Should I take the gamble??

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Registered: 08-04-2008
Should I take the gamble??
8
Tue, 09-11-2012 - 11:24am

So I had an idea.... What about trying an unmedicated IUI prior to the IVF?  If it didn't work it wouldn't set my IVF back.  My next period (which is due late next week) is still too early to fall in their 'period dates' for IVF so no lupron for me next cycle.  I think Sept 29th is the earliest AF could come and be in next uptime, my next period should fall with in their dates though. 

They initially wanted me to do a 'natural' IUI because of no known issues on me but since DS is so expensive I wanted something to up my chances. But the femara was making me ovulate earlier than normal and my lining wasn't ready, etc.  And overall they weren't timed right.  Also I don't want to risk anything making my cycle screwy and missing the next uptime. :smileytongue:

So I just emailed my clinic.  I asked them to review my chart and see if it would be a waste of time and money to do an unmedicated IUI next cycle.  However I requested ultrasound monitoring before the IUI.  Basically what I want to do is just use the OPKs again and when/if I get a smiley face, call them request an ultrasound and IUI.  Do the ultrasound first make sure everything looks good and if it does go down and thaw the sperm and do the IUI.  It would be more time consuming but I'd feel better knowing it was timed correctly if I'm going to use a vial of donor sperm.  I think I requested this before and they said it was a waste but I don't think so because one of the times i had an ultrasound they showed that i was about to ovulate or just ovulated and my lining was thin because it was so early, so we didn't do the iui.  But I think that proves that they can tell when I ovulate based on an ultrasound. 

The issue is IUIs only have a 10-15% success rate, so this would be a gamble on the cost of the vial of donor sperm. However if things don't look good we wouldn't waste the vial and we could just use that vial for the IVF.  But if it looks good I will feel better knowing it has a shot of working. 

The IUI itself wouldn't cost us hardly anything with my insurance deductible being paid it would just be the price of donor sperm.  But if it DOES work that would save us alot of money on the IVF. If it doesn't work then its wasting 500 bucks that could better spent elsewhere...(like a new washing machine lol). 

So what do you girls think?  Obviously if the RE says its a waste of time/money I won't do it but if she says its worth a shot, should I do it?  Any comments or opinions appreciated!

Thanks!

Elizabeth (31) DH (36) TTC #1 since July 2008

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Registered: 08-04-2008
Tue, 09-11-2012 - 1:20pm
Already got an initial email back from clinic. It reads:
Thank you for your message. My understanding is that we used donor sperm for your IVF cycle? In that case, let me review with the medical team to get advice about what would be best for you and if you would have a reasonable chance to conceive with an insemination cycle.

I guess we'll see what they say. I hope they get back to me sooner than later.

Elizabeth (31) DH (36) TTC #1 since July 2008

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Registered: 11-13-2011
Tue, 09-11-2012 - 2:39pm
hope you hear back soon Elizabeth. If it were me, I'd do the IUI, but I see the benefits of both sides. I feel like all the money I've already spent has been a gamble and so $500 more isn't a big jump in percentage of money spent. (I am not a gambler and I am very "frugal.")
I try this game: if your clinic said from the beginning that for $500 added to the cost of your IVF you could try IUI first and it might work would you have said heck yeah or I'll pass?
Also, I am glad you haven't given up! (((hugs)))

Britty  & DH (both 30) TTC since late 2008

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Registered: 08-27-2008
Tue, 09-11-2012 - 2:49pm
I'd probably go with the IUI if your RE says it has a decent shot. It passes time until IVF and gives you a 10-15% shot at a BFP next month =)

Caryn
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Registered: 08-04-2008
Thu, 09-13-2012 - 12:31pm

Finally got a response from RE office:

Okay,
I talked with Elizabeth Graf and she said that your plan is a good one. You can call with an LH surge to set up your insemination. You might want to give us a heads up a few days in advance to look at the ultrasound schedule. Sometimes the ultrasound schedule is full and, while it doesn't take very long to look, it might make life a little easier for you to set up a time prior to the IUI date. If you don't have any way of predicting that far in advance, we can try to work something out the day of. We have ultrasound most every day. There are some weekend days when we may not have an ultrasonographer, so if you'd be anticipating a weekend appointment, please do call in advance instead of waiting for the LH surge.

