New to IUI... Advice?


#1

Hi everyone,

My DH and I have been trying for 16 months now. We started seeing fertility specialists but didn’t have a great experience with the first clinic. We are going to clinic number 2 next week and have a much better feeling about the new place.

Our fertility issue seems to be my DH’s low sperm count. We’ve only tested him once so far, will test again this week before our next fertility appointment. His count when we tested was only 10.5 mil with 81% motility. I am completely healthy when it comes to my fertility.

Has anyone had a successful IUI with a count of 10 mil? The first fertility doctor we saw only pushing IVF/ICSI and would not even let us explore the option of IUI. Any advice from those who have been through the process? Its feeling a bit lonely and scary figuring out which procedure is best and how much to spend.

Thanks!!


#2

Hello there!

A low sperm count can definitely be a contributing factor in fertility problems. I have heard a few success stories with low counts like that, though they were assisted (IVF obviously, but IUI as well) … is that 10 million total, or 10 million after they clean it up? My doc always tells me they want to see at least 5 million and that 10 million is great, but that’s after it’s been washed.


#3

Hey! Thanks for your response. We have only done one semen analysis so far (going in for second one today) and his number pre wash was at 10.5 mil.

We don’t see IVF as an option for us right now because of the cost. We are really hoping that we can try the IUI, but the last feetility clinic we went to said his count was too low. My regular OBGYN said they were just trying to upsell us and that we should be fine trying the IUI. We’re going to a new clinic next week for a second opinion. I Just didn’t realize it would be this difficult and that these clinics aren’t all out there to help you but to make the most money off of you. It’s been a harsh reality to say the least!

Just wondering if anyone else with a low count had success with IUI or if we’re just dreaming.

[QUOTE=“LookingGlass, post: 1791350, member: 67493”]Hello there!

A low sperm count can definitely be a contributing factor in fertility problems. I have heard a few success stories with low counts like that, though they were assisted (IVF obviously, but IUI as well) … is that 10 million total, or 10 million after they clean it up? My doc always tells me they want to see at least 5 million and that 10 million is great, but that’s after it’s been washed.[/QUOTE]


#4

If I remember correctly, there was a couple in one of my cycle groups here who had success with half a million, but that’s the exception and not the rule. I mean, really it only takes ONE sperm to get where it’s going, but the reason nature provides so many (millions!) is because, well, let’s face it, they’re not very smart or well programmed and millions of them never make it. IUI does make the process a little bit easier on them, but it’s still kind of a hurdle, so having a low number (probably less than 5 million after it’s all cleaned up) will make it a lot harder.

Your OBGYN is probably right though: definitely get a second opinion, though keep in mind the clinic might be recommending IVF because the odds are better, especially with that as an issue.

Did they diagnose WHY his count is so low? Supposedly there are a few ways that can be treated, though it can take some time (like six months) to see improvements. There’s also the donor sperm option, but that’s a whole different ball of wax.


#5

We haven’t found out why its low yet. We have an appointment with the urologist at the end of October. Took two months to get in to see the doc. So we’ll know more after that.

Thanks for your input. Fingers are crossed that things go well with the new clinic next week.


#6

Good luck to you both!


#7

Thank you!!!


#8

Thanks for your input. It’s really more of a money thing and trying to find the cheapest/least invasive process to get pregnant. IVF with ICSI was quoted to us for $25,000 and that’s just out of the question. We don’t want to be in debt and flat broke bringing a baby into the mix.

We found a new clinic that is more about patient care and less about money. We go in for our first iui on Friday.


#9

Our September IUI group had two BFPs, one of them with 6 million sperm after being cleaned with 92% motility. So there’s definitely hope!


#10

That is so great to hear!! Last test my DH took his number went up to 15 million. Hoping for a big number this Friday!!


#11

You should join our October cycle buddies group. It definitely helps to have a few others going through the same thing. It’s helped me tremendously!


#12

You should! Even if you’re not actively cycling right now but are waiting for tests or whatever, you’re absolutely welcome to come ‘hang out’ with us.


