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01-23-2013 at 8:57 AM
conradtn
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Joined on 10-17-2008
Knoxville, TN
12,438 Points
conradtn is not online. Last active: 06-19-2013, 7:35 PMGold

IUI to IVF

How did you make the decision to switch? Was it the RE's advice or was it up to you?

I know I've only just had my second IUI, but DH's numbers just haven't really improved yet.   I guess I should probably be more patient, which I'm learning is a big  factor in MFI.  He's only 5 months post-op, so I probably need to wait longer.

 


Married Sept 2008
~~TTC Nov 2010~~
Jan 2012 - SA, low numbers and also low T
May 2012 - HSG: tubes clear
DH Surgery: 8/30/12- Bi-lateral Varicocele repair
Wait
IUI#1:12/19/12-100mg Clomid(CD3-7)(7M post wash)+ progesterone= BFN
SA:1/11/12- 38%motility, 2% morph
IUI #2: 1/21/13-100mg Clomid(CD3-7)(8M post wash) + progesterone= BFP!! EDD 10/13/13
Beta #1=81.1 Beta #2=134.5 Beta #3=58.1 #4=2369 WTH?!-Not sure if its viable
2/21/13 - Went to RE expecting the worse and saw the flutter of the heart.To God be the Glory!!
2/28/13 - heart rate = 147bpm!!
3/21 - First OB Appt / hr=170bpm
5/29 - It's a Girl!!
Lilypie Maternity tickers
~~PAIF/SAIF Welcome~~  
01-23-2013 at 9:03 AM
jakraft837
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Joined on 08-13-2009
Chicago, IL
11,822 Points
jakraft837 is not online. Last active: 06-12-2013, 1:23 PMBronze

for us it was dr's recommendation, but we still wanted to try one more time. He first suggested it after first round of injects, but we said we wanted to try one more time.  He said he understood that and respected our wishes.

We did that and it didn't work, so we said we were ready to switch to IVF now.  He again told us that we understood we wanted to try that one more time with IUI and that we had to do it at a pace that we were comfortable with and would not regret later.

(our DX is PCOS/Endo. Endo was removed and I respond to meds well, so dr is not sure why we havent' gotten our BFP, so in a way we are unexplained IF)


~Jen
4/12: HSG All Clear
5-1-12: DX of PCOS
5-4-12: DH S/A all normal.
5-16-12: Offically start IUI#1-->Clomid(50mg) + Trigger + IUI + progesterone supplements=BFN
IUI #2-same treatment-->BFN
July IUI#3-same treatment--->BFN
Aug 22, 2012-Laparoscopy Found/Removed extensive endometreosis.
September 2012-IUI #4-Same treatment as before. BFN
October 2012-forced break/Surgery to remove abnormal cells in left breast.
November 2012-First Injects Cycle (IUI #5)! 225IU Follistim CD 3-5, then monitoring appointment. 20+ follier & e2 >2000-Mild OHSS
December 2012-#2 Injects + IUI#6): Beta 1/18/13-BFN!
Jan 2013-Starting IVF!!! BC starts Jan 17/Lupron on Feb 13/Stims on Feb 18/ER on March 1 IVF Protocol: Lupron 10 units in am until stimms. Then 5 units of Lurpon in am, 150iu of Follistim and 1 unit of Menopur in pm. Holding dosage throughtout since response has been great. Thought we would be freeze all due to OHSS, but ended up getting more follicles then expected! 14 total!!! 12 mature and 11 fertilized. 9 made it to freeze.
Transfered 2 beautiful 1AA blastocysts at 5 days!
STICK BABIES STICK!!!!!
HPT 3/15/13-faint BFP. HPT 3/16,17,18/13-dark BFP and on digi!!!
Beta #1 3/19/13=968!!!! Beta #2 3/21/13=2325
First u/s 3/28/13=TWINS!!



With Love & Strength, Hope Grows!
WHEN, not IF!!!
 
