worth attempting IUI before IVF?

Helen222 · 10-23-2009, 07:10 PM

Hi! My DH and I have been ttc for about a year now. I just turned 40, he's 39: I have a good reserve of eggs and good hormone levels; he's got a good supply of sperm with good motility, but *very* low strict morphology.

I'm with Kaiser and took the Repronex class to see if IUI was a possibility and the nurse indicated that since my issue was probably that the sperm weren't fertilizing the egg, that IUI wouldn't be effective.

So, given our age and my sweetie's "gentlemanly" sperm (that's what our Ob/Gyn called them), we are thinking of jumping right to IVF despite the cost.

Has anyone had this experience, and is it worth trying IUI (I'm disinclined b/c it seems so invasive and, at this point, every cycle counts)? Getting a second opinion? Getting another Kruger test?

Also, it seems that Dr. Zouves in Daly city is the man for tough cases. I'd be especially interested to hear if others' in our position have gone to him, and what their experience was.

Thanks a million - just glad to have a place to get this all out. All my friends are on their 2nd or 3rd kids and have no way of relating to this.

sthang6 · 10-23-2009, 08:01 PM

I din't have luck with IUI, but my friend did and is pg with triplets...

gabbiesmamma · 10-24-2009, 01:54 PM

My husband has a problem with the morphology also and we did several IUI's and no luck

IVF worked the first time though! Good luck with your decision!

**BC-eli** · 10-24-2009, 02:04 PM

I would go straight to IVF if I were you. Good luck!

Helen222 · 10-24-2009, 03:03 PM

Thanks, everyone! And congratulations, Gabbiesmama - if you don't mind my asking, did you also use stimulation drugs (Clomid, Repronex, etc) when you went through IVF?

tenseintexas · 10-25-2009, 04:39 PM

helen- we did one IUI and he has 5 million sperm and 0% morpholgy!! she told me that when she was actually performing the IUI...i started crying because i really felt we were wasting a month...my RE gaveme the option of doing another IUI, but felt we wold have WAY more of a chance with IVF --she gave me a 5% chance of success with my dh's numbers...we went on to ivf , which worked the first time

the drugs i used was Lupron, Menopur and FOllistim

Good luck and feel free to PM me with any questions..

Cali · 10-25-2009, 06:28 PM

Quote:

Originally Posted by BC-eli

I would go straight to IVF if I were you. Good luck!

Ditto!

barren-bipolar · 10-26-2009, 06:30 AM

I would DEFINITELY go straight to IVF! We did 4 IUIs and it was a total waste of time. With diminished ovarian reserve, I don't have any time to waste.

gabbiesmamma · 10-26-2009, 02:35 PM

Quote:

Originally Posted by Helen222

Thanks, everyone! And congratulations, Gabbiesmama - if you don't mind my asking, did you also use stimulation drugs (Clomid, Repronex, etc) when you went through IVF?

Yes, I used Gonal-F

SomedayMommy · 10-29-2009, 04:49 AM

Hi Helen! If you were say 25-30, I would say try a few IUIs first. But, given that you are a bit on the clock, I agree to move straight to IVF! Because yes, if there's a fertilization problem, you will be able to bypass that straightaway with ICSI!

Best of luck!

10-23-2009, 07:10 PM	#1 (permalink)
Helen222 0-99 post 2 of hearts Join Date: Oct 2009 Location: San Diego Posts: 4	worth attempting IUI before IVF? Hi! My DH and I have been ttc for about a year now. I just turned 40, he's 39: I have a good reserve of eggs and good hormone levels; he's got a good supply of sperm with good motility, but very low strict morphology. I'm with Kaiser and took the Repronex class to see if IUI was a possibility and the nurse indicated that since my issue was probably that the sperm weren't fertilizing the egg, that IUI wouldn't be effective. So, given our age and my sweetie's "gentlemanly" sperm (that's what our Ob/Gyn called them), we are thinking of jumping right to IVF despite the cost. Has anyone had this experience, and is it worth trying IUI (I'm disinclined b/c it seems so invasive and, at this point, every cycle counts)? Getting a second opinion? Getting another Kruger test? Also, it seems that Dr. Zouves in Daly city is the man for tough cases. I'd be especially interested to hear if others' in our position have gone to him, and what their experience was. Thanks a million - just glad to have a place to get this all out. All my friends are on their 2nd or 3rd kids and have no way of relating to this.

