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Doctor insights on: How Many Follicles Are Too Many For Iui

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Is IUI success higher with 3 follicles?

Is IUI success higher with 3 follicles?

Yes: Since you have more chances with more numbers, the success rates increase with more follicles but so do rates of multiple pregnancies. All the best to you! ...Read more

Dr. Deborah Smith
298 Doctors shared insights

Intrauterine Insemination (Definition)

Intrauterine insemination (iui) is where fresh or frozen partner or donor sperm is prepared or 'washed' to increase the sperm quality then gently injected through your cervix after a speculum exam, like a pap smear exam. It should be painless or cause mild cramping only. Iui helps with mild to moderate sperm problems. Iui preparations should have at least 2 million moving ...Read more


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6 follicles IUI success rate. For a 41 year old?

6 follicles IUI success rate. For a 41 year old?

Can't say: Without specifics: what type of medicine used? Insemination with how many total motile sperm? Monitored how? Hcg trigger injection? Other female diagnosis (endometriosis, tubal problems, etc., . ..)? In general # of follicles is not a predictor of pregnancy. Prognosis for a 41-year old is always guarded; you really want to talk with your fertility doctor about this question. Good luck! ...Read more

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1tube block. Hve follicles abt 18mm. 20mm. 23mm. Doc say do iui. Plz help?

1tube block. Hve follicles abt 18mm. 20mm. 23mm. Doc say do iui. Plz help?

Correct!: Hopefully...

1. You have recruited follicles on the "open-patent" side

2. The blocked side doesn't have fluid accumulated in it as this can drain into the uterus and be toxic to embryos from the good side

3. Iui does increase the odds two fold compared to "timed intercourse".

Good luck! ...Read more

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What's the ideal size for follicles before an IUI treatment? My wife has 2 follicles at 22 and 23 mm.

Around 20 mm: 18-20 mm is ideal but it depends on the infertility specialist. It also depends if it is an unmedicated IUI or if a BHCG trigger shot is being given for ovulation ...Read more

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Preparing for IUI and taking menopur daily. Is intercourse advisable at anytime during the stimulation of follicles?

Preparing for IUI and taking menopur daily. Is intercourse advisable at anytime during the stimulation of follicles?

Yes, unless advised: Most couples doing IUI cycles with ovulation induction medications should have intercourse 2-3 x a week to cover you if you ovulate early, and to 'keep his sperm specimen fresh'. With injectable medicines like Menopur you have more potential to make too many eggs than with Clomid (clomiphene) / Letrozole tablets, so your clinic will monitor you and tell you not to have intercourse if you over-respond to shots. ...Read more

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We had IUI today with 29 million washed sperm count and 2 good follicles. Wife is 34 years old. Good chance for success?

We had IUI today with 29 million washed sperm count and 2 good follicles. Wife is 34 years old. Good chance for success?

Yes and good luck: Typically the pregnancy rates depending on what ovulation induction medications were used will range between 8 to 18%. Once there are at least 5 million motile sperm in the inseminate The chances are very good; best of luck to you ...Read more

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I am on follistim for IUI. Does the dose have to change each cycle if 1-3 follicles are produced and estradiol is increasing appropriately.?

I am on follistim for IUI. Does the dose have to change each cycle if 1-3 follicles are produced and estradiol is increasing appropriately.?

No it doesn't have t: But it definitely could, if you see the difference. You might go through 3-4 cycles without ever changing a dose (if the US and E2 support that,) or you might change doses several times in each cycle. A woman's body is not a machine so monitoring is critical to doing gonadotropins safely and well. Good wishes. ...Read more

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On IUI with inj. 1st cycle 125/225IU Follistim-3 follicles, 2nd cycle 200IU Follistim-1 follicle. 3rd IUI MD wants 450IU, is that dose too high?

On IUI with inj. 1st cycle 125/225IU Follistim-3 follicles, 2nd cycle 200IU Follistim-1 follicle. 3rd IUI MD wants 450IU, is that dose too high?

Not too high: It's still a standard dose, used frequently. Whether it's "too high" really depends on how you responded at lower doses., especially what your estradiol (estrogen) level peaked at. Trust your doctor, but ask him/her questions if unclear. Good wishes. ...Read more

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In your opinion, for the best chance of a successful IUI how many mature follicles should you have at trigger? I'm 41 years old with an FSH of 7.7

In your opinion, for the best chance of a successful IUI how many mature follicles should you have at trigger? I'm 41 years old with an FSH of 7.7

5 to 6: Although we usually aim for 2-4 follicles in patients int their 30 s, I would aim for more in a patient that is 41. The data from pgs in patients doing ivf shows that 90% of embryos can be abnormal. This explains the 50% moscarriage rate in women over 40. Ultimately more eggs is better in a 41 year old so ivf may be best choice as the rate of multiples can be controlled by # for et. ...Read more

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1) How long does swim-up washed sperm live inside a women after IUI? 2) I had 2 mature follicles and hubby's sperm count was 82milion. Will I succeed

1) How long does swim-up washed sperm live inside a women after IUI? 2) I had 2 mature follicles and hubby's sperm count was 82milion. Will I succeed

Washed sperm: Washed sperm can live for 24 hours inside the genital tract. As for success, that depends on many factors. If looking only at sperm counts, 82 million is a good number that carries a better chance for pregnancy. Good luck. ...Read more

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Gonal-F since CD2 and today CD11, scanned and the follicles are hyperatimulated. Got 11 follies around 13-17mm. Iui cancelled. Can I ovulate by my own?

