I am aware of individuals who have had success with IUI, but it ultimately depends on your doctor’s assessment. I can’t say for certain based on the information you provided, but your doctor can determine the best course of action for you and if you are a good candidate, you have a good chance of it being successful!
My doctor indicated that for heterosexual couples using their own materials, the success rate of IUI is pretty low, especially after trying 6 letrozole cycles. He only recommends it for couples using a sperm donor or in specific situations. Although some may have success with it, the reasoning behind his recommendation made sense to me.
I would recommend going directly to IVF based on the morphology results.
Your choice of treatment depends on your comfort level, but I don’t think washing will increase your total motile count enough for IUI. It might be better to save the money for IVF instead.
I suggest starting with IUI before considering IVF, as IVF is costly and can be very draining emotionally and mentally. It’s worth trying a less expensive option first.
If both tubes show normal flushing on an HSG, trying IUI may be worth considering. With one blocked tube, I would recommend going straight to IVF in my opinion.
I started with 4 IUI attempts at 39 years old before trying IVF at 40. I’m grateful for doing IUI first because I would have always wondered about our chances without going through the financial, emotional, and physical challenges of IVF. My cousin successfully conceived on her 2nd IUI at 34 after trying naturally for 2 years. At 34, there’s still time to consider IUI as it’s affordable, minimally invasive, and quick. Ultimately, the best choice depends on what works best for you.
Our doctor advised us that IUI prior to IVF may not be the best option for the majority of infertility patients. He explained that in terms of success rates and mechanics, it is similar to timed intercourse. He only recommends IUI for patients who are unable to have intercourse at the right time or at all, such as those with anatomical issues or same-sex couples using donor sperm. He personally feels that clinics should advise against it more often because it can lead to disappointment and additional expenses, whereas going for IVF right away may be more beneficial. While some people may have success with IUI, it was not a viable option for us due to my lack of egg reserve.
My husband’s insurance provided $30k for IVF, so we opted for IVF over IUI in order to maximize the funds. This covered one egg retrieval and one frozen embryo transfer, resulting in a successful pregnancy on the first try. It’s important to consider financials when making these decisions.
Seek guidance from your doctor for interpreting medical information and adhere to their advice, there is no need to deal with unnecessary complications.
I would personally opt for IVF straight away.
Trigger warning: success
Success in fertility treatments can vary depending on the individual and their partner’s bodies. After reviewing our test results, we decided that IUI would not be beneficial for us. I discussed this with my doctor and she agreed that moving forward with IVF would be a good option. I am now 6 months pregnant after beginning IVF in August.