IUI Success Rates - how many follicles?

[Anonymous]

I think the fact that you're ovulating late very likely could have something to do with. Short luteal phase / low progesterone is definitely an issue that will get in the way of conception and successful implantation.. I'm a PP (the "OP do you have PCOS?" PP) - is your doctor doing a post-O (generally 6-7dpo progesterone test?) also sorry I'm not clear, are you on letrozole / clomid?

Another thing I'll mention: PCOS is definitely a spectrum. I had a hard time getting a diagnosis initially because I'm normal weight so not the "classic" PCOS body type. But: even when I was having regular cycles, my doctor ended up determining that my ovulation was "weak" (based on a post-O progesterone test, I believe). She prescribed letrozole to strengthen ovulation, then a 7dpo ovidrel booster to lengthen my luteal phase / encourage my body to make more progesterone. (Other docs seem to just directly prescribe progesterone instead). Just something to be aware of. Anyways, good luck to you!

[Anonymous]

Anonymous wrote:I think the fact that you're ovulating late very likely could have something to do with. Short luteal phase / low progesterone is definitely an issue that will get in the way of conception and successful implantation.. I'm a PP (the "OP do you have PCOS?" PP) - is your doctor doing a post-O (generally 6-7dpo progesterone test?) also sorry I'm not clear, are you on letrozole / clomid?

Another thing I'll mention: PCOS is definitely a spectrum. I had a hard time getting a diagnosis initially because I'm normal weight so not the "classic" PCOS body type. But: even when I was having regular cycles, my doctor ended up determining that my ovulation was "weak" (based on a post-O progesterone test, I believe). She prescribed letrozole to strengthen ovulation, then a 7dpo ovidrel booster to lengthen my luteal phase / encourage my body to make more progesterone. (Other docs seem to just directly prescribe progesterone instead). Just something to be aware of. Anyways, good luck to you!

OP here - so interesting how different doctors are. I used to live out there, but am in another city now. I get bloodwork and an ultrasound on day 3 of my period, the letrozale days 3-7, another ultrasound on Day 10, and I usually trigger on Day 10 or 11 (this month, Day 12). No other medications or bloodwork. I asked my doctor about the short luteal phase b/c I had read about it when I got pregnant with my first and realized I ovulate late, and she said research doesn't really support the whole short luteal phase theory? Which can't be true, b/c many people have told me they take progesterone to get pregnant. Not sure - maybe my progesterone levels are normal so it's never been an issue? Two clinics out here told me not to worry about the luteal phase.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I think the fact that you're ovulating late very likely could have something to do with. Short luteal phase / low progesterone is definitely an issue that will get in the way of conception and successful implantation.. I'm a PP (the "OP do you have PCOS?" PP) - is your doctor doing a post-O (generally 6-7dpo progesterone test?) also sorry I'm not clear, are you on letrozole / clomid?

Another thing I'll mention: PCOS is definitely a spectrum. I had a hard time getting a diagnosis initially because I'm normal weight so not the "classic" PCOS body type. But: even when I was having regular cycles, my doctor ended up determining that my ovulation was "weak" (based on a post-O progesterone test, I believe). She prescribed letrozole to strengthen ovulation, then a 7dpo ovidrel booster to lengthen my luteal phase / encourage my body to make more progesterone. (Other docs seem to just directly prescribe progesterone instead). Just something to be aware of. Anyways, good luck to you!

OP here - so interesting how different doctors are. I used to live out there, but am in another city now. I get bloodwork and an ultrasound on day 3 of my period, the letrozale days 3-7, another ultrasound on Day 10, and I usually trigger on Day 10 or 11 (this month, Day 12). No other medications or bloodwork. I asked my doctor about the short luteal phase b/c I had read about it when I got pregnant with my first and realized I ovulate late, and she said research doesn't really support the whole short luteal phase theory? Which can't be true, b/c many people have told me they take progesterone to get pregnant. Not sure - maybe my progesterone levels are normal so it's never been an issue? Two clinics out here told me not to worry about the luteal phase.

Wow that's really interesting and definitely the opposite of everything I've heard / been told. You're right, it really is interesting how different doctors can be. (And I mean, they're the experts, I'm sure a doctor who has seen all your info knows better than me! But I'm really surprised to hear that, my doctor definitely has me actively taking steps to lengthen my luteal phase)

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I think the fact that you're ovulating late very likely could have something to do with. Short luteal phase / low progesterone is definitely an issue that will get in the way of conception and successful implantation.. I'm a PP (the "OP do you have PCOS?" PP) - is your doctor doing a post-O (generally 6-7dpo progesterone test?) also sorry I'm not clear, are you on letrozole / clomid?

