Should we do IUI?

[daddydas]

Hi guys,

Me and DH had been trying to ttc since last November and we have gotten pregnant once in our first try but unfortunately had mmc at week 7 and had taken the pills on week 11.

That was end of January and we had to take February off as per the doctor and started trying since March again and had fallen pregnant in March but it was a CP.

Both I and DH went to the fertility clinic for testing and I had an ultrasound and a saline sonohystergram and the results came good. DH went for a semen analysis and it came back good.

Doctors gave us an option to ttc naturally or try IUI. I'm in Canada so IUI is covered by the government for upto 6 cycles.

I'm just not sure if we should ttc naturally or do IUI. We have basically tried 4-5 times and gotten pregnant twice but we are desperate to become parents now. I'm 32 and he's 33.

Do you think IUI is worth trying in our situation?

So you've only been trying 6 months?? In the U.K. under age 35 you wouldn't be referred for treatment until you'd been trying 1-2 years as odds are you'll get pregnant naturally in that time. Personally at your age I would continue to try naturally for at least 12-18 months

IUI has low success rates and you have to factor in at least 10 rounds to have the same chance of success as 1 cycle of IVF.

@andivfmakes3

So you've only been trying 6 months?? In the U.K. under age 35 you wouldn't be referred for treatment until you'd been trying 1-2 years as odds are you'll get pregnant naturally in that time. Personally at your age I would continue to try naturally for at least 12-18 months

IUI has low success rates and you have to factor in at least 10 rounds to have the same chance of success as 1 cycle of IVF.

Yes more less 6 months and got positive pregnancy test twice. The reason why I was thinking of IUI is for higher chances. We just went to a private clinic in Canada. And even the first ivf is government subsidized and IUI is free so was thinking if it's worth trying. My hubby is becoming impatient with having a child.

Definitely go the IUI option, especially if they do ultrasound monitoring for ovulation.

If they offer semen preparation, ask specifically for only the swim-up method alone and not any other method. ( doi.org/10.1111/andr.13038 )

IUI vs IVF is definitely not 10 times less successful..... IUI success varies between 8 - 20% per cycle depending on the cause of infertility, where IVF success rate is around 35%.

I'm not certain the OP is infertile though... given 2 chemical pregnancies thus far so recommending IVF is a bit extreme.

Hope this helps.

@Iszzy

Definitely go the IUI option, especially if they do ultrasound monitoring for ovulation.

If they offer semen preparation, ask specifically for only the swim-up method alone and not any other method. ( doi.org/10.1111/andr.13038 )

IUI vs IVF is definitely not 10 times less successful..... IUI success varies between 8 - 20% per cycle depending on the cause of infertility, where IVF success rate is around 35%.

I'm not certain the OP is infertile though... given 2 chemical pregnancies thus far so recommending IVF is a bit extreme.

Hope this helps.

Thank you for your comment. Yes they will do sperm wash and give me ovulation medication. I had one mmc (at 11 weeks, baby stopped growing at 7 weeks) and one chemical pregnancy (5 weeks).

The fertility specialist said cp can happen anytime. We are not categorized as infertile but since in Canada IUI is covered by government for 6 cycles, they gave us this option to speed up if we want to do it.

Sounds good.

Don't be too hard on yourself with any loss of pregnancies, most of the time its just the bodies natural quality control system seeing somethings not right and stopping it early.

It's just as likely to be a sperm issue as it is an egg thing. The reality is a basic semen analysis doesn't mean your DH sperm is perfect. All it means officially (WHO) is that with his 'normal' sperm result you should conceive naturally within 2 years of TTC, on the condition there is no female issues.

This is one of the reasons why ICSI has much higher miscarriage rates when compare to standard IVF.

You won't have that issue with IUI anyway, so with a bit of luck and good sperm prep the next one will stick for you.

off the hook so to speak, but without private tests you will never know.

Ignore the last line.... can't edit.