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Doctor insights on: Iui Success Rate In Pcos

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Dr. Dennis Higginbotham
1,246 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Does acupuncture help with success in IUI procedure? I am a PCOS patient no male factor.

Does acupuncture help with success in IUI procedure? I am a PCOS patient no male factor.

I do not practice: fertility acupuncture. However acupuncture is reported to be helpful with intra-uterine insemination. ...Read more

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If some one have pcos , did IUI is helpfull to concive or not?

Pregnancy with PCOS?: Usually the cause of infertility with pcos is not ovulating. An IUI will not help you to conceive if that is your problem. ...Read more

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Mild pcos, 1 failed medicated iui, what do I do next?

Failed?: If failed means unsuccesful, and if the cycle looked good, it's usual to try 3 times before jumping ship. If failed means no follicle development at all, then either another stimulation protocol, an alternate medicine choice, or ivf are further steps. ...Read more

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We tried our 1st iui.Got negative result.I have mild pcos.My hubby has teratozoospermia but his motility is 84% .Why we got negative result.?

Chance: It is chance. It is just luck of the draw. Nothing is 100% in this field. You both have challenging fertility issues however there still is hope for you. Do not give up and try not to be discouraged. You will likely be successful soon. ...Read more

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I do have pcos and my husband severe oligoathrnszoospermia my gyn want us to use insemenation iui.can that work for us? Help

Its a good option: IUI is a good option for you. Your husband's sperm from several donations can be concentrated. Then, at just the right moment, your doctor can put it right were it needs to be. Sometimes nature needs a little help.

PCOS can prevent you from ovulating. If your doctor does IUI, he will know how to make sure you are ovulating on your own or give you medicine to help you ovulate.

...Read more

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I have mild pcos, I have done 2iui s with three chemical pregnancies.I want to try another iui, how can I prevevent another chemical pregnancy?

I have mild pcos, I have done 2iui s with three chemical pregnancies.I want to try another iui, how can I prevevent another chemical pregnancy?

Early miscarriages: Biochemical pregnancy (positive HCG hormone but too low to see a pregnancy on ultrasound) is either very early miscarriage or early tubal pregnancy. You need to be checked for tubal problems and polyps/fibroids in the uterus with an hsg, as well as tests for diminished ovarian reserve (low egg supply). After 2 + losses you should be checked for thrombophilias and autoimmune causes of miscarriage. ...Read more

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Age:23,16 months married life.Diagonsed with PCOS.1st IUI failed.What is the chance of pregnancy on further cycles of IUI? Is it advisable to try now?

PCOS: Before you plan another IUI I would suggest that you find out if your ovulatory. It doesn't make sense to schedule an IUI if you're not ovulating. If you aren't ovulatory then I would suggest medication to get you to ovulate and then plan the IUI. ...Read more

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I have just ran out of metformin will it be ok to miss 3 days as its the weekend could be pregnant had an IUI a week ago have pcos?

I have just ran out of metformin will it be ok to miss 3 days as its the weekend could be pregnant had an IUI a week ago have pcos?

No way to tell: Check w/your doctor. Some prefer to continue metformin after fertilization, others prefer to discontinue it. In any event, if you don't take it for several days, the beneficial effects resolve. ...Read more

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Im 29 yrs old,having pcos and thyroid disorder,hv 2 miscarriages in july nd september.in both cases conceived through iui.wht to do now to avoid it?

Evaluation: You need an evaluation to check for potential underlying cause of miscarriages. Treatment to avoid miscarriage in the future will depend on findings. ...Read more

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I am 29 yrs old & hv pcos.Aftr 1 yr of trying I got pregnant in 2nd iui. But it end up in miscarriage whn i was 3 weeks pregnant.whn shud i try again?

This is a question: that you need to direct to your treating physician. Not knowing the specific details of the amount of blood lost and the specifics surrounding your fertility and metabolic disorder, giving specific information is not possible, and probably unsafe. Clearly you will want to try again as soon a it is safe to do so. Call your doc and ask them what they suggest and when you need to follow up. good luck ...Read more

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I have pcos and my husbands semen analysis was low but motility was good I am in my first monitered cycle of Clomid (clomiphene) w/hgc & IUI what are our chances?

