Aug 27th, 2013 - 22:55:46
I recently had an IUI. I was crushed and surprised to find that I had a negative HCG after being treated with Clomid prior to the insemination. I had four mature follicles >18mm, sperm count 60million with 37% motility, etc. It all looked so good, but then nothing. I was also out on hormone therapy five days after the iui consisting of estrogen and prometreium. My infertilty specialist now advises that he believes that the only way we can achieve pregnancy is IVF, which we cannot afford. What is your advice. Should I try the IUI again or is it a waste of money as my MD states due to the Luteal Phase Insufficiency? This was my first and only IUI. My MD states that he is fearful we will have the same outcome.
The success rate of IUI in a cycle treated with clomid is reported to be 8-10% per cycle (Bayer SR, Alper MN, Penzias AS; The Boston IV Handbook of Infertility, Parthenon Publishing Group, Boca Raton, 2002).
Perhaps this puts your experience in perspective.
I am not inclined to recommend you repeat a procedure with such a dismal success rate.
You refer to a luteal phase insufficiency, but do not say how that was diagnosed.
The best way to address your inability to conceive is not unlike other health problems----a thorough workup and evaluation which leads to a diagnosis and treatment. From what you have shared, I am not certain you have had that.
You asked our expert advice, and here it is:
1) The first step in evaluating your fertility is to learn more about it! I suggest you consult a Professional that can teach you how to create a record of the detailed biomarkers of your menstrual cycle. You can then identify
the fertile time, and focus intercourse at the optimal time to achieve pregnancy. Fertility focused intercourse practiced in this way has a higher success rate than that quoted above for IUI. And for obvious reasons, it is
preferred by couples.
2) While you utilize this very specific knowledge of your cycle to achieve pregnancy, you are also amassing critical information which is vital in diagnosing the cause of your inability to conceive. If you do not conceive on your own, by focusing intercourse during the fertile time, the next
step would be to take the record you have accumulated of the details of your cycle to a physician trained to understand it, who can then use this information to give you a thorough evaluation. Because you will have precise information about the quality of the cervical mucus, the nature of your menses, the timing of ovulation, and the length of the luteal phase, to name a few, the physician will then be able to do a thorough analysis that will include hormonal evaluations targeted in relationship to your actual time of ovulation, rather than just a specific day of the cycle.
3) Once a thorough evaluation has been completed, a treatment which addresses your specific health problem is implemented. Again the information you have accumulated about your cycle, and your ability to chart the details of your cycle, will assist the physician in being effective
in tailoring the treatment to YOU!
You have only been offered artificial reproductive techniques. Unfortunately, these techniques have a low success rate, are quite expensive, and do not address the cause of your infertility. Perhaps your instincts that there is another, better option out there, led you to our website. Your instincts are good! The two options you have been offered are not the only options, or even the best ones! There is a better way, and the Professionals in our Directory would welcome your inquiry. I would be happy to explain this further at our toll free line at 1-877-33-CANFP and help you find the resource nearest you.
Sheila St. John, CFCP, is a Certified Fertility Care Practitioner, actively teaching in hospital, parish, and private settings in Monterey and Santa Cruz Counties since the early 1980ís.
She is the Executive Director of the California Association of Natural Family Planning.
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