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Infertility Support and Discussion
Reply to "IVF or IUI?"
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[quote=Anonymous]I’m 39. We have two children conceived naturally, both under age 5, though one took a long time to conceive. We desperately want one more child. Have been trying for 10 months. One miscarriage, nothing else. Numbers look good - AMH 3.05. We have two options: 1) Up to three rounds of IUI, then if it doesn't work, moving on to IVF. 2) Going straight to IVF. Per the doc, in my situation, chance of live birth after three rounds of IUI is about 30%. Chance of live birth in the first round of IVF is about 54%. After three rounds of IVF, it's about 88%. IUI rounds each just take a month, IVF takes about 3 months each round (including testing the embryos). All options are basically off the table in 14 months when I turn 41 and age out of Shady Grove Shared Risk. The money: Each round of IUI is about $2k. For IVF, we would buy into shared risk, cost is $35k up front, plus $5k per round in medication. That gets us up to six rounds (though I’d age out before we could finish all of them) included in that $35k. And of course if we don’t end up with a baby they refund the $35k. We can easily pay the $6k for three rounds of IUI. For IVF, we'd probably end up asking the grandparents for the money (they’ve got plenty of it but I feel crappy asking). Couple other factors - IVF is more physically demanding/overwhelming. Risk of twins is dramatically higher with IUI (10-15% of successful pregnancies will be twins, that number for IVF is super small, less than 1%). While we would deal, we don't want twins. There are some risks to IVF but they're pretty small. The other thing is, with IVF, part of how the numbers are so high is that they test the embryos to make sure they're chromosomally normal, so your chances of something like Downs is vanishingly small, whereas at my age, that's a real risk of chromosomal abnormalities via IUI (the same as there would be just from getting pregnant naturally). Also, while it's factored into those 30% and 54% numbers, the risk of miscarriage is higher with IUI. Honestly, I'm SO TIRED of the try, hope, test, disappointment cycle. I've spent almost two years of my life on that cycle and it's emotionally exhausting. Throw in a miscarriage with a night bleeding in the ER by myself, recovery from that, fertility testing... I'm kinda ready for just the most likely option, so I'm leaning IVF. One round, better than even chance of a baby. The money gives me GREAT pause though. My husband, on the other hand, is leaning IUI. He thinks we can get pregnant ourselves, mostly, and we just need a little boost so let's try something small, even just for one month. He mostly seems nervous about the physical/hormonal aspect of IVF (which I know did a number on the wife of his best friend). FWIW, the doc said with my age it’s unusual they would recommend IUI but with my history, it’s a good shot, so it’s up to us. But when pressed, she said if it were her, she’d do IVF. Thoughts? What would you do? We desperately want a third child, so we're definitely going to do SOMETHING, but we’re really torn. [/quote]
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