10-23-2009, 08:01 PM	#2 (permalink)
sthang6 400-499 post 6 of hearts Join Date: Jun 2009 Location: CT Posts: 403	I din't have luck with IUI, but my friend did and is pg with triplets... __________________ Me 28 DH 28 IUI #1 Jan. 09 BFN IUI #2 W Feb 09 BFN IVF #1 March 09 BFN IVF #2 May 09 BFN FET#1 7/14 Chemical FET#2 8/25 Finally BFP u/s 9/22 133 EDD: May 13th

10-24-2009, 01:54 PM	#3 (permalink)
gabbiesmamma 0-99 post 2 of hearts Join Date: Aug 2009 Location: MI Posts: 83	My husband has a problem with the morphology also and we did several IUI's and no luck IVF worked the first time though! Good luck with your decision! __________________ Me (30), DH (32) Me-anovulatory NOS, DH-male factor IUI x 6 1 Chemical preg 1 MC at 8 weeks 1 DD 4 1/2 years old IUI x4, (6 medicated cycles) all BFN IVF#1 8/09 Beta #1 -8/27 11dp2dt 105 Beta #2 8/31 15dp2dt 512 U/S 9/10 twins!! U/S #2 9/24 baby A 163, baby B 154

10-25-2009, 04:39 PM	#6 (permalink)
tenseintexas 900-999 post jack of hearts Join Date: Feb 2009 Posts: 913	helen- we did one IUI and he has 5 million sperm and 0% morpholgy!! she told me that when she was actually performing the IUI...i started crying because i really felt we were wasting a month...my RE gaveme the option of doing another IUI, but felt we wold have WAY more of a chance with IVF --she gave me a 5% chance of success with my dh's numbers...we went on to ivf , which worked the first time the drugs i used was Lupron, Menopur and FOllistim Good luck and feel free to PM me with any questions.. __________________ me (32) dh (33) TTC since 2008 IUI #1 March 09 BFN IUI #2 April IUI- cancelled IVF #1 06/09/09- egg retrieval 6 eggs, 5 mature, 3 fertilized 06/12/09-3dt of 2 embies 06 /26/06- Beta #1 639 6/29/09 Beta #2 2897 1st U/S EDD of Baby GIRL 03/02/09

10-26-2009, 06:30 AM	#8 (permalink)
barren-bipolar 300-399 post 5 of hearts Join Date: Jun 2009 Location: New York City Posts: 354	I would DEFINITELY go straight to IVF! We did 4 IUIs and it was a total waste of time. With diminished ovarian reserve, I don't have any time to waste. __________________ me (34) DH (51), TTC #1 low ovarian reserve, hypothyroid, egg quality issues beginning IVF #3- looking for a golden egg http://bravebarrenbipolar.wordpress.com

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10-24-2009, 02:04 PM	#4 (permalink)
BC-eli 10000-15000 post ace of hearts Join Date: Jan 2002 Location: NY Posts: 25,244 Blog Entries: 278	I would go straight to IVF if I were you. Good luck!

10-24-2009, 03:03 PM	#5 (permalink)
Helen222 0-99 post 2 of hearts Join Date: Oct 2009 Location: San Diego Posts: 4	Thanks, everyone! And congratulations, Gabbiesmama - if you don't mind my asking, did you also use stimulation drugs (Clomid, Repronex, etc) when you went through IVF?

10-29-2009, 04:49 AM	#10 (permalink)
SomedayMommy 10000-15000 post ace of hearts Join Date: Mar 2002 Location: NE Ohio Posts: 16,194 Blog Entries: 75	Hi Helen! If you were say 25-30, I would say try a few IUIs first. But, given that you are a bit on the clock, I agree to move straight to IVF! Because yes, if there's a fertilization problem, you will be able to bypass that straightaway with ICSI! Best of luck!

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