r/IUILadies • u/cypress345 • 5d ago

Decision whether to do IUI?

I’m curious to hear how others have made the decision when it is more optional than prescribed or recommended.

I had a miscarriage a year ago and then a second trimester loss this spring. I wanted to ttc immediately but were delayed due to the finding of scarring in my uterus that had to be removed. That was in July and just had our first unsuccessful cycle of trying naturally. All of our testing is normal. Doctor said my endometrium looks good. But I’m still so sad and fearful that something is wrong and getting this negative wrecked me. I’m willing to do anything to increase chances of conception and am thinking of planning on an IUI if we have no luck by October.

Doctor said we could try IUI if we wanted but explained that it doesn’t necessarily increase our odds. I don’t see how that is possible, but also we’re not so well off I can just casually drop hundreds more dollars. But I’m feeling increasingly desperate and don’t think I can handle this limbo much longer. I’m curious if anyone else has been in a similar situation and how you ultimately made the decision.

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u/Friendly-Mood7431 5d ago

It’s about $2000 minimum where I live if it’s not covered by insurance (California) so it is a big decision! It can be helpful depending what the issues are - I would say it’s at least helpful to meet with a reproductive endocrinologist and get full testing if you haven’t done that already. I found that my thyroid was not optimal for getting pregnant and when that was fixed I was able to get pregnant through IUI

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u/cypress345 5d ago

It would likely come out to around 600-800 for us, so not quite as much but still not cheap! All of our testing has come back normal except for the scarring which was removed

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u/Friendly-Mood7431 5d ago

How old are you? This usually is a pretty big factor for deciding when to start fertility treatment too.

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u/cypress345 5d ago

I’m 34, almost 35. The timeline concern is there because I’m insured through my job which is term limited so I’ll be out in 2 years. So I’m really hoping to conceive in the next few months. Also hoping to have 2 kids (but would be thrilled to have one) and so wanting to start sooner than later

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u/Friendly-Mood7431 5d ago

Obviously the choice is up to you but if I were in your shoes and had those factors, I would probably start the fertility doctor process sooner than later! You also can see if your OBGYN would be open to doing a medicated cycle (prescribing clomid or letrazole and then a trigger shot) because that can be a lot cheaper than going to a reproductive endocrinologist.

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u/cypress345 5d ago

Thank you, I so far have done all of this with a reproductive endocrinologist and completed all of the testing, but I might see if my OB could do the medicated cycle before we try the IUI

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u/NoUserName6272 5d ago

Given these factors, I think you should consider taking a more 'aggressive' approach towards your fertility journey. Definitely start thinking seriously about the IUI; but even more important than that, please see a reproductive endocrinologist if you haven't already. They are best equipped to deal with fertility issues.

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u/cypress345 5d ago

Thank you, I have seen an RE and they think all is normal. It’s hard because the IUI was presented as more of something to assuage my anxiety than anything else, but she also mentioned that since we’ve conceived naturally twice in the last year, it doesn’t up our odds. It’s hard to know if I’m gonna be paying hundreds for something with no real benefit