I have pcos and my husbands semen analysis was low but motility was good I am in my first monitered cycle of Clomid (clomiphene) w/hgc & IUI what are our chances?

Depends: Ideally we like to see 5 million total motile sperm after the wash for an IUI specimen. If you have a good IUI specimen and you respond well to Clomid (clomiphene) then your chance of conception should be about the same as a fertile couple: about 15% per cycle, about 60% after 6 cycles. ...Read more

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Did 2times IUI.both ended in chemical preg,the sac was not found,bhcg got dropped down.now should I do IVF or try last IUI?I have PCOS,husb low motile

Did 2times IUI.both ended in chemical preg,the sac was not found,bhcg got dropped down.now should I do IVF or try last IUI?I have PCOS,husb low motile

Yes: Consider moving to ivf given the male factor. There may also be an underlying egg quality issue. Consider adding PGS. Good luck. ...Read more

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My wife ( pcos ) , is on her 7 th cycle with Clomid (clomiphene) 200 mg bd + letroz 2.5 mg bd; possibility of birth defects ? Iui on tomrrw. Quick ans. Pls!

My wife ( pcos ) , is on her 7 th cycle with Clomid (clomiphene) 200 mg bd + letroz 2.5 mg bd; possibility of birth defects ? Iui on tomrrw. Quick ans. Pls!

7 clomid (clomiphene) cycles: Birth defects are not a concern in pregnancies conceived while taking either Clomid (clomiphene) or letrazole. However, if your wife is not pregnant after 6 cycles on clomid, (clomiphene) it is time to move on to a more agressive modality! ...Read more

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Mild pcos, open tubes (had HSG) getting ready to try IUI. No cyst or endo just slightly high testosterone. Can IUI work with pcos?

IUI: Yes. However, it would be wise to have an honest discussion with your fertility specialist to discuss success rates, etc. ...Read more

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How successful is IUI if have PCOS and have done Clomid (clomiphene) and meds over year and ovulated twice with no pregnancy? Think mucus not what should be!

How successful is IUI if have PCOS and have done Clomid (clomiphene) and meds over year and ovulated twice with no pregnancy? Think mucus not what should be!

PCOS: Pregancy even with clomiphene citrate is not easy to achieve, and ovulation "twice" in a year is also not helping your chances. Ask your healthcare professional to consider increasing your dose of clomid, or perhaps move to FSH analogues to help you ovulate. You also at 35 may consider in vitro fertilization if the preceding does not produce pregnancy in another six months or so. ...Read more

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I had clomid, (clomiphene)ovidrel,IUI bcos of PCOS.I Ov'd twice but BFN and I got periods exactly 18days past triger. So am I ovulating in 36hrs window or more with ovidrel?or is my Luteal phase 16 days?

I had clomid, (clomiphene)ovidrel,IUI bcos of PCOS.I Ov'd twice but BFN and I got periods exactly 18days past triger. So am I ovulating in 36hrs window or more with ovidrel?or is my Luteal phase 16 days?

Literal phase : There are ovulation predictor kits that you can buy which can pin point your leu real phase so you know when you will ovulate

There is always the old time standard basal body temperature. Routine. ...Read more

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I have had two miscarriages pcos thin. I tested positive for mthr-gene and lupus anticoagulant. Should i look at IUI next time? I get period 18 days

I have had two miscarriages pcos thin. I tested positive for mthr-gene and lupus anticoagulant. Should i look at IUI next time? I get period 18 days

Before pregnancy!: Make sure that both you ; your hubby (if + for the mthfr 677 or 1298 genotypes), are first being treated with l-methylfolate, p5p, and methylcobalamin (at the minimum), to give any pregnancy a best chance for success. Also, do not take a prenatal vitamin that has regular fa if you are a known mthfr+ person. The regular Folic Acid blocks the receptors that need to let l-mthf through. Pm me! ...Read more

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Hi im 29 with PCOS. Had 4 failed IUI cycles, 1 with Clomid 50mg, 1 with Clomid 100mg + Femera 5mg + estradiol 0.5 mg 7 days. 2 cycles Puregon 75ml with porgesterone 200mg. Sperm 6-11 Mill post wash. Need help on next steps i.e diff Meds or IVF? Thx.

