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We Just Missed Pregnancy After IUI. The IUI Implant Date

Posted on Sun, 26 Jan 2020

Question: We just missed pregnancy after IUI. The IUI implant date was Dec 6th, last period date was Nov 22nd. On Dec 27th beta hcg was 84 which dropped to 7 today. Please advise if we cannot undergo another IUI next month? Are there any issues or do we need to take one month break before another IUI? Thanks.

Answered by Dr. Soumya (2 hours later)

Brief Answer:
One month gap is better

Detailed Answer:
Hi,

I understand your concerns.

Following is my reply:

1) It is sad to know that this was biochemical pregnancy and did not continue.

2) However there is good chance of pregnancy again with IUI.

3) It is advisable to give one month gap before performing next IUI.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (22 minutes later)

Thank you for your response. Will there be any issues if we take another IUI this cycle? Is there a reason why one month gap is required?

Answered by Dr. Soumya (4 hours later)

Brief Answer:
To stabilize hormones

Detailed Answer:
Hi,

uterus would have undergone progesterone changes and levels of progesterone hormone will be high.

Hence better to give one month gap for hormones and uterus to stabilize.

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

Follow up: Dr. Soumya (15 hours later)

Beta hcg test conducted today. Level is 5 (2nd day of menstrual)
Can we undergo IUI at this level?
Please advise. Thanks.

Answered by Dr. Soumya (14 hours later)

Brief Answer:
Wait

Detailed Answer:
Hi,

Beta hCG levels have to fall below 0.1 to say no pregnancy exists. You need to wait for a month as suggested

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

Follow up: Dr. Soumya (1 hour later)

Thank you so much for your response. On second day of menustral, the beta hcg level is 5. On the first day the level was 7. There is no pregnancy as confirmed by ob. As we approach ovulation around the 15th day, beta hcg levels would have dropped to zero. Please confirm if you still see any issues. Thanks.

Answered by Dr. Soumya (27 minutes later)

Brief Answer:
Please wait

Detailed Answer:
Hi,

It means some small part of pregnancy tissue must be there and secreting progesterone hormone. This is not ideal time start IUI stimulation. Please wait for a month.

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

Follow up: Dr. Soumya (1 hour later)

Thanks again for your response. Please advise what could potentially happen if IUI is conducted this cycle?

Answered by Dr. Soumya (22 hours later)

Brief Answer:
May not succeed

Detailed Answer:
Hi,

IUI may not succeed if done in this cycle

Above answer was peer-reviewed by : Dr. Raju A.T