Next IUI or IVF?


I am planning on going for IVF on next January after trying to
conceive naturally and 2 failed IUIs.
Please advice me with any recommends before attempting this step. As I don’t have anyone to advice.

Here is my story
Age : 30 at present
——------Married in 2014 —————
Got naturally pregnancy in 2014 but had a manual abortion (due to some
personal family problems )
————2015-2016 ------------------
Tried naturally from 2015-2016 >>> No Pregnancy
————Visited fertility clinic ——-
OB doctor asked us to visit fertility clinic after trying to conceive
naturally. Below are the process doctor followed
Step 1 : just Clomid medicine for 2 cycles >>> No Pregnancy
Step 2 : Clomid with Ovidrel for 2 cycle >>> No Pregnancy
Step 3 : Clomid , Ovidrel & IUI >> Pregnant but ended with
miscarriage on 3 month
Step 4 : Clomid for 2 cycles >>> No Pregnancy
Step 5 : letrozole, Ovidrel & IUI >>> No Pregnancy
Step 6 : ??? ( IVF or IUI )
---------------Health conditions-----------------
Prolactin harmone elevated >> Had MRI and started taking Bromocriptine
Thyroid >>> they found thyroid after first IUI since then started taking Synthroid

My Husband story :

Age 33

--------------------------------Testosterone --------------

Testosterone Total(Adult Male ) 504.38ng/dl Normal Range: 205.00-781.00 ng/dl

--------------------------------Semen Analysis--------------

Below is the Semen Results during 2 IUI

Volume > 1.8 ml

Sperm concentration >> 177.5

Total Sperm count >> 319.5

Progressive Motility >> 37 %

Non-progressive Motility >> 3%

Inmotile >> 60 %

Total Progressive Motile Sperm >> 118.2 x 106

Any suggestions are welcome.



Oh my, that was quite detailed. I’m afraid I don’t have accurate answers for you. We started with IVF yrs ago. Passed 4 rounds with OE and DE. Last unsuccessful one in June resulted in the early mc. Our final shot with donor egg brought success. I’m currently prego with a LO. Waiting for the 7wks scan. So from personal experience, he initial step in the IVF process is to undertake an advanced ultrasound scan. This scan is vital. Dr explained it is a key part in deciding on the treatment protocol. The imaging of the ovaries allows them to assess ovarian reserve by counting the small growing follicles. In addition they measure blood flow in the ovaries which also checks fertility status. Well, I’m not sure IUI is going to be the your another step. You’ve had them just enough. So probably it’s time to opt for IVF. Not insisting though…


Do you suggest any lab works I need check apart from above information before IVF or we need to improve in any other areas ?
We are so concerned because when ever we are visiting doctor she says the health conditions of both are good but we are ending up with no success in every step.


Hello, honey. That must be frustrating! I’m sorry they cannot find the exact reason why it’s not happening…One can call me ‘‘experienced IVFer’’ because we experienced 2 failed IVF cycles with own egg and 1 failed IVF with donor egg. Yet one successful resulting in my baby girl. I was 40 yrs young when we first came in terms with fertility issues in me. It was pcos and blocked fallopian tubes. Later adding low AMH and dr suspected me to be the carrier of Wilson disease, so wanted us to do PGD testings on embies. Thankfully it became out of the question with me. I’ve read your background and i’m sure I cannot give you some valuable advice for your very situation. But looking onto things I’d go straight to IVF. Has your dr considered ICSI? I believe if a perfect spem is injected directly to a perfect egg - then it must work! Or while IVF when some good quality embies are cultured in the lab and put inside…My position is that I wouldn’t go for IUI being in your shoes. The choice’s always your though. Wishing you the best of luck!


Congratulations!! :hugs:
I know how tiring this road might be. And often we get things quite not expected. Then find ways to deal with the issues and finally end up with an amazing LO inside. Wanted to ask you how are you feeling? Is the pregnancy being smooth for you? I mean the symptoms or any other interesting things you’ve experienced? I’m a mom of a wonderful DE IVF baby girl. I remember I was getting very down at times. My pain in left ovary was so intense. Not saying due to pregnancy. I’ve always had pcos and probably some meds side effects. Also nausea, dry heaves and very dizzy, etc, Just wanted to know is that normal for others who’ve been through the same treatment? My body was very reluctant to any of good changes. I appreciate you have any words of experience.


I guess that’s it. I’ve been like you through the donor egg ivf. But I truly think the prego symptoms don’t depend on the type of treatment :joy: I know just the emotional side of the coin. So probably it’s sth very similar to those symptoms you experienced. I had some pinkish spotting and some brown discharge after it. A bit of headaches, was very tired at times. Sore boobs and to painful to even touch. Ladies experience all different. Hope you’re well. Keep up posting.


Hi, I’m sorry to hear about your struggles. When a woman has her fallopian tubes blocked, the sperm cannot reach the egg, and therefore fertilization cannot take place. In other words, if the sperm never meets the egg, pregnancy will never happen. The most obvious symptom of blocked fallopian tubes is therefore anovulation (no egg is released monthly). Depending on the cause, one treatment may work better as others. Blocked fallopian tubes may be caused for the following reasons: STD infection, uterine infection caused by an abortion or miscarriage, history of a ruptured appendix, history of abdominal surgery, ectopic pregnancy, surgery involving the tubes, and endometriosis. The potential treatments for blocked fallopian tubes are laparoscopic surgery and IVF when repair surgery doesn’t work. Talk with your doctor for further advice. I hope I have been able to help.


IUI is recommended in case of male issue. - Low motility or count of swimmers, you know. Then sperms are washed in the lab. They’ll use the best for the fertilization. It’s less invasive than ivf. Obviously because you’ll not have to retrieve your eggs and then fertilize them with your partner’s sperms. and then (if lucky) insert your embies into the womb by means of a catheter…This is purely an individual decision based on a particular case circumstances.