01-23-2013 at 9:16 AM
LuClo
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Joined on 01-03-2011
13,091 Points
LuClo is not online. Last active: 06-19-2013, 11:10 AMBronze

The rule of thumb is usually to try something 3 times and then move to something new.  Some insurances also want to see x number of one thing before they cover the next.  As far as MFI, it really is a waiting game.  It can take 6 or more months to see final results from surgery.  

But like pp said, it also has to be a pace that you're comfortable with.  If time is a factor then it  could make sense to go to IVF sooner.  If you want to avoid invasive procedures then it might be better to wait a few more months for DH's number to improve and then try another IUI.  Sit down and make a list of what is most important to you in this process, have DH do the same, and then go over it with your RE.  


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
Due November 8th!

 
01-23-2013 at 9:19 AM
conradtn
Not Ranked
Joined on 10-17-2008
Knoxville, TN
12,438 Points
conradtn is not online. Last active: 06-19-2013, 7:35 PMGold
Yeah, I think I'll do that (make the list).  My next appt with the RE is 2/7, and I've got all these questions bouncing around in my head.  As far as insurance, mine doesn't cover anything fertility related anyways...it'll all be OOP.

Married Sept 2008
~~TTC Nov 2010~~
Jan 2012 - SA, low numbers and also low T
May 2012 - HSG: tubes clear
DH Surgery: 8/30/12- Bi-lateral Varicocele repair
Wait
IUI#1:12/19/12-100mg Clomid(CD3-7)(7M post wash)+ progesterone= BFN
SA:1/11/12- 38%motility, 2% morph
IUI #2: 1/21/13-100mg Clomid(CD3-7)(8M post wash) + progesterone= BFP!! EDD 10/13/13
Beta #1=81.1 Beta #2=134.5 Beta #3=58.1 #4=2369 WTH?!-Not sure if its viable
2/21/13 - Went to RE expecting the worse and saw the flutter of the heart.To God be the Glory!!
2/28/13 - heart rate = 147bpm!!
3/21 - First OB Appt / hr=170bpm
5/29 - It's a Girl!!
Lilypie Maternity tickers
~~PAIF/SAIF Welcome~~  
01-23-2013 at 9:32 AM
kflynn81
Not Ranked
Joined on 11-28-2009
Oak Lawn
26,296 Points
kflynn81 is online. Last active: 06-20-2013, 12:22 AMBronze
My RE said that they try 3 IUIs before recommending IVF. For me it was only 2 because my reaction was so uncontrollable that I was nearly cancelled. I was a much better candidate for IVF so we moved after the 2nd IUI

Anniversary
Me(31): Some sort of endocrine malfunction that even the major Chicago hospitals can't diagnose. Yay me!!
I also have Factor V Leiden...yay me again!
DH (31): Borderline low morph, but not considered a problem
"Baby dancing" with no protection or BCP since July 2009
IF testing started March 2011
Endocrinology related tests from October 2011-February 2012
March 2012--Clomid --No response-Straight to injects!
April & May 2012-- IUI#1 & #2 = BFN
July 2012- IVF#1 cancelled
September 2012-IVF#1.2--BFN
November 2012- IVF #2 --BFN
January 2013- IVF #3-- BFFN
February 2013--June 2013 Back to the Endocrinologist for more diagnostic testing
IVF #4 --June 2013
PAIF/SAIF encouraged...give me some hope!!
For detailed cycle info. see right side of blog... Kate's IF Blog
Image and video hosting by TinyPic
 
01-23-2013 at 9:41 AM
ElleBeeKay
Not Ranked
Joined on 11-08-2011
2,762 Points
ElleBeeKay is not online. Last active: 06-19-2013, 1:29 PMBronze

We did 3 IUIs and then moved on. It was more our decision than our RE's, and I think he would have continued with at least a couple more IUIs had it been up to him. A big part of our decision was that we are 100% OOP, so while IVF is still a huge jump financially, we decided to cut our losses and put our money towards something with much better success rates.

