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[quote=Anonymous][quote=Anonymous]Im interested to hear about the folks who had one tube and were given clomid as a first means of "trying" (or even IUI). if tubes are the issue, what is the point of Clomid? My RE argued this (also @ SG, Widra) to me and it made sense and we went straight to IVF. Am I missing something?[/quote]

I'm the PP who lost a tube after a ruptured ectopic and who conceived with iui after 4 months of Clomid or Femara. I think the point is cost-benefit analysis.  Obviously, your chances of conceiving with one tube are far greater if you do ivf than if you merely use Clomid, but ivf costs at least 400 times more than a month of Clomid (not to mention the burdensome and invasive nature of the ivf procedures versus the ease of taking a pill for 5 days) so it's reasonable to try that first.  With many of us, it's unclear whether the remaining tube is compromised, even if it shows that it is open on the HSG. There can be microscopic problems in the tube that don't show up on scans.  The best way to test the tube is to give it a few months of enhanced TTC.  The fertility drugs can cause multiple eggs to release, which gives you higher chances of conception.  We didn't have high hopes of our iui working. I think the Dr. gave us a 5% chance.  But, it seemed reasonable to try the cheaper, easier iui at least once, even with lower odds, rather than jumping straight to ivf.  And we were one of the lucky ones for whom iui worked.  I think most people would agree that ivf is not something to jump into lightly and that it's usually a good idea to try less invasive and less expensive options first, unless your specific situation dictates differently. [/quote]

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