Post # 1
lt has been a long time since I’ve been on the boards – sometimes it just feels too painful and I needed a break, but now I’m after some advice.
Update: been ttc for two years, probably more now. I and my husband have had investigations and everything is coming back normal. At our last fertility appointment, our specialist give us three options:
have a lap – key hole surgery for more diagnostics
go straight for ivf
Because I’m from the U.K, my husband and I get three rounds of ivf free. However, I feel like this is extreme and was wondering if we should self fund IUI first and see how that goes – three round of unmediated for 1600 pounds.
I’m 35, a right wimp who is terrified of injections. We’ve neve become pregnant despite all this time trying.
What are people’s thoughts?
Post # 2
I was you. We tried for 2.5 years and at the end of that I was 32. Same that we got three rounds of IVF on the NHS and we had unexplained infertility.
our doctor told us that IUI was a waste of time and money for UI as the success rates weren’t as good as for full on IVF. He said IUI was great for same sex couples or if there was something blocking the sperm getting in the woman, but if that doesn’t apply then IVF is better.
We were also told to try proxeed for 4-5 months before going to IVF. We started taking that in Jan 2016 and were booked in for our first round of IVF at the end of May 2016. 4 days before our appointment to learn how to do the injections I got my BFP!
Listen to your doctor. If the free rounds don’t work then sure try IUI, but if wouldn’t pay if you don’t have to. tiredandillwife :
Post # 3
I definitely would not spend the money on an unmedicated IUI. That does not give you much better chances than trying naturally. If you are going to do it, I’d consider doing an injectable IUI. It really helps to see how your body responds to the meds before you jump straight to IVF. But if my options were unmedicated IUI or straight to (free) IVF, I’d do IVF. Honestly, though, you will be doing injections anyways with IVF so I’d strongly consider an injectable IUI first
Post # 4
If I could go back I would go straight to IVF instead of wasting money on 3 IUI’s and a lap. So I think you should go straight to IVF especially if you can do it for free.
Post # 5
unmedicated IUI isn’t much more effective than sex so I wouldn’t waste money on it. Although I do understand your hesitation – our doc suggested we go straight to IVF based on our diagnoses, but I was nervous about surgery and opted for an IUI first. It didn’t work and then I was gutted. However IVF worked on my first try!
IVF also cured my needle phobia. I had my husband administer all the shots and he got really good at it.
Post # 6
If you have fere IVF and at the age of 35, I would skip the IUI.
Post # 7
There’s a reason they’re not offering IUIs — it’s simply not effective at the cost. I think the can make sense for some couples, especially when there isn’t coverage for IVF, but in your case, I think you should do IVF. It is a big deal, but it’s not that bad. The shots become NBD quickly, and you’re only really uncomfortable for a week or so.
Post # 8
Skip the lap, skip the IUI if everything is normal on your husbands side too. My RE never recommended a lap. He said if they found endo or anything, the recommendation would have still been IVF. (I did get a lap, after 5 cycles of IVF and 2 early losses, though my RE still didnt recommend it. I didnt care and wanted the diag to see if I could get SOME kind of answer. There were no answers to be found.)
Post # 9
personally, I would have a lap surgery to ensure everything is working as it should be. Between rounds of IUI I had a lap and they found some adhesions from endo that I had no idea I had. So I had that removed before doing another (unsuccessful) round of IUI before moving on to IVF.
For me I wanted to maximixe my chances of success before going in too deep with IVF. We did do it about 6 months later and were successful on our second transfer.
Post # 10
All 3 of my IUIs were failures. I would go straight to IVF.
Post # 11
I would not spend money on IUI. As others have said it doesn’t give you much more of a chance then trying naturally. I actually did 5 rounds of iui and we dont have fertility issues. The reason we couldnt try naturally is my husband is a cancer survivor so we used his frozen sperm pre cancer. Anyways all failed and had one chemical. Did ivf and we have our little girl now! I guess that’s why I lean more towards the ivf or have the lap. I feel I wasted a lot of money, time, and most importantly it was emotionally draining during the failed iuis. Ivf was not so bad. I wont say it was easy but not near as bad as I thought. Good luck in whatever option you choose! Fx for you!