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  1. #1
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    Default Is IUI wasting time..?

    Hi Dr Sterling
    My husband (39) and I (32) have been TTC for 19 months. We conceived naturally 12 months ago and miscarried (blighted ovum). Since then no luck, we've tried acupunture & chinese medicine for 6 months and have just had our first appointments with Warren DeAmbrosis at QFG.

    Husband's sperm all good except morph 7% normal. I have fairly regular 31-34 day cycles, although Dr said during u/s my uterine lining was very thin for a mid cycle scan. We are both above average fit & otherwise healthy (non smokers, non drinkers). I'm booked in for a lap next month - currently I have no symptoms of any PCOS / endo but I know that can be asymptomatic.

    Dr has us on a bunch of supplements - zinc, coQ10, fish oil, goji berries!, pepitas etc etc

    Husband is keen on IUI for cost benefit and also lower intervention. I am unsure - I think IVF has a better success rate and wondering whether IUI might be wasting time..?

    What are your thoughts on going straight to IVF versus trying IUI. And how many IUI's would you think sufficient before bringing in the big guns..?

  2. #2
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    Youre young and will do fine. WDA a good specialist and listen to him carefully. Just discuss what you would prefer to do and I am sure he will help you realise your dream . Good Luck GS

  3. #3
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    Thanks Glen. Since my last post we have our blood results back - all normal, my AMH is around 25 & husband is negative for CF, no STIs or anything else. I'm having a lap, hysteroscopy & lipoidol flush to check everything is ok with tubes etc next week. If that goes well & there's no problems with tubal patency we are planning our first IUI with ovulation induction in December.

    I've read in the medical literature that IUI can be particularly suitable for couples with unexplained infertility (as opposed to those diagnosed with endo / MFI). But the success rates quoted by my clinic are only around 17%. Is this because most people do an IUI cycle to begin with, knowing that they probably aren't great candidates (but its cheap, simple and a good starting point), which creates a bigger denominator and reduces the success rate overall? I guess what I'm asking is do you think the chances of success might be higher than 17% for ppl in our situation?

    The other thing I'd like to know is the rate of twins in IUI when there are 2 dominant follicles in an induced cycle.

    thanks!


 

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