Should we go for fertility treatment? IUI/IVF?

[daddydas]

Hi there,

Me and DH have been trying to conceive from last October, he is 33 and I'm 32.

We got pregnant on November but unfortunately had a mmc in late January. We had to wait a month for the period to come and then tried again in March, we got a positive pregnancy result but it resulted being a chemical pregnancy (got positive results but miscarried at 5.5 weeks).

We tried again on April and tracked ovulation and had intercourse on optimal days but did not succeed.

DH is worried and our finances allowed us to do private testing at a fertility clinic and I went through saline sonohystergram and nothing is wrong, my tubes are open and no scars. Doctor also did another test to check my ovarian reserve and it is good.

DH needs to do his sperm analysis and he is worried that underlying issue may be his as we technically had 2 miscarriages and if my tests came all good. Can men sperm cause miscarriage?

I know many people have been ttc for much longer but DH and I are desperate to be parents ASAP.

Question is if the semen analysis comes back positive, should we still go for IUI or try to conceive naturally or if we do go for IUI, can we still try to conceive naturally?

I'm from Canada and IUI is covered by the government upto 6 cycles.

Hey, I think if sperm analysis is good and you have conceived multiple times already then IUI could be a good option. However it doesn't necessarily get to the bottom of the miscarriages. Could be bad luck or could be something. I have seen initial research the suggests high dna fragmentation in sperm could result in increased risk of miscarriage. Could be worth asking your fertility doctor about it and check if they check that when doing the analysis.

I always say don't worry about whether you have or have not tried long enough only you and your partner can determine that. This journey is so so hard you just have to do what you feel is best.

Best of luck to you.