Weddingbee boards

I'm wondering if I should try Clomid with my OB/GYN first or go straight to the RE for possible IUI? OB/GYN is willing to do either. I appear to be not ovulating based on Progestrone testing. My ultrasound and Day three bloodwork were very good. DH's semen analysis was okay just a little low on volume, but he was really worried about getting a sample.

I'm 38 and I do have insurance that cover fertility treatment. I do worry about Clomid side effects and multiple births. However, I really had hoped to avoid lots of interventions.

I did both. I started with Clomid for 3 months with my OBGYN then went to a RE. I would advise not to jump straight to IUI though until you're sure you respond to the medication.

Edit: Regarding multiples your chance is <10% for twins and even less for triplets. Combining that with IUI does not increase your chance of multiples.

@roxy821: You are waaaay off with the numbers on Clomid and multiples. Regular chance of multiples (no meds) is 3.5 percent. Clomid does double the risk -- 7 percent chance.

@kayakgirl73: Since you're 38, I would go straight to an RE for treatment. I found it very frustrating to do clomid through my gyno (no monitoring) and now that I'm moving on, it's a PITA to get the records over to my new doc, not to mention they keep forgetting that I'm not a new fertility patient! Arg.

@Kayak - I went straight to IUI.  My husband's philosophy is to maximize our chances, so that's what we did.  And if you don't respond well, they won't do the IUI anyway.  Typically they will do an ultrasound on CD11 or so to check how you are responding and at that time they can let you know whether the IUI makes sense or not.

My office lists the risk of multiples on their paperwork as 10% for twins, and says that the chances of having more than twins is very, very small.

So I guess my advice is to go to the RE, why not? 

Hmm. Good food for thought. I'm leaning toward asking for an RE referral. UGh, I wish things had worked naturally but alas they haven't. Thankfully I have good insurance and there's modern medicine.

@roxy821: No sweat, just wanted to make sure no one was terrified of the meds for no  reason! I know so many people that have done clomid and none who had it cause multiples, though I'm sure they're out there. In fact, I'm a clomid baby! No twin and I'm not even left handed. (you know what they say about left handed people and twins, right?) ;)

I had a friend do Clomid with her OBGYN and got pregnant. And at 40, so she was super lucky. And she had a kid before, so that increases you chances of getting pregnant again. 

But if were me, due to your age--run, don't walk to your nearest RE. They know what they are doing. OBGYN's are kinda hit or miss. It's a let's try this, without really know exactly what they are doing (kinda like going to a GP for anti-depression meds instead of a psychiatrist).