We also moved to a new RE who agreed with our decision to move on, so that reassured us as well.

Good luck with your decision, I know it's a really tough one.


TTC #1 since 12/2010. B/W and SA normal; borderline morph
Feb-Nov. 2012: Various Clomid, Femara and inject cycles (3 with IUIs) = all BFNs
July 2012: Lap done with mild Endo found and removed. Confirmed that tubes are both open.
IVF #1 3/13 w/antagonist protocol; Transfer cancelled due to OHSS. Two made it to freeze.
FET of both 5/13 = BFN
IVF #2 Late Summer 2013
PAIF/SAIF welcome Anniversary 
01-23-2013 at 10:32 AM
Crystal120...
Not Ranked
Joined on 04-24-2011
29,005 Points
Crystal120410 is not online. Last active: 06-19-2013, 8:10 PMBronze
I did 2 rounds of clomid/IUI that were cancelled, then switched RE's and tried 2 rounds of injects/IUI one was cancelled one was BFN. Im OOP 100 percent so at that point it was his recommendation as well as if Im spending all this money then I want better chances. So we decided to go for the gold and moved on. IUI has  a 30 percent chance of working per my RE and depending on your dx of course, IVF is 50 percent. My RE also offers a shared rish program so IUI's were costing about 3K that were not included. Its your money and your choice, you dont ahve to move on or dont have to wait and do everything 3 times. Hope this helps.

Married 9-10-11
Together 6 years before marriage
Me 26 DH 28
TTC since 9/2011
Dx endo 2007 Sx laparoscopy
End bcp 9/2011
Dx annovulatory, DOR, Low AMH
Hysteroscopy due to polyp 2-1-12
IUI#1-3 Cancelled due to low response
IUI#4 BFFN
IVF#1 8/30 Beta#1 256, 8/31 Beta#2 482 BFP!! M/C 5w3d
FET#1 Cancelled due to uterine fluid and thin lining
FET#1.2Cancelled due to abnormal bleeding
Hysteroscopy 12/28/12 All clear
FET#1.3 2/2013 Cancelled
FET #1.4 3/19 BFFN
Semi natural cycle 5/13 BFN
IVF&FET June 2013
Good Luck to All!!
Crystal
Image and video hosting by TinyPicImage and video hosting by TinyPic  
01-23-2013 at 11:35 AM
liz4paws
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Joined on 03-05-2011
42,184 Points
liz4paws is not online. Last active: 06-19-2013, 9:56 PMSilver

We have MFI and DOR. I wanted to try a few IUI rounds, but our doctor straight up said that the investment of time, money, and emotions was better spent in IVF than IUI. 

In hindsight, she was 100% right. I can only imagine how much $$ and emotion would have been wasted if we kept doing IUI after IUI. Everyone has to come to their own decision, but I feel very comfortable in ours. 

Good luck! 


Me (31) DH (35) - Finding our path to baby #1
Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR
DH: Severe MFI
12/2/11 - IUI #1- BFN
8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)
My ovaries seem to be just for decoration

12/6/12 - Adopted five embryos that had been frozen for over ten years!
2/11/13 - Thawed four, sadly two didn't survive. Transferred two beautiful blasts.

2/16/13 - First BFP of my life!
3/27/13 - No heartbeat at 9w0d. D&C the following day.

4/23/13 - Matched to adopt five new embryos!

My embryo adoption blog: Wishing on a Snowflake

Lilypie Angel and Memorial tickers

 
01-23-2013 at 12:00 PM
Happy_Yaho...
Not Ranked
Joined on 01-01-2013
40,017 Points
Happy_Yahoo_Personaler is online. Last active: 06-20-2013, 12:29 AMSilver

***sig warning***

We didn't have a choice.  DH's SA's were always on the lower-end of normal or below normal.  Still, we were "green-lit" for an IUI last...May, I think it was.  The day of, DH produced a sample that had zero sperm.  Of course, that got the IUI cancelled.  DH saw a urologist and got his numbers back up to lower-end normal, but by then, we and our doctor were not convinced an IUI would be helpful.  The chance of it working was far too low.  So were skipped IUI and went straight to IVF with ICSI, to ensure that our eggs had the best chance of fertilizing.


