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Suggest treatment for failed IUI - Online Doctor Chats

Date : 08-Apr-2014
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:hi
Doctor:Hi,
Please proceed with your query
User:I had 3 IUI and all failed. Should i continue with IUI
Doctor:Did you check with the doctor?
Doctor:Did the doctor give you reasons for failure?
User:no reasons, she said it take many cycle to be successful
User:I had all the required tests
User:no issues found.
Doctor:Ok
Doctor:Let me brief you.
Doctor:Success rates of a single assisted fertilization is about 20 - 30 %
Doctor:The chances are increased with repeated trials.
User:How many trials should one take?
Doctor:Since you have asked should you continue IUI, my opinion would be yes - if all other parameters are fine.
Doctor:Since you are current 31 years of age, you can try about 6-7 IUI before switching off to other assisted techniques.
Doctor:But be prepared for failures.
Doctor:It may take few more cycles.
Doctor:If you aren't prepared for failures
Doctor:and if you are ok with expense,
Doctor:you can discuss about other options ICSI or other IVF techniques
User:What is the success rate of IVF?
Doctor:All assisted fertilization techniques have similar success rates around 30.
Doctor:IVF has marginally higher rates.
Doctor:It again depends on various other parameters.
User:k thanks doctor, I want to ask one more query related to it?
Doctor:Further you should be lucky to find success with just one IVF procedure.
Doctor:What I mean is it may not give you instant success if you switch over to IVF
Doctor:but the chance is slightly better.
Doctor:Hope I am clear.
User:yes thanks doctor
Doctor:If it is, please proceed to your next question.
User:in my case it is with donor sperm since my husband has azospermia, my doctor said she had success rate with fresh sperm, But in my case it can be done only with frozen one
User:so success rate of IUI goes down with frozen one
Doctor:Your doctor is right. Frozen sperms are not as qualified as fresh sperms to cause conception.
User:so in my case, chances are even more less
Doctor:But as I am aware of ICSI technique where the best quality sperms is hand picked
Doctor:to cause conception
Doctor:has better success results than IUI
Doctor:That being said, there is no harm trying for few more IUI before switching over.
User:What is the difference between IUI and ICSI?
Doctor:In IUI, sperms from your partner is injected into the uterine cavity
Doctor:if sperms are not sufficient enough to swim through the uterus.
Doctor:The procedure is to help sperms bypass the uterine cavity and fertilize ovum.
Doctor:You do not know what happens after the semen is injected into the uterus.
Doctor:However ICSI is similar to IVF where the ovum is fertilized externally with hand picked sperms.
Doctor:The fertilized embryo is introduced into the uterus to grow into a baby.
Doctor:It is one step lesser than IVF.
Doctor:Did you follow what I said?
User:yes
User:thanks doctor
Doctor:And ICSI stands for intracytoplasmic sperm transfer.
User:k
Doctor:If you want more details you can google about it.
User:k
Doctor:Do you have any more questions?
User:no thanks
Doctor:Thanks for consulting me. Bye for now.
User:bye
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