Mock IUI or IVF - necessary?

[QDaphne2013]

At Dominion Fertility, they recommend a mock IUI or mock IVF prior to the real one. It seems like a waste of $500 to me....anyone know if it is ABSOLUTELY necessary or how willing they are to skip it? Do all the other fertility clinics recommend a mock first?

[Anonymous]

I did it and they found a uterine polyp that I needed to have removed before doing a cycle. So I found it a good process. I was at SGF and it was required there for IVF.

[Anonymous]

They let me skip it, but I'd already given birth so he said my cervix was probably "wide open".

[Anonymous]

GW does not require. Never did it and got pregnant twice. It might find something super rare, but otherwise does seem like a waste of $$.

[Anonymous]

Anonymous wrote:I did it and they found a uterine polyp that I needed to have removed before doing a cycle. So I found it a good process. I was at SGF and it was required there for IVF.

Same for me. So glad i did it.

[QDaphne2013]

Don't they usually find polyps on the ultrasound in the diagnostics phase? Or not if it's small?

[Anonymous]

Anonymous wrote:I did it and they found a uterine polyp that I needed to have removed before doing a cycle. So I found it a good process. I was at SGF and it was required there for IVF.

+1. That was me as well.

They can’t find a polyp using Ultrasound. Mock IVF also allows the RE to measure and see where they would implant you. I wouldn’t skip out on it if. Were you, OP.

[Anonymous]

It was required for me at SGF. I didn't argue it though, not sure if they would have been flexible. Even my FEP BCBS covered since it is considered diagnostic.

[Anonymous]

My understanding is the purpose is to test if there's any type of physical issue that would block the insertion of the catheter when transferring an embryo. Probably the number of women who would have an issue is a small %, but if an issue were discovered for the first time during a real transfer you would likely lose the embryo. Not worth the risk. I also believe at SG it wasn't optional.

[Anonymous]

worth it - for me they found some random "debris" in my uterus that didn't show up on a the regular transvaginal ultrasound. you just never know and why skip it when the stakes are so high?

[Anonymous]

Do you really want the RE to have a loaded catheter with your precious embryo and then find out you have a cervical issue that prevents transfer?

[Anonymous]

Anonymous wrote:My understanding is the purpose is to test if there's any type of physical issue that would block the insertion of the catheter when transferring an embryo. Probably the number of women who would have an issue is a small %, but if an issue were discovered for the first time during a real transfer you would likely lose the embryo. Not worth the risk. I also believe at SG it wasn't optional.

Such as?
Thanks.

[Anonymous]

Some women either have an unusually narrow cervix or a cervicalopening that isn't straight, but bends or curves. In my case, I had had a LEEP procedure which could in theory cause issues (I've had 2 kids from IVF despite this). Just some thoughts...

[Anonymous]

Anonymous wrote:

Anonymous wrote:My understanding is the purpose is to test if there's any type of physical issue that would block the insertion of the catheter when transferring an embryo. Probably the number of women who would have an issue is a small %, but if an issue were discovered for the first time during a real transfer you would likely lose the embryo. Not worth the risk. I also believe at SG it wasn't optional.

Such as?
Thanks.

NP. I think something like a tilted uterus. For me, the first catheter they tried didn't work well so they used a different one of a different length.

[Anonymous]

My first IUI at Dr Durso failed because I have a crooked cervix, that really sucked