4/12/10 - Began TTC 8/2012 - IFV #1 - 18 follicles retrieved, 11 usable, 10 fertilized, 9 continued to grow, 2 tranferred, BFN :( 9/2012 - Treated for uterine infection 10/2012 - Uterine infection cleared up 11/12/12- Began IVF #2 12/19/12 - 2 embryos tranferred 12/24/12 - Tested Christmas Eve morning - BFP!!! :) 12/28/12 - Beta #1 - 193 12/31/12 - Beta #2 - 624 1/7/13 - Beta #3 - 7544 1/14/13 - Beta #4 - 31,067 1/16/13 - IT'S TWINS!!!! Two healthy heartbeats! Due Date - 9/6/13 Lilypie Pregnancy tickers  
01-23-2013 at 6:33 PM
KariAnnM 2...
Not Ranked
Joined on 01-31-2012
4,166 Points
KariAnnM 23 is not online. Last active: 06-19-2013, 10:50 PMNewbie
We got pregnant on our 3rd IUI but lost the pregnancy at 5w4d. We figured since it "worked" we would try IUI again. We did 4 more IUI's before moving to IVF. We had a hard time letting go of the hope that we would get our take home baby from IUI. 

TTC since May 2010
Me - 32 DH - 31
IUI 1-3 BFN
Menopur + Ganirelix + Ovidrel + IUI = BFP!
Beta #1 (1/30) = 60 Beta #2 (2/02) = 287 (32 hour doubling time) Beta #3 (2/06) = 1374
Ectopic Pregnancy 2/10 @ 5w4d - Methotrexate 90mg :-(
IUI 5-7 BFN
IVF Consult Jan.2013
IVF #1 April/May 2013
ER 4/27/13 - 12R 7M 7F with ICSI only 1 frosty
ET 5/02/13 transferred 2 blasts - Beta #1 (5/13) 73 Beta #2 (5/16) 33 :-( Beta #3 (5/24) 315! wtf? Beta #4 (5/28) 1011
Beta #5 (5/30) 1412 Ultrasound showed a small sac measuring 10 days behind
Beta # 6 (6/04) 2922 Sac did not grow at all. It's over :-(D&C 6/12/13 @ 8w5d
http://ivf4babysims.blogspot.com
 
01-23-2013 at 7:16 PM
ball.and.c...
Not Ranked
Joined on 07-18-2007
22,284 Points
ball.and.chain is not online. Last active: 06-19-2013, 10:10 PMSilver
My RE suggested moving to IVF after I responded poorly to Clomid, but I had been hoping that would be her suggestion.  She knew we wanted to avoid multiples and that my insurance would cover IVF, so we didn't think it was a good idea to do injects IUIs.  At this point I had had 9 IUIs (8 unmedicated), so I was also pretty unconvinced that an IUI would ever work for me.

Married my wife 8/2007 *** TTC #1 since 7/2011
4 IUIs w/ midwives = 4 BFNs
5 IUIs w/ an RE = 5 BFNs
IVF October/November 2012
ER 11/1: 22 eggs retrieved, 17 fertilized!
ET 11/6: 1 blast transferred, 5 frozen
BFP 11/15! Beta #1: 104 Beta #2: 613 Beta #3: 3415
Blighted ovum discovered at 7w5d; D&E 12/13
FET 1 cancelled
FET 1.1: ET 4/30: 1 blast transferred
BFP 5/7! Beta #1: 142 Beta #2: 730 Beta #3: 3184
U/S on 5/29 shows 1 bean with a hb!
6/18: No hb at 9w5d. Baby measures 7w5d.
*Everyone welcome*
 
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