Another thing I'll mention: PCOS is definitely a spectrum. I had a hard time getting a diagnosis initially because I'm normal weight so not the "classic" PCOS body type. But: even when I was having regular cycles, my doctor ended up determining that my ovulation was "weak" (based on a post-O progesterone test, I believe). She prescribed letrozole to strengthen ovulation, then a 7dpo ovidrel booster to lengthen my luteal phase / encourage my body to make more progesterone. (Other docs seem to just directly prescribe progesterone instead). Just something to be aware of. Anyways, good luck to you!

OP here - so interesting how different doctors are. I used to live out there, but am in another city now. I get bloodwork and an ultrasound on day 3 of my period, the letrozale days 3-7, another ultrasound on Day 10, and I usually trigger on Day 10 or 11 (this month, Day 12). No other medications or bloodwork. I asked my doctor about the short luteal phase b/c I had read about it when I got pregnant with my first and realized I ovulate late, and she said research doesn't really support the whole short luteal phase theory? Which can't be true, b/c many people have told me they take progesterone to get pregnant. Not sure - maybe my progesterone levels are normal so it's never been an issue? Two clinics out here told me not to worry about the luteal phase.

Wow that's really interesting and definitely the opposite of everything I've heard / been told. You're right, it really is interesting how different doctors can be. (And I mean, they're the experts, I'm sure a doctor who has seen all your info knows better than me! But I'm really surprised to hear that, my doctor definitely has me actively taking steps to lengthen my luteal phase)

OP again: happened to look at my online chart. Looks like they measure progesterone on Day 3 pp. This month, it was .85.

[Anonymous]

IUI worked for me. 37, unexplained, great numbers. We did two cycles with femara/ovidrel and had 4 and 3 follicles respectively. When those failed everyone told us IUI was a waste of time and to move onto IVF. Switched to a clinic with a higher IVF success rate and during the month it took us to get things ready for IVF, did one last IUI with clomid/ovidrel and this clinic added progesterone without even measuring my levels, saying it couldn’t hurt. Had 3 follicles and am now 26 weeks. Really glad we did that last IUI cycle since IVF would have been out of pocket for us.

[Anonymous]

Anonymous wrote:I just had my second round of IUI today. I had four follicles over 20 mm as of yesterday.

Has anyone had success with IUI? I hardly hear of anyone talking about it, only IVF.

I am 38, have a high AMH score (supposedly "too high," like 11?), good FSH, etc. Husband has fine sperm count.

TIA.

Hey OP, any updates? I think I have similar stats and would love to hear what happened with you!

[Anonymous]

Anonymous wrote:I just had my second round of IUI today. I had four follicles over 20 mm as of yesterday.

Has anyone had success with IUI? I hardly hear of anyone talking about it, only IVF.

I am 38, have a high AMH score (supposedly "too high," like 11?), good FSH, etc. Husband has fine sperm count.

TIA.

At 35, I did 3 IUIs and all were a BFN. During my first IUI, like you, I had four great looking follicles from Clomid only. I thought it would work for sure and was disappointed when it didn't. Dr. switched me to Famera and Gonal-F but those two cycles failed as well. I don't regret doing IUI--my insurance covered 50% of the cost. After those failures, I immediately started IVF (just turned 36), which is 100% out of pocket. I just completed my first round and am waiting on PGS results.

My only advice is if this cycle doesn't work (especially with 4 follicles) then given your age, I'd move on to IVF, despite the cost. I don't think you'll regret it. Good luck!

[Anonymous]

Anonymous wrote:

Anonymous wrote:I just had my second round of IUI today. I had four follicles over 20 mm as of yesterday.

Has anyone had success with IUI? I hardly hear of anyone talking about it, only IVF.

I am 38, have a high AMH score (supposedly "too high," like 11?), good FSH, etc. Husband has fine sperm count.

TIA.

At 35, I did 3 IUIs and all were a BFN. During my first IUI, like you, I had four great looking follicles from Clomid only. I thought it would work for sure and was disappointed when it didn't. Dr. switched me to Famera and Gonal-F but those two cycles failed as well. I don't regret doing IUI--my insurance covered 50% of the cost. After those failures, I immediately started IVF (just turned 36), which is 100% out of pocket. I just completed my first round and am waiting on PGS results.

My only advice is if this cycle doesn't work (especially with 4 follicles) then given your age, I'd move on to IVF, despite the cost. I don't think you'll regret it. Good luck!

what is your diagnosis and any news on the PGS?