IUI ?
3 Replies
prayingforbaby - March 14

My husband and I had our 1st IUI on 03/03/06 and 03/04/06. I had onefollicle that was 21.4mm, had the HCG trigger and our sperm post wash were 200,000 at 80% motility and 100,000 at 65% motility for day 2. I have been on Progesterone suppositories since 7 DPO, due to light spotting.

Considering these numbers is it likely at all that IUI will work for us? Should we go for a 2nd IUI if this one doesn't work. Or are we wasting time and money?

thank you.

 

Barry Jacobs, M> D. - March 15

From the data I have read, if you do not stimulate ovaries with an FSH product, IUI provides no better pregnancy rate than no treatment, at all. When I do an IUI, I want to inseminate with at least 5 million sperm. Your post wash counts are very low. I do not know if this is do to lab technique, or if you have a serious male factor problem. If the male factor cannot be significantly improved, you may require IVF. For more information, I invite you to see our web site at <www.texasfertility.com>.
Good luck.

 

prayingforbaby - March 15

Thank you Doctor. I was stimualted with Clomid days 3-7 50 mg. we have serious male factor- his last 2 SA were abnormal on all 3 values.
April 2005 count- 12 million, motility- 25%, morph- 9%
Jan 2006 count- 7 million, motility 18%, morph- 2%
Varicocele repair July 2005

would you recommend another IUI or go to IVF?

 

Barry Jacobs, M. D. - March 15

Please see the information on Clomid, and male factor issues on our web site, <www.texasfertility.com> I do not expect Clomid to provide much benefit. With semen parameeters as you describe, you may require in vitro fertilization (IVF) to inject his sperm into your eggs (ICSI).
Good luck.

 

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