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Doctor insights on: Successful Iui After Failed Ivf

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Can artificial insemination IUI (not ivf) be done month after month if not successful the 1st or 2nd time?

Can artificial insemination IUI (not ivf) be done month after month if not successful the 1st or 2nd time?

It can: Be done several months in a row if certain conditions are met. You cannot start if you have a persistent cyst (usually a follicular or luteal cyst) form the cycle before.

Dr. Deborah Smith
294 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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What is the difference between IUI and ivf?

What is the difference between IUI and ivf?

Lots: So they are very different. Essentially an IUI is when sperm is placed in the uterus. The tubes must still function, the egg and sperm must join and move back into the uterus. In IVF eggs are removed and fertilized outside the body then placed back inside

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After failed iui, 2 ivf. What do you advise next?

See your doctor: Many women at age 33 should be able to conceive with ivf. Please sit down with your doctor to understand why your last 2 cycles did not work and what your doctor thinks about your overall chances for success. Are there things that you can do to help? Lose weight? Quit smoking? Manage stress? It may also be reasonable to consider a second opinion.

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Dr. Alvin Lin Dr. Lin
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I am 34 one fails IUI so please tell me should I do 2nd IUI or should go for ivf?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
I am 34 one fails IUI so please tell me should I do 2nd IUI or should go for ivf?

Ask ur ReproEndo doc: Whether someone should have repeat IUI or undergo ivf is a question best addressed by your reproductive endocrinologist who knows you best as there are too many variables to consider for an unknown physician to answer w/o access to your medical records or ability to examine you. Get a local 2nd opinion if you want but should be from someone who examines you & has access to all your information.

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5 failed IUI attempts of wife. Wht could be wrong? Should we go for IVF or continue with iui? Gynec say everything is in order though. Please help.

Specialist: Most specialist would recommend moving on to other treatment options after 5 IUI attemps. It may be worth scheduling a visit for a second opinion. These decisions are best made one on one.

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I'm 45, just had 1st failed ivf. Previously had 2 fld iui's and 2 cxld. Will try IVF again in jan. Are more iui's a waste? Insurance will cover them

Donor egg: Are you using a donor egg? That would be most rei doctors recommendation at this point. At 45 after failed iui's and failed ivf, nearly every rei doctor would likely recommend donor egg. Not to do so would be somewhat insincere, as promising a pregnancy at 45 with your own eggs is highly unlikely. I'm not an rei specialist, though, you might consider asking this question directly to one on ht.

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RE is doing 3 rounds of IUI before going to IVF. All of the tests for my husband & myself came back normal. I am 41 and wondering if iui could work.

Yes: IUI can work, and you are young enough to give yourself the time to give it a try. IUI has the advantage of natural selection. The strongest fastest swimmers win. Best of luck.

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Hi. If my wife and I do IUI or IVF for our first child, will we have to do IUI or IVF if we decide to have a second child? My wife is 32 and I'm 34.

It's a choice?: 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.

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Trying for child #2. 1st one conceived naturally after trying 4 yrs. Two yrs in this time, 3unsuccessful IUIs. 36yrs old/healthy. Can't afford IVF.?

Trying for child #2. 1st one conceived naturally after trying 4 yrs. Two yrs in this time, 3unsuccessful IUIs. 36yrs old/healthy. Can't afford IVF.?

Be patient: Just because it took you longer to conceive the natural way first time, doesn't necessary mean it needs to take that long the second time. There are no set rules. There are check lists for trying to conceive in the blog for which a link has been provided for your review. Good luck:)

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How many IUI before moving to ivf?

How many IUI before moving to ivf?

Good question: It really depends on the diagnosis. With significant sperm, egg or tube abnormalities would be quicker to move to ivf. With less significant issues or ovulation concerns would do more iui. Generally after 2-4 IUI would reconsider all options.

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Is hysteroscopy a must before IUI or ivf?

Is hysteroscopy a must before IUI or ivf?

Discuss with your MD: In my practice it is not a must before either; but uterine cavity evaluation hsg, sis, hysteroscopy is a must before ivf.

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How do you decide to go through with icsi IVF or iui?

It's all about sperm: If a man has severe deficits in his sperm, IUI is likely to fail. A board certified reproductive endocrinologist would evaluate the sperm and decide if someone is best served by IUI vs. Ivf with icsi.

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If I do IUI or IVF for first child after that can I concive second child normally?

If I do IUI or IVF for first child after that can I concive second child normally?

Depends why IUI, IVF: Agree with dr reaves' answer, unless both your tubes are 100% blocked in which case ivf is needed again. Almost all other causes of infertility have a chance of natural conception, even some men with 'zero sperm' (azoospermia) may get some sperm in their ejaculate. If you are diagnosed with diminished ovarian reserve (low egg supply) it makes sense to try to have your kids close together though.

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My sister in law tried the IUI but it was of no use. How long can she wait to do the ivf?

No wait: You can go directly into an ivf cycle from IUI without waiting, though it is likely the doctor will want to use Lupron (leuprolide) or birth control pills the month before. Ivf needs to planned a month or two in advance.

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I go 2 gym every 4 days per week from last 4 years, nd now after faild iui's my wife will undergo for ivf, shld I take a break from gym will tat help?

It should not...: What type of training are you doing? If you are a bike rider, a chronic prostatitis might impact sperm quality. If you are weight lifter, then this too should not effect fertility unless you are taking anabolic steroids. Unlike women, where chronic stress (increasing opiods and norepinephrine) can impact egg recruiting hormone and ovulation, the same effects do not occur in men.

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How often must IVF be used for couples with unexplained infertility? Is IUI usually effective.

How often must IVF be used for couples with unexplained infertility? Is IUI usually effective.

It is a choice?: 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.

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What is the success rate for 1st IVF with the best possible embryo? We did a day 5 blastocyst transfer. My wife is 35 years old. 6 failed IUIs

What is the success rate for 1st IVF with the best possible embryo? We did a day 5 blastocyst transfer. My wife is 35 years old. 6 failed IUIs

It depends: It depends on the University Center or MD's office at which the IVF was done. Most results are reported as 3 or 6 month cycles for conception. Some Centers have even reported conception rates when no viable products can be obtained rather than live baby rates. So, this was a question that you should have asked your provider BEFORE embarking on IVF.

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I am 34yr old F with diminished ovarian reserve. Husband has 92% abnormal sperms. Have 4 failed IUIs and 1 failed IVF. Can we ever have our own child?

I am 34yr old F with diminished ovarian reserve. Husband has 92% abnormal sperms. Have 4 failed IUIs and 1 failed IVF. Can we ever have our own child?

Tough to say: The odds are against you, but statistically, with the numbers you have provided, there is always a chance, albeit small. Keep trying and keep seeing the fertility specialsit. Best wishes.

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Is IUI and IVF much different from getting pregnant naturally?

Yes: Iui and ivf are two separate procedures done to enhance chances of pregnancy. Iui involves, placing your partners sperm in your uterus through a small plastic canula during ovulation and can be done by any gynecologist. Ivf in vitro fertilization, which means fertilizing the female egg with the male sperm in a lab and placing the fertilized eggs in your uterus, usually done by infertility md.

Dr. Harinder Gill
3 Doctors shared insights

Ivf (Definition)

In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...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