Thanks for your note!
Lois

So Yay...I guess?  How am I supposed to know when my LH surge will be before it happens?  I get ovulation pain but that generally happens AFTER the surge and even after ovulation not before.  My cycles have been somewhat 'normal' the past 2 months but I dont want to make an appointment prior to the surge. I also don't want to miss it. :smileytongue:  So that said sounds like it may not happen.  But we'll give it a whirl.  :smileytongue: 

Any thoughts on predicting LH surge?  If I tempted would that help? I dont think temping predicts it just confirms after the fact right?  I was never very good at temping.  I'm half dead in the mornings.  lol 

In my opinion this is an example of the incompetence of the IUI clinic.  The IVF clinic has been great but the IUI side seems scatterbrained.  I never once felt confident about anything on that side.  :smileytongue:

Elizabeth (31) DH (36) TTC #1 since July 2008

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Registered: 08-27-2008
Thu, 09-13-2012 - 12:45pm
You typically use those smiley face O predictions, right? Have you ever used the cheapies with the two lines? When I use those I see the 2nd line get darker for a few days before my surge. Maybe that could help you predict? Temping won't help.

This seems a little odd, I agree. Most IUI clinics are use to working off a surge and have u/s available daily. You really don't have much to loose though since DS wouldn't be thawed until the u/s took place and if it doesn't it sucks but it's not a big loss.

I say go for it =)

Caryn
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Registered: 08-04-2008
Thu, 09-13-2012 - 12:53pm
Thanks Caryn. I've used cheapies before too but I like the smilies because I didn't always get a positive with the cheapies just once but i dont think i was testing enough. I test 2x a day with smilies. I guess I could get some cheapies too.
It just frustrates me that they want me to predict the surge if I want the ultrasound. THIS is why i never felt confident that things were timed right.
I guess I can give it a shot and if my surge falls on a weekday I should hopefully have a good chance of getting in for an ultrasound. It took SIX months last time to do TWO cycles with them due to missing ovulation. :smileytongue: I took a look at fertility friend and since my ectopic I had a 30 day cycle and a 28 day cycle. Im on day 19 of my current cycle but my guess it will be shorter yet because 'naturally' my cycles were 24-26 days unless i was on femera on which i had cycles as short as 21 days (but full luetal period just super early ovulation).

Sigh. It can never be easy can it?

Yeah they won't thaw the sperm til we sign off on it. So I figure if we don't use it for the IUI we can save it for the IVF. So its not a huge deal if we miss ovulation.

Elizabeth (31) DH (36) TTC #1 since July 2008

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Registered: 01-18-2008
Thu, 09-13-2012 - 7:10pm

It does sound kind of silly for them to want you to tell them ahead of time when your LH surge is going to be.  That's the kind of thing you don't know until it happens.  I agree with Caryn about ordering a bunch of cheapies and testing everyday.  You might be able to tell by the fade in pattern when it will turn positive.  I know I also usually get a temp dip the day before O, so maybe a combintion of temps and opks will work.

Also, can you order more than one vial of DS at a time to save on shipping?  I would consider ordering several at a time.  I'm sure what you dont use now could be used for a sibling down the road, and you never know how long your donor will be available should you want to buy more later.

Definitely keep us posted.

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iVillage Member
Registered: 08-04-2008
Thu, 09-13-2012 - 8:40pm
I ordered some cheapies today. I will use both once I start getting a 2nd line on the cheapies. I also have to use OPKs for my IVF too. When I get the LH surge that's when I start Lupron supposedly since I'm not on bcps. I did consider just asking for some bcps maybe a different type than last time until I had this crazy IUI idea.

Christina- I could order more than one vial, but honestly its expensive stuff and we don't plan on having more than one. I am not going through this all again once I am successful. I don't want to do it now. If I do IVF and I have frozen embryos I will hold onto those and MAYBE use them but I don't know. So basically I've been getting sperm one or two vials at a time. I am debating on one or two this next time. One may be enough since the IUI may not even happen but if it does there is only a 10% chance of success so then there is a 90% chance I will need yet another vial of sperm. If we get it from Midwest its "only" 400 a vial but if we use another site I think the prices start at 500+ some even being 1000 each! Shipping is also cheaper from Midwest because its only 3 hrs from me so shipping is at least double from all the other banks because they are so much further away. Actually I wonder if DH could just drive and get the sperm for cheaper if we use Midwest. lol

I will start an "IUI # 3...maybe" thread when AF arrives. I think she'll arrive next Thursday.

Elizabeth (31) DH (36) TTC #1 since July 2008