Which treatment to choose???

know there is an infertility forum, but I've grown to know you wonderful ladies so much better.  Not only that, but I don't get a ton of responses over there.  So, I'm hoping some of you can offer advice.

My husband and I have done a TON of infertility testing, and found nothing overly significant. (Words from our RE)  My husband's semen analysis was great except for low sperm morphology, which the RE says is so subjective, and that no one really knows what that means for fertility.  Besides the fact that my cycles are a little long, and I ovulate a little late, things seem okay with me according to blood tests, HSG.  (I will have a sonogram next cycle to rule out endometriosis)  

So, we left the doctor today with him telling us that next cycle, my husband and I need to decide what, if anything, to do going forward.  Our options are basically this:

1.  Continue to try on our own.
2.  Try artificial insemination with Clomid or Leprozol (Our doc for some reason is a huge advocate for Leprozol and not Clomid)
3.  Go directly to IVF

Our lifetime limit is $15,000, so I want to choose wisely.  The doc said some people go right to IVF because the success rate is higher than with Artificial Insemination (AI) but it is also a lot more expensive.  My husband and I will of course research the **** out of all of this, but I'm just wondering if any of you have suggestions based on personal experiences?

[miky72]

Welcome to the forum!
You are still very young so I would first try Artificial insemination.
if after 3 cycles nothing happened I would suggest to go to IVF.
Good luck!

[Helen72]

Artificial insemination is not very expensive, about $200-250 w/o meds.  So, you may try paying out of poclet for it and if it does not work just go to ivf since that would consume all $15K.

[tina1111]

Will your dr let you try doing the Clomid and try on your own with it for a few cycles?  Usually, if Clomid is going to work it does so within 3 cycles. It is the cheapest place to start for sure.  If that isn't an option, I would start with IUI/meds for the sames reasons Helen said.

[Atia_Julii]

Thanks so much for your responses ladies.  I really appreciate it! :-D

My doc doesn't want to try clomid alone, because we may be dealing with a slight male factor.  My husbands counts are all great, but the morphology is not where it needs to be.  I was really nervous doing artificial insemination first because it cuts into the total cost, but I do like the idea of maybe paying out of pocket for that.  Not a bad idea!

Do you guys know the success rate of IUI (intrauterine insemination) with bad sperm morphology?  My RE said morphology is so subjective, that no one really knows if it contributes to infertility.