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A 36-year-old female asked:

I am 36 and am on my 3rd round of iui (we did 2 vials this month) but my doctor won't allow me to take clomid or any other medecine until after 6 failed attempts. is that normal? i am gay so it's not like i was trying to get pregnant before this and fail

3 doctor answers5 doctors weighed in
Dr. Gerard Honore
Fertility Medicine 31 years experience
Hmmmm: You should trust your doctor of course, but multiple IUI with unstimulated cycles (no medicine) is an 'unusual' treatment plan. If you are having trouble communicating with this doctor, a second opinion could be in order.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Michael Traub
Fertility Medicine 21 years experience
No: As a patient, you should always be in charge of your care. Certainly there may be times when you have limited options (i.e. Both tubes blocked) but in general no one should ever make requirements like those (except insurances who sometimes have guidelines). So one can debate what is the best type of care, but you should always be given choices.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Joseph Pena
Fertility Medicine 27 years experience
Counseling is key: While it is not mandatory to do natural cycle x 6 cycles prior to adding Clomid (clomiphene) to one's regimen, there are pros/cons to both treatment options. Clomid (clomiphene) has some side effects, most of which is tolerable, along with an increased risk of multiples (~8% twins, ~1% triplets). However, potential benefit of increasing chance of success/cycle and/or shortening the duration to pregnancy is considered also.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 6, 2019

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