#13

Surrogacy is even MORE expensive. D:


#14

hi everyone,
We have been ttc since 2014. Had 1st IVF cycle last month, which resulted as fail. My husband has low sperm count, I am doing well as per the tests done during IVF. Currently we are unwinding from stress of IVF and I am getting my body back into shape.
Before moving to IVF we asked doctor whether IUI can be option for us, he said IUI is possible but sperm count is low, so we opted for IVF. Now after a failed cycle of IVF we have scheduled an appointment to discuss future strategies, options etc. I am going to ask about IUI procedure this time. Repeating IVF cycles is costly for us.
I have also learnt that no treatment comes with guarantee.

Usually people do IUI and then move on to IVF, here I am thinking opposite way, I might sound crazy. But what I am thinking is that if my system is functioning properly and question is only about low sperm count, can IUI be the option for us ?


#15

[QUOTE=“marchie, post: 1793055, member: 86266”]hi everyone,
We have been ttc since 2014. Had 1st IVF cycle last month, which resulted as fail. My husband has low sperm count, I am doing well as per the tests done during IVF. Currently we are unwinding from stress of IVF and I am getting my body back into shape.
Before moving to IVF we asked doctor whether IUI can be option for us, he said IUI is possible but sperm count is low, so we opted for IVF. Now after a failed cycle of IVF we have scheduled an appointment to discuss future strategies, options etc. I am going to ask about IUI procedure this time. Repeating IVF cycles is costly for us.
I have also learnt that no treatment comes with guarantee.

Usually people do IUI and then move on to IVF, here I am thinking opposite way, I might sound crazy. But what I am thinking is that if my system is functioning properly and question is only about low sperm count, can IUI be the option for us ?[/QUOTE]

Hi Marchie!

I would highly recommend trying IUI out! I think as you read above our issue was my husband’s low sperm count and all my tests can back normal. We ended up doing 1 cycle of medicated IUI and it was successful! I am currently 24 weeks pregnant with a healthy baby and we couldn’t be happier with our choice to do the IUI.

To give you a little bit better of an idea, the day we went in for the IUI my husbands count for the procedure was only 2.5 mil pre wash and 0.5 mil post wash with 79% motility. My heart dropped when I heard the numbers and thought it was way too low to even do the IUI, but we decided to try anyway and am so happy that we did!

So if we were successful with only a half a million I think others have a great chance! It only take one after all! Best of luck to you and I hope this has helped you!!


#16

HI MrsToMommy,
Congratulations !!!
Thank you for sharing, it has definitely helped me to be positive about IUI :slight_smile:
In my follow up appointment, I will be insisting on trying IUI. Let’s see what my doctor thinks.
Will keep posted.
Good wishes and positive thoughts to you, thank you so much :slight_smile:


#17

[QUOTE=“marchie, post: 1793058, member: 86266”]HI MrsToMommy,
Congratulations !!!
Thank you for sharing, it has definitely helped me to be positive about IUI :slight_smile:
In my follow up appointment, I will be insisting on trying IUI. Let’s see what my doctor thinks.
Will keep posted.
Good wishes and positive thoughts to you, thank you so much :)[/QUOTE]

Best of luck to you!! Please do keep me posted. I’ll be sending you positive vibes!!


#18

Thank you so much MrsToMommy, I will keep you posted. My appointment is on 8th April.

Our strategy- To insist on IUI and if doctor gives green signal, do it at the same clinic with same doctor, since the doctor might have some insight about my body from past ivf cycle.
I will definitely post what doctor tells us.
Good Wishes and positive thoughts to you :slight_smile:


#19

I had one round at the beginning of our fertility journey.
It’s not a very big deal. From what I experienced then. You will lie on the table, in the stirrups, they insert a speculum. Then they will thread the catheter through your cervix and into your uterus. They will push down on the plunger and insert the sperm. Wait a few seconds and then pull it out. It can be uncomfortable when they are threading the catheter through but you just do your best to relax and breathe. I thought it was mostly less uncomfortable than a pap smear because there’s no scraping. Plus your cervix is usually wide open at this time so it’s easier to get through. Having someone with lots of experience really helps. Good luck!:wink:


#20

There are fifty chances of successful IUI with low sperm count. if the doctor suggests to go for IUI with low sperm count, you can proceed with that, because there could be chance to conceive…if in the failure case, you better choose IVf or ICSI than another IUI.