Human Reproduction A pregnancy rate of 5. Fertility and Sterility, IVF — when to move on? The short answer is to move on to IVF after 3 failed IUIs If the fertility problem is due to a lack of ovulation, maybe try a few more If the female is under 30 and ovarian reserve is good, maybe try a few more Costs of fertility treatments are a big factor in deciding when to move beyond IUI If the female is 40 or older, or ovarian reserve low, consider moving to IVF sooner In vitro fertilization is the next step after IUIs — with a much higher success rate The have been and continue to be many advances with in vitro fertilizationtechnology that resulted in higher odds for success.
However in the case of IUI there have not been significant advances in the last 30 years. Methods to properly process the semen were figured out long ago. The rest of the equation with IUI is interaction between sperm and the female genital tract — and between sperm and egg if female anatomy and sperm quality allow them to get together.
Since so much is left to nature with IUI, there is not much that we can improve on The sperm must swim to the end of the fallopian tube where the egg should be The egg has to be able to ovulate from the ovarian follicle and be picked up by the tube The sperm must find and fertilize the egg These steps are forced with IVF but are left to nature with IUI.
IUI What is the difference in pregnancy rates for couples with fertility problems between trying with regular intercourse versus IUIs? Several studies have addressed this question Some studies show no improvement in success with 2 inseminations done on sequential days compared to 1 well-timed IUI Others show higher success if 2 inseminations are done on back to back days One explanation for the different findings is that if single inseminations are not ideally timed for ovulation, success rates could improve with a double insemination protocol.
Then,at least one of the insems might be properly timed. Most fertility specialists believe that 1 well-timed IUI is sufficient IUI success using donor sperm is discussed on the donor insemination page. We are here to answer any questions or concerns you may have so that you feel completely confident when taking the first step toward building your family.
Patient Resource Center. Patient Portal. Request a Consult. What are success rates with inseminations? Chanced for success with intrauterine insemination will be very different in different subgroups of couples depending on the age of the female and the underlying cause of the infertility problem. This is due to the significant impact of female age on fertility Drug assisted IUI success rates Insemination treatment combined with ovarian stimulation with Clomid tablets clomiphene citrate vs.
Many studies have shown that IUI plus ovarian stimulation gives a higher success rate than insemination in natural menstrual cycles no stimulation. When we stimulate the ovaries with drugs and do insemination we are basically blasting away with sperm and eggs and maximizing timing.
This treatment probably works by improving timing of conception, by-passing potential cervical factors or increasing the number of eggs ovulated.
It is very important to keep in mind that the chance of pregnancy is NOT affected by the frequency of your office visits, serial blood tests and ultrasounds or hCG administration. All these procedures only increase your cost and anxiety, not your chances of conception.
While it is true that prolonged use of clomiphene occasionally causes thinning of the uterine lining, this ultimately does not affect chances of pregnancy and resolves spontaneously after taking a month off. Adding estrogen orally is another cost-effective way of resolving this non- issue. In addition, changes to your lifestyle are some of the best ways to improve your overall health as you look to improve your chances of a successful IUI.
IVF techniques have significantly improved over the last two decades, but IUI success has remained largely unchanged. But IVF success comes at a cost—both physical, as IVF is a far more involved process than IUI requiring several different medications and surgical procedures—and financial. According to a huge study of close to a million single embryo transfers, when a single embryo is transferred, there is just a 1.
A second study of patients who had one blastocyst versus two blastocysts transferred found no difference in live birth rates, no incidence of twins in the single transfer group, and a twin birth rate of In the infancy of IVF, doctors had no way of knowing which of the embryos or how many embryos would survive and implant. To ensure success, they transferred more embryos. Now embryologists have cutting edge technology and techniques to better assess and ensure embryo quality.
For the health of both mother and baby, the goal is always to have one healthy baby at a time. Because doctors are transferring fewer embryos with each IVF cycle, multiple births are not as frequent as they were several years ago. IUI or artificial insemination is one of the least invasive fertility treatments out there and can be pretty successful in certain situations. Your likelihood for success depends on many factors, most importantly your age, diagnosis, and the medication protocol used.
Paul C. Magarelli MD PhD. Tags: fertility medications , fertility treatment , fertility treatment comparison , IUI Artificial Insemination , success rates.
Poor success of gonadotropin-induced controlled ovarian hyperstimulation and intrauterine insemination for older women 2. Impact of unilateral tubal blockage diagnosed by hysterosalpingography on the success rate of treatment with controlled ovarian stimulation and intrauterine insemination 7. Lesbian women higher pregnancy rate 8. The influence of the number of follicles on pregnancy rates in intrauterine insemination with ovarian stimulation: a meta-analysis Therapeutic donor insemination: A prospective randomized trial of fresh versus frozen sperm Outcomes after intrauterine insemination are independent of provider type Efficacy and pregnancy outcome of two methods of semen preparation for intrauterine insemination: a prospective randomized study Immobilisation versus immediate mobilisation after intrauterine insemination: randomised controlled trial Prevalence and risk factors of zygotic splitting after single embryo transfer cycles Beginning of dialog window.
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