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Doctor insights on: Pcos And Iui Success

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3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34. Low chance of success? Losing hope and ashamed.

3rd iui with clomid (clomiphene) and ovidrel and unexplained infertility, wife is 34.   Low chance of success?  Losing hope and ashamed.

Don't lose hope...: pregnancy only occurs in 20% of IUI cycles, have faith and keep on trying! Try speaking with your doctor or their nurse for encouragement if needed, infertility is tough mentally and most couples can use some extra emotional support! ...Read more

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Dr. Dennis Higginbotham
1,257 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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What are the ovulation success rates on low (50iu) FSH injections in Clomid (clomiphene) resistance patients?

What are the ovulation success rates on low (50iu) FSH injections in Clomid (clomiphene) resistance patients?

Good rates, long tim: Fsh will usually stimulate the ovaries very well. The concern is that too many eggs will stimulate and that is why we use a low dose protocol when not doing ivf. The key is patience. It may take 3-4 weeks of injections before the ovulation will occur. If little effect the dose is increased. Sometimes too many eggs will become mature anyway and the cycle will need to be cancelled. ...Read more

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Diminished ovarian reserve with low egg supply. Would u rec Clomid (clomiphene) with IUI or injectable with iui. I am 35 years old?

Diminished ovarian reserve with low egg supply. Would u rec Clomid (clomiphene) with IUI or injectable with iui. I am 35 years old?

Yes, IVF is better: At age 39 with DOR, you may try few cycles Clomid (clomiphene) IUI, but IVF is a better option. The reason is with DOR, you don't have many embryos to work with. On the other hand, if you do IVF, you may bank embryos and do FET later. At age 39, I strongly recommend to do Pre-implantation genetic screening (PGS) of your embryos prior to transfer. It will increase your change of pregnancy and reduce miscarriage ...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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Are injectibles with IUI more successful than Clomid (clomiphene) with iui? We are thinking about doing our first round of IUI with Clomid (clomiphene) only.

Some patient groups: In some patient populations, and for some diagnoses 'yes, ' for others success rates are pretty similar. Injectible drugs always have a significantly higher chance of multiple conception than oral drugs. ...Read more

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5 failed IUI with letrozole, mild endo removed by laparoscopy, one miscarriage but conceived naturally after 2 yrs. IVF next or Iui with injectables?

5 failed IUI with letrozole, mild endo removed by laparoscopy, one miscarriage but conceived naturally after 2 yrs. IVF next or Iui with injectables?

No more IUI: Since you've failed 5 IUIs, it is no longer a good option for you, especially for someone with endometriosis. One reason patients with endometriosis not able to conceive naturally, is because the endometriosis will cause pelvic adhesion and tubal dysfunction. IVF is a much better option. If you are afraid of using drugs, you may choose natural cycle IVF or mild stimulation IVF. ...Read more

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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

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On average what is the success rate over 3 cycles of IUI for couples with unexplained infertility?

On average what is the success rate over 3 cycles of IUI for couples with unexplained infertility?

Average is 3-4 trys: 6 cycles of IUI on injectable medications costs around the same as one cycle of ivf. One takes 6+ months and ivf takes 6 weeks. Here is the "rub". 6 cycles of IUI is not as successful as 1 cycle of ivf. So it is a choice. By doing iui, you "gamble" that it works in 2-3 attempts and save money; but if not, than ultimately it costs more because when IUI does not work, you have to go to ivf. ...Read more

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What impact does pcos have on implantation success with frozen embryos?

What impact does pcos have on implantation success with frozen embryos?

Insulin resistance: Which is the basic biochemical defect of pcos, adversely affects all aspects of the reproductive process. You would need consultation and treatment by a reproductive endocrinologist if you want to have any potential success with frozen embryos. ...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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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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What are treatment options for high testosterone. I'm trying to conceive and I have pcos caused by high testosterone. Clomid (clomiphene) and metformin failed.

Here are some ...: With thus far in your care for PCOS, it would not most logical and beneficial to bring this Q to the treating doctor so timely modification of care could be given. At this time, further online inquiry tends to cause more unnecessary confusion and anxiety. So, contact your treating doc who should be in line of today's knowledge and options of care. Worst, seeking second opinion is still easier &... ...Read more

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5th IUI yesterday done with Clomid and higher dose of Gonal F (follitropin alfa). 33 million sperm and 2 follicles this IUI. Can this work or IVF required? Unexplained

5th IUI yesterday done with Clomid and higher dose of Gonal F (follitropin alfa). 33 million sperm and 2 follicles this IUI.  Can this work or IVF required?  Unexplained

IUI: Is your physician confirming ovulation? Before you move on to IVF, that question has to be answered. You may need an hcg injection to help cause ovulation. Also , you need to ask if follicles are right range for size (about 15-22mm). ...Read more

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What are the success rate of IUI with hCG injection?

Variable: Iui with HCG can give you a pregnancy rate of between 1-20% depending on the situation. Generally if it is not combined with either Clomid (clomiphene) pills or fsh injections, the pregnancy rate per month for someone age 30 is around 3-10% depending on your actual diagnosis and length of infertility. But there is a tremendous amount of variation. ...Read more

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How many inseminations per cycle will be given to a women using Clomid (clomiphene) (or injectables) with iui?

How many inseminations per cycle will be given to a women using Clomid (clomiphene) (or injectables) with iui?

One or two per cycle: One to two per cycle - if one insemination (iui) per cycle we schedule it on the day of expected ovulation (egg release), if two we do one IUI the day before ovulation as well. Two IUI is a slightly higher pregnancy rate than one, but not double. Have intercourse 2-3 times a week as well. Your wife should see a rei (infertility specialist) if not pregnant after three cycles of clomid (clomiphene). ...Read more

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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. Sandra Lora Cremers
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