(Closed) Unexplained infertility…. Skip the IUI??

posted 5 years ago in TTC
Post # 2
Hostess
11050 posts
Sugar Beekeeper
  • Wedding: June 2011

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Viera2014: I would suggest IVF. I recently visited the doctors for the same reason and to my surprise he went straight in there with the IVF, no mention of IUI, another Bee suggested it probably was due to the low success rate of IUI. 

Post # 3
Member
1547 posts
Bumble bee
  • Wedding: September 2012

I have a friend who was in the same boat. They decided to skip IUI and went directly to IVF after two years of trying (and already having one child naturally). They are now expecting a baby due this fall. Just thought I would share. I know one of the factors they considered was that they wanted their kids close in age and that she’s in her mid thirties so they didn’t want to waste any more time on something that had low success rates.

Post # 4
Member
2052 posts
Buzzing bee
  • Wedding: May 2013

Unexplained infertility here.  We got pregnant on our 3rd IUI cycle (18 cycles/months TTC overall).  Unless you were 35+ I don’t understand why you would skip it.  It’s less invasive and much less complications/risks than anything else.  It only sets you back 3 months and if you can avoid injectibles, the cost is much much less than IVF.

Post # 5
Member
1920 posts
Buzzing bee
  • Wedding: November 2013

Unexplained fertility here. I got pregnant with my first IUI but unfortunately miscarried. Then got pregnant again on our third IUI. So IUI was successful for me!

Post # 6
Member
15133 posts
Honey Beekeeper
  • Wedding: June 2011

I was unexplained when I first started (later diagnoised with mild PCOS), 3 IUIs before moving on to IVF.  For me, I felt I needed to go through the incremental steps just in case it might work and I could avoid doing IVF even though I was ready to just do what had the higher rate of success.  In hindsight of course since they didn’t work, I wish I didn’t bother, but I couldn’t have known that at the time.  

Post # 7
Member
9048 posts
Buzzing Beekeeper

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Viera2014:  we are in the middle of testing now and I’m very much in favor of trying IUI, but hate the thought of doing IVF if it comes to that point. It’s just my personal feelings but I always choose the least invasive options I can. However there isn’t much of a cost incentive for me – Massachusetts requires insurers to cover infertility so no matter what I need I’m only looking at my annual deductible which is very reasonable.

Post # 8
Member
4998 posts
Honey bee
  • Wedding: September 2013

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Viera2014:  If your husband has good sperm, I would do IUI, especially if you can do a cycle with injectables. Hopefully it would work, but if not, it will give you a lot of good information for IVF about how you respond to the medication. 

Post # 9
Member
1889 posts
Buzzing bee
  • Wedding: July 2012

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Viera2014:  DH and I are unexplained and have been trying for 16 months as well. We opted to try IUI because, like 
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pinkshoes, I felt a strong desire to follow the path of least invasiveness. We just did our first IUI, and will likely try at least 2 more if this one doesn’t work. Part of this has to do with our insurance… we are fully covered for unlimited lifetime IUIs, but have limited IVF coverage, so we decided that we’d try as many IUIs as we can (plus, once we go to IVF, our insurance will no longer EVER cover IUIs, so we’re viewing IVF as a last resort). If we were paying out of pocket, we might try one IUI before moving onto IVF. My RE said that the success rates for IUI for patients with unexplained infertility is 10% per cycle, versus 50% with IVF, so if age is a factor or you’re all out of pocket, going with IVF is something to consider for sure. 

Post # 10
Member
4575 posts
Honey bee
  • Wedding: April 2012

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Viera2014:  When we first underwent diagnostic testing everything came back just fine.  The only thing that was a flag was my boderline FSH levels, but my RE said that she wouldn’t necessary point that as the cause of not getting pregnant, since there are plenty of people that get pregnant with even lower FSH levels and without any kind of help, so she said we were unexplained.  Therefore, she suggested IUI with injectables.  We did 3 cycles of it, the last one being the lucky number.  I would opt for IUI because I know there is a possibility of success and it is less invasive.  Good luck with whatever you decide to do. 

Post # 12
Member
987 posts
Busy bee
  • Wedding: April 2014

We were unexplained and the consultant told us not to bother with IUI, on the basis that it wouldn’t really be doing anything we weren’t achieving on our own… We went straight to IVF and it still took us three goes, so since we paid 100% out of pocket, I’m glad we didn’t waste anything on IUI first. That said, it works for many people, and we did consider it in terms of not wanting to bring out the ‘big guns’ straight away. Really, it’s a decision only you can make 🙂 Good luck!

Post # 13
Member
826 posts
Busy bee
  • Wedding: June 2011

My husband and I were in the same boat as you. We tried for 19 months before deciding to move onto IUI, with no insurance coverage. We did debate the pros and cons of skipping straight to IVF, and the two deciding factors were a) what a toll IVF takes on your body compared to IUI, and b) since we were unexplained, I thought perhaps the steps of IUI might uncover something we didn’t know (ovarian cysts, premature ovulation, etc). Our plan was to try it for at least 1 cycle, then reevaluate. Miraculously, we got pregnant right before our first IUI cycle.

Post # 14
Member
1197 posts
Bumble bee
  • Wedding: August 2014

DH and I are also unexplained. We’re starting Clomid + IUI in two months (one month off for my HSG). We are also OOP. Our IUI is ~$400 total, but it’s unmonitored. Does your $2k include scans? Sorry if I’m being nosy, just curious. 

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