Another IUI vs. IVF WWYD

[Bernadine]

Hi all- I see that there was a similar post a bit ago, but my situation is a little different and I was hoping to get some opinions.

H and I are unexplained.  We've now done two IUI w/ Clomid and Ovidrel cycles, both BFN.  I responded well to the Clomid.  My lining was a little thin, so they started me on estrogen, and my lining was good both times by the time of the IUI.  I had one good follie each time, and h had great samples.  Oh, and we're both 33.

We have a follow up appointment with our RE tomorrow morning, and it sounds like we'll have to decide whether we want to try IUI with injectables, or move straight to IVF.  We are incredibly fortunate that our insurance will cover either procedure, so that is not a concern.

I think I'm leaning towards IVF, because I want a baby already and I'm ready to be more aggressive about it.

I'd really appreciate different thoughts/opinions.  TIA!

[ilovecandy]

I think in your case i would consider ivf. If you did IUI i would probably only do one more. I did an iui with clomid and injectables. It was not successfull. We won't do any more than iui becuse of money our insurance won't pay for iv.f so I think if you have insurance that will pay for ivf and that is what you really want to do go for it!

[mac08]

I would go straight to IVF if my insurance covered it! Good luck!

[oneslybookworm]

We did 3 IUIs, all oral, because I responded well with the Femara. I don't think I would have done an injectable IUI cycle before IVF because I was already responding well to oral alone. I would say it entirely depends on how you and your DH feel, but if I had insurance covering the cost, and I was already 2 IUIs deep, I'd go to IVF.

[EllenGriswold]

In your case I would move to IVF. IVF has much higher success rates than IUI and by moving to injectables you really are only increasing your chances of multiples, particularly since you had a good response to Clomid. The fact that you have insurance is icing on the cake at this point.

I'm also unexplained. We did three IUIs with Clomid and had a good response each time. After that we decided to move to IVF because I was ready to move on, I felt over IUI and thought injectables was just a lot more expensive for no better shot. If both you and your H are there, I would go straight to IVF.

[kellikans]

If you have insurance covering it, I would move on.

We are also unexplained, did two IUI's with Clomid and one with injectables. None were successful. I wish we had skipped the injectable IUI, but we were switching to an RE (the first 2 were done with my OB). We have come to find out that our insurance only covers 6 ART cycles and with the ER and failed FET we've done, we're already at 5. We have one more shot before our insurance starts requiring more from the doctor in terms of preauthorization. Might be something to check into as well to help make a decision.

[King26]

I would check with your insurance before moving on to IVF. I had to do 3 IUI's before having them cover IVF and I know others with insurance had to do the same. If you don't have to do 3, I'd go right to IVF

[boiler717]

If your lining was thin I would consider one with letrozole first. I don't think moving on is wrong if that's what you want though.

[Bernadine]

Aug 5, 2015 17:06:35 GMT -5 King26 said:

I would check with your insurance before moving on to IVF. I had to do 3 IUI's before having them cover IVF and I know others with insurance had to do the same. If you don't have to do 3, I'd go right to IVF

I did a pre-emptive check. We don't have to do 3, we just have to get pre- authorization

[Bernadine]

Aug 5, 2015 17:58:00 GMT -5 boiler717 said:

If your lining was thin I would consider one with letrozole first. I don't think moving on is wrong if that's what you want though.

What is letrozole? I was on estrogen suppositories, and that thickened my lining to a normal range.