[Gabi]

Hi Peter

Would appreciate your thoughts on this. I had a laparoscopy last August for mild endo on my ovaries and at the same time the OB/GYN did a dye test to check if my tubes were open which he said they were.

In June I started seeing a fertility specialist and have done 5 months of clomid and 4 IUIs (waiting for the results of the fourth one at the moment). At my last consultation though, my doctor rather upset me because he said that if I've not gotten pregnant after a few more cycles with clomid, he might do a dye test again to check my tubes are open before proceeding to IUI with injectibles. He knows I already had one done but he said that sometimes it's possible for tubes which weren't blocked to become blocked after surgery of the kind I had. Is this likely or is he being overly-cautious?

If it is true then should I not have the dye test redone immediately becuase I don't want to waste any more cycles if this is a realistic possibility?

Sorry to be so long-winded, I know you must be really busy and many many thanks in advance for your views.

all the best.

Gabi

 

[peter]

Hi Peter

Would appreciate your thoughts on this. I had a laparoscopy last August for mild endo on my ovaries and at the same time the OB/GYN did a dye test to check if my tubes were open which he said they were.

In June I started seeing a fertility specialist and have done 5 months of clomid and 4 IUIs (waiting for the results of the fourth one at the moment). At my last consultation though, my doctor rather upset me because he said that if I've not gotten pregnant after a few more cycles with clomid, he might do a dye test again to check my tubes are open before proceeding to IUI with injectibles.

It is unlikely that your tues have changed unless any specific damage was caused at surgery. I would give IUI with stimualtion about 4 more tries and then think again about IVF. Is you partners sperm good? What is the %age normal morphology?

He knows I already had one done but he said that sometimes it's possible for tubes which weren't blocked to become blocked after surgery of the kind I had. Is this likely or is he being overly-cautious?

Unless there has been a pelvic infection, pelvic trauma or unreported damage at previous lap then I wouldn't go through that again.

Good luckl!

Peter

If it is true then should I not have the dye test redone immediately becuase I don't want to waste any more cycles if this is a realistic possibility?

Sorry to be so long-winded, I know you must be really busy and many many thanks in advance for your views.

all the best.

Gabi

 

[Gabi]

Hi Peter

Thanks for your email, you've really made me feel a lot better!

My husband's sperm results for the last 3 iuis were as follows:

Vol: 2.5ml, 2.4ml, 2.2ml
Density: 172 m, 204m, 116m
Motility: 60%, 68%, 56%
Normal morphology: 10%, 19%, 13%
Post wash: 67m, 85m, 27m
Normal motile sperm post wash: 8.78m, 20m, 6m

Peter, when you say IUI with stimulation do you mean injectibles? Is the time right to move on to those now? I'm impatient but I think my doctor wants me to try with clomid for a couple more months.

Thanks a million!

Gabi

 

[peter]

Hi Peter

Thanks for your email, you've really made me feel a lot better!

My husband's sperm results for the last 3 iuis were as follows:

Vol: 2.5ml, 2.4ml, 2.2ml
Density: 172 m, 204m, 116m
Motility: 60%, 68%, 56%
Normal morphology: 10%, 19%, 13%
Post wash: 67m, 85m, 27m
Normal motile sperm post wash: 8.78m, 20m, 6m

These are good results and perfectly OK for IUI

Peter, when you say IUI with stimulation do you mean injectibles?

Yes

Is the time right to move on to those now?

It's worth a try a bit later (see below) but if you get too many follicles then the cycle would have to be cancelled.

I'm impatient but I think my doctor wants me to try with clomid for a couple more months.

I think another couple of clomid cycles would be worthwhile.
Good luck!

Peter

Thanks a million!

Gabi

 

[Gabi]

Peter

Thanks so much for taking the time to reply, it's been really useful and put my mind at rest!

Gabi