shaky insurance situation and deciding between IUI and IVF
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Anonymous
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I have really great insurance fertility coverage- but the problem is I hate my job and I could see myself leaving or getting cut within the next 6-12 months
Knowing that my coverage is a time bomb - should I might as well skip straight to IVF? Or is IUI always better to start with first? I have been TTC for about six months and would want to take action if no results in the next 3 cycles of trying |
Anonymous
| How old are you? If you can get IVF covered under your current insurance, then yea I would probably move straight to that unless you're younger than 30. |
Anonymous
| You can always go back to IUI later. Start with ivf and see what happens |
Anonymous
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Do you know what your issue is? How old are you? Have you had a child before? Have you done testing? We need more info before we can say do vid or not.
Personally though, I found ivf (natural cycle) to be basically the same as an iui, and I thought the iuis were a waste of time. So, without other info, I’d say do ivf. |
Anonymous
| Most insurance companies require you to try iui before they will cover ivf unless you have certain conditions that make iui futile. But if you cam get ivf covered, go for that. |
Anonymous
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I faced a similar situation.
Went straight to IVF for unexplained. Pregnant first time and have embryos banked. So glad I went straight to IVF. Higher chances of working and IUI still requires a lot of appointments and some meds. |
Anonymous
Surprisingly this isn’t always the case |
Anonymous
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Thanks all- this is OP and I am 30 and have never been pregnant- not even chemical as far as I know. I have done bloodwork and the only addressable issue is that TSH is high-ish at 2.7 (for fertility purposes). Meanwhile DH has ok but not great sperm count (44million/ml or 175m total with 75% motility though scoring 2.5 on progressive motility, and overall iffy morphology at 3%)
no PCOS as far as my ob-gyn can tell from an ultrasound I did. I still need to do HSG The road to a BFP seems really daunting and I’m terrified that neither IVF nor IUI are silver bullets |
Anonymous
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You're 30 and have only been trying for 6 months? Unless you have a history of irregular/otherwise off cycles, or something else-- both IUI and IVF would really be jumping the gun.
If you didn't have the possible insurance issue, would you be considering assistance from a fertility clinic? I'm just not sure that you can claim yourself or your DH infertile after just 6 months of trying at age 30, unless there are other concerns... |
Anonymous
| I think you have to try for a year if you’re under 35 before IVF clinics will treat you. |
Anonymous
This. Unless you have a previously diagnosed condition (PCOS, endometriosis, DOR, etc), at 6 months of trying and only 30, you don't meet the definition of "infertile". |
Anonymous
| Given your husband's sperm issues, I think that would justify going straight to IVF. When I started TTC, I was diagnosed with PCOS and my husband with a low sperm count. My RE said that IUI would be pointless given his sperm count (they could give me clomid to make me ovulate, but that wasn't gong to get me pregnant if there were issues with the sperm). We went straight to IVF and I am glad that I did because we were able to bank some embryos |
Anonymous
I understand six months isn’t that long but at the same time 80 percent of couples who try are pregnant by this time period of trying. Why should I realistically expect different results from doing the same thing? I just want to take action now instead of waiting for more disappointment. I’m open to debate though and of course would love to have success the natural way |
Anonymous
| I would call shady grove today and schedule a consult. They can also talk you through your specific insurance situation. It's really hard to be staring at the unknown. I was lucky to get pregnant on my 2nd iui, but everyone has a different journey. |
Anonymous
I agree. |