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Fertility / Infertility (Expert Forum)
4 IUI's, 1 miscarriage, endometriosis, what next??
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
4 IUI's, 1 miscarriage, endometriosis, what next??
by Jules28, Jul 21, 2007 12:00AM
Hello,
I was diagnosed with endometriosis about 9 years ago and have since had one laporoscopy in which I had two large cysts and mild endo removed. We have been TTC for 3 years. I have done 4 IUI's with Clomid. The first IUI worked but I miscarried at five weeks. The last three have been unsucessful. My doc wants to do another lap because my cramps are severe. I am taking Vicodin for them but it doesn't help much.
Any advice on the next step would be great..we are thinking we will do this lap and then move to injectibles with IUI. I don't have ovulation problems, my cycle is pretty regular. My last period was like four days late and that is the first time I have ever had a problem.
Thanks, Julie
I was diagnosed with endometriosis about 9 years ago and have since had one laporoscopy in which I had two large cysts and mild endo removed. We have been TTC for 3 years. I have done 4 IUI's with Clomid. The first IUI worked but I miscarried at five weeks. The last three have been unsucessful. My doc wants to do another lap because my cramps are severe. I am taking Vicodin for them but it doesn't help much.
Any advice on the next step would be great..we are thinking we will do this lap and then move to injectibles with IUI. I don't have ovulation problems, my cycle is pretty regular. My last period was like four days late and that is the first time I have ever had a problem.
Thanks, Julie
Doctor's Answer
by USF-M.D.-JM, Jul 29, 2007 12:00AM
Sounds like a good plan. I would not go pass 4 cycles of clomid IUI, without re-evaluating the plan. There is your history of endometrioisis and a tie between endometriosis and infertilty has been made. I would also recommend a operative laporoscopy and with these findings,THEN consider the next step. Horrible tubal damage or blockage or surgery on the tubes might result in skipping injectables IUI and gong to IVF, so wait til you have the surgery findings to decided the next step.
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