Can One Go For 3rd IUI Treatment After 2 Failed Attempts?

Posted on Mon, 14 Dec 2015

Question: HELLO DOC.
IUI CYCLES : UNSUCCESSFUL 2 CYCLES, VERY WORRIED NOT GETTING PREGNANT..PLEASE HELP , all or reports are normal, n i was under a supervision of one of the best doc, do u think i should go for one more iui cycle or ivf please advise in full ... i m very worried

Answered by Dr. Soumya (18 minutes later)

Brief Answer:
Another cycle of IUI can be done

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about IUI / IVF.

Following is my reply:

1) Considering your age and failed IUI cycles it is better you try another cycle of IUI.

2) Request your doctor to use gonadotrophin injections for improving follicle number. Gonadotrophin injections will help you to achieve higher pregnancy rates in an IUI cycle.

3) If you dont succeed in next IUI cycle go ahead with IVF without wasting further time.

4) Remember age is more important than anything else. Younger the age, better the success rate of IUI / IVF.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Soumya

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (12 minutes later)

hello doc, thank you for your kind attention, i am very worried , one more iui cycle and if tht doent happen the ivf, how much will tht cost and , can i have a chance of twins in tht ,... n would tht cost extra, if i looking for twins, and how are the succes rates with that please lemme knw..

Answered by Dr. Soumya (11 minutes later)

Brief Answer:
Twins possible

Detailed Answer:
HI,

I understand your worries.

IVF costs around 1 to 2 lakh rupees depending upon injections and protocols used.

If IVF specialist transfers more than one embryo, there are twin possibilities. Otherwise I dont see twin possibilities if only one embryo is transferred.

Success rate in IVF is between 30 to 60 percent which depends on embryo quality and various other factors.

Let me know in which city you stay so that I can refer you a good IVF Specialist.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (10 minutes later)

DOC XXXXXXX
THANK YOU AGAIN FOR UR REPLYS,
I AM LOOKING FORWARD FOR TWINS , ONE GIRL AND ONE BOY,AND I DO AGREE WITH U ON TRYING ONE MORE IUI CYCLE,
DOC, PLEASE TELL ME
IF I HAVE TO TAKE SOME KIND OF TEST FOR MY EGG IF THERE ARE HEALTHY ENOUGH TO BECOME INTO BABIES BEFORE I GO FOR AN IUI AGAIN , COZ MY SPOUSE TEST ARE DONE AND THE MOBILITY IS 90%.. MAM PLEASE TELL ME WAT TO DO ... BEFORE I DO ANYTHING NEXT..
MAM I STAY IN XXXXXXX MP, SMALL DISTRICT CLOSE TO XXXXXXX PLZ HELP PLEASE...

Answered by Dr. Soumya (16 minutes later)

Brief Answer:
Tests for ovarian reserve

Detailed Answer:
Hi,

You can have 2 embryos transferred for twin pregnancy. It cannot be guaranteed if it will be boy and girl only.

You can do following tests on day2 of cycle for assessing egg reserve:

1) FSH

2) AMH

These tests will help in identifying the egg reserve.

I dont know good doctors in MP to refer you. You need to find yourself.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (14 minutes later)

DR XXXXXXX

WAT ARE THESE TEST AND HOW WILL IT BE TAKEN AS IN BLOOD TEST OR SONOGRAPHY TYPES,

DOC, PLEASE TELL ME SOMETHING
IF IN THIS IUI CYCLE I DON'T CONCEIVE WHICH I HOPE NOT .. I SHOULD ...
PLEASE TELL ME WHAT WAYS CAN I DRIVE THIS 3 IUI CYCLE SUCCESSFUL AFTER THE PROCEDURE..
DOC I ALSO WANTED TO SHARE I AM GAINING WEIGHT AND BLOATING UP WITH LODS OF GAS IS THT NORMAL... IF NOT HOW DO I REDUCE MY WEIGHT I DO GO ON AN 30 MIN FAST WALK... N EAT LESS N ALSO TAKING A PILL CALLED RESHAPE... IT DNT SEEM TO HELP ME MUCH... ITS BEEN 3 MONTHS NOW... PLEASE HELP ON THIS TOO ..
DO LET ME KNOW THAT AFTER HIS IUI SHALL I DO ONE MORE IUI AGAIN AND THEN IVF OR JUST MOVE OVER TO IVF OR ISCI I GUESS.. PLEASE ADVICE PLEASE DOC... PLEASE ..

Answered by Dr. Soumya (17 minutes later)

Brief Answer:
Go ahead with IVF if you dont succeed in IUI

Detailed Answer:
Hi,

These are blood tests to be done on second day of your cycle.

Keep doing diet and exercise. Its best way to go ahead with weight loss programme.

If you dont succeed in next IUI, go ahead with IVF / ICSI without wasting further time.

You can contact me in future to ask questions directly by pasting following link in your browser:

http://bit.ly/askdrsoumya

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar