time! 

Where are you cycling?!?  I think most success rates are around 40%.  Either your RE is fluffing his numbers, or I need to start driving to wherever he is!
TTC since August 2010
DH diagnosed with Azoospermia in January 2012
Vas reconstruction surgery in April 2012; unsuccessful
IVF with ICSI February 2013; single blastocyst 5dt
First beta March 1 is 147!!!

 
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01-16-2013 at 11:42 AM
katka512
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katka512 is online. Last active: 05-20-2013, 10:10 AMNewbie
Haha I know it's incredibly high. The clinic's overall rate is around 40%. He said ours is higher because there isn't really anything going on with me other than irregular periods. I definitely take it with a grain of salt but the odds are still much better then with IUI ( which he told us is below 20%, probably closer to 10%).   
TTC since December 2011 Me: 28 ovulatory disorder DH: 30 MFI - low everything
IUI #1: 11/5/12 BFN
December IUI cancelled due to cyst
IUI #2: 1/8/13 BFN
IVF in April 2013 transferred one beautiful blast on 4/13
Beta #1 4/22: BFP!! 33 Beta #2 54 Beta #3 70 Beta #4 83 Beta #5 105. Possible ectopic, Methotrexate and M/C 5w4d
 
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