Doctor insights on:
How Many Follicles Are Too Many For Iui
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 moreSee 1 more doctor answer
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
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
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 / Letrozole tablets, so your clinic will monitor you and tell you not to have intercourse if you over-respond to shots. ...Read more
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
We had IUI today with 29 million washed sperm count and 2 good follicles. Wife is 34 years old. Good chance for success?
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