Hi im 29 with PCOS. Had 4 failed IUI cycles, 1 with Clomid 50mg, 1 with Clomid 100mg + Femera 5mg + estradiol 0.5 mg  7 days. 2 cycles Puregon 75ml with porgesterone 200mg. Sperm 6-11 Mill post wash. Need help on next steps i.e diff Meds or IVF? Thx.

This is complicated!: Try a Virtual Consult with one of our gyno specialists? Also, ask YOUR fertility specialist what point(s) in the process they think this failed and what's the next step. Also, if they're monitoring your natural progesterone levels, are they consistent with ovulation? External progesterone helps maintain pregnancy but won't help trigger ovulation. IVF requires healthy ova for success. ...Read more

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7 yrs no pregnancy, 3 times iui, past history pcos but they've gone, had lap dr found scar tissue . Can scar tissue cause infertility? Gonna ivf.

7 yrs no pregnancy, 3 times iui, past history pcos but they've gone, had lap dr found scar tissue . Can scar tissue cause infertility? Gonna ivf.

More complicated: PCOS is more than about ovarian problems. It involves problems with glucose metabolism as well. Some times being treated with metformin (Glucophage) can significantly improve fertility. Have her see an endocrinologist.

Scar tissue can certainly interfere with fertility. ...Read more

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I have pcos and irregular periods - 14 days ago i had IUI - had a brownish discharge yesterday - no period - blood test neg - could i still be pg?

Post-IUI : There are 2 possibilities here: either you're pregnant or you are staring on your period. Very early on in pregnancy when the embyro implants into the uterus, a little bleeding can occur, most often described by women as "spotting". However, spotting also occurs early in pregnancy. Follow the guidance of the doctor that did your IUI regarding steps to take next. ...Read more

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I have pcos my hubby has low sperm count, is monitered cycle with Clomid (clomiphene) hCG & IUI enough or would injectable meds work better/faster to get pregnant?

I have pcos my hubby has low sperm count, is monitered cycle with Clomid (clomiphene) hCG & IUI enough or would injectable meds work better/faster to get pregnant?

Depends: If you are ovulating with the Clomid (clomiphene) then the other meds would not likely offer any benefit. If you are not ovulating, then there may be a better chance for ovulating and conceiving with the more aggressive medications. Good luck. ...Read more

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Ttc, irregular cycles from beginning, no pcos, no thyroid, hsg, ultraound clear, ovulating, dh is perfect, 3 failed iui, any treatment other than ivf?

Ttc, irregular cycles from beginning, no pcos, no thyroid, hsg, ultraound clear, ovulating, dh is perfect, 3 failed iui, any treatment other than ivf?

Need exertise : For very specific treatment plans it is best to schedule a visit with an infertility specialist to evaluate your unique circusmtances. ...Read more

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Have pcos & trying to conceive (on 150 mg Clomid (clomiphene) cd5-9, hcg) with iui. How can I be certain that I ovulated? Can you have a period without ovulation?

Check progesterone: You can not have a menstrual period spontaneously with ovulating. You could have breakthrough bleeding, but that is not a real menstrual period. If you do ovulate, your Progesterone level will rise, it is common to check this level around cycle day 24 to 26 of Clomid (clomiphene) stimulated cycles, to confim ovulation. ...Read more

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(PCOS, irregular periods) Sep1 LMP Sep15 IUI done Sep30Beta HCG result <1.25 Oct10 No period & negative home test Pregnant, or not? Why no period yet?

(PCOS, irregular periods) Sep1 LMP Sep15 IUI done Sep30Beta HCG result <1.25 Oct10 No period & negative home test Pregnant, or not? Why no period yet?

PCOS: The underlying problem here is PCOS. This causes irregular periods thus requiring you to seek fertility help. Since PCOS causes a lack of ovulation irregular periods are expected. Since your IUI was not successful you will need to schedule a follow up visit with the fertility doctor to discuss the next steps. ...Read more

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How can you increase IUI success rates?

How can you increase IUI success rates?

Many answers: Increase the chances of IUI compared to what? Iui at home vs. In a doctor's office? Iui in natural cycles vs. Medicated cycles? What are you wanting to compare? ...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


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