Not usually: Ovarian hyperstimulation is a know risk of fertility medications. If your doctor thinks that ovarian hyper stimulation syndrome is occurring then close monitoring is warranted. Most cases resolve on their own. If leakage of fluid is in the abdominal cavity (ascites) is present then often hospital admission is needed. ...Read more

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I had IUI sun morn with my trigger sat morning. My lining was around 5-6 and I had 2 follicles that were around 18 by sun. Is that lining too thin to hope for conception? We had no sex other than iui

I had IUI sun morn with my trigger sat morning. My lining was around 5-6 and I had 2 follicles that were around 18 by sun. Is that lining too thin to hope for conception? We had no sex other than iui

On the thin side: An endometrial lining of 5-6 mm is on the thin side but apparently it was sufficient to meet your doctor's criteria to proceed with the IVF protocol. This would mean he/she thought the chance of conception was reasonable, not "zero." There are other favorable features of endometrium potentially present. I would certainly continue to hope that this cycle will result in pregnancy. Best wishes:) ...Read more

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Found 2 follicles but not the same size 2.0 and 1.64, does it have any chances to have twins with iui?

Yes: Both of those follicles have a chance of having a mature egg inside. You do have a chance of twins, probably around 10% or so. Both will release the egg when you ovulate. ...Read more

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We went for IUI yesterday washed sperm for girl got 6million good sperm. What is our changes of sucess? Had 2 big 20mm follicles.

IUI Success Rates: The overall success rates for IUI in the literature, are 86%, but you must remember that this often involves more than one cycle. I wish you the best for success with your infertility treatments! ...Read more

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I had 2 good follicles on day12 of LMP. Trigger shot was given on day13 at 9.00pm and IUI was done on day15 at 10am. What's my chance to conceive?

I had 2 good follicles on day12 of LMP. Trigger shot was given on day13 at 9.00pm and IUI was done on day15 at 10am. What's my chance to conceive?

So far so good: It sounds like your treatment plan is going well. Now you are in the emotionally challenging “2 week wait.” This is the time between the treatment and when you can take a pregnancy test to see if it worked. Try and focus on other things. The time will pass faster than you think. Worrying does not make fertility treatments work better. Best of luck ...Read more

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How long before a double IUI would you be given HCG shot. And what should be my follicle size. They had me injected when is was 16mm?

IUI: An HCG shot is usually given 24-48 hours after IUI. However, your follicle should have been bigger before the IUI to begin with. Usually IUI is best done when you have a positive LH surge. A follicle size of at least 3.0 cm is encouraging. ...Read more

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My estradiol level is 307. My dr asked me to test it to know whether I am having a follicle or cyst before doing IUI? Is it follicle or cyst?

Estradiol: If you had an Estradiol level early in your cycle, and thre were no cysts on ultrasound, then it is likely a follicle. If you did not have these tests then an lh level, Progesterone and ultrasound may help. Sometimes, several estradiol, lh levels are necessary to fully determine cyst from follicle. ...Read more

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4th IUI failed with 2 follicles and 36 million sperm. Unexplained infertility or is there a problem? Should've worked by now. All hope is gone.

4th IUI failed with 2 follicles and 36 million sperm. Unexplained infertility or is there a problem? Should've worked by now. All hope is gone.

Discouraging: It seems like you have had a rough go of it. I am sorry to hear that. Infertility is often difficult to qualify and/or quantify. You have some options, of course. You guys could always try again. I know that adoption can also be difficult., but love for a child has a funny way of making everything else seem less important. Those kids need love too. You may be surprised at how big your heart is. ...Read more

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Cd 13 hCG trigger, cd 15- 22mm follicle seen with crenations. And IUI done 3hrs later. When should I take the hpt? Does it look like a good cycle?

Doctors instructions: If you just went through bhcg injections and IUI then I find it very surprising if your treating physician did not provide any specific instructions on when they would like to see you again for a pregnancy test. Follow their instructions. If none were given then check a test if you miss your period. ...Read more

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What are my chances of having twins or conceiving if I had 2, 15 mm and 1, 22 mm follicle on the 14th took trig. Shot that evening, IUI 2 days later

What meds?: What medicines did you use? If you use CC your twin chance is about 5%, if you used hMG ("shots") your chance is 25%, if no medicines at all besides the hCG your twin chance is around 2%. Good luck. ...Read more

Dr. Sanjiv Kaul
1 Doctor shared a insight

Iui (Definition)

Intrauterine insemination is when the sperm is washed and is subsequently placed in the uterus with a small catheter so that it's closer to the egg ...Read more


Follicle (Definition)

An ovarian follicle contains a hollow ball of cells with an immature egg in the center. It is a structure within the ovary containing the egg that ...Read more