trouble conceiving again

[shannon1021]

I am currently trying for baby #2 and we've been trying for almost 4 years my only child is 6. We have seen a fertility specalist and found out I am fine it is my husband motility all else is perfect the Dr. said but we would need to do IVF, My question is why could we have one child with no problem and now there is something wrong with his sperm? Another question is why can't we just have his sperm (the good ones) insemenated in me?  My issue with all of this is it's a expensive procedure and to spend all that money and come out empty handed...

[sleepless_mom]

Why was an IUI ruled out? Basically the odds of success for IUI are  about 15% per cycle. The low statistics are with one follicle 6 percent, while multiple follicles resulted in as high 26 percent success. Another influencing factor is sperm count. Higher sperm counts increase the odds of success; however, there was little difference between success with good-average counts and those with high counts. The overall success rate seems to be between 15-20 percent per cycle.

At age 40 my pregnancy was by IUI, it took 4 cycles. I was told after 6 cycles if nothing took they would re-evaluate my treatment options. The sperm count of the successful insemination was 10.6 mil and the mobility was at 60% (frozen specimen). Maybe your RE wants to increase your odds of a pregnancy sooner? If so IVF is a better choice, the facility I choose quotes a Clinical Pregnancy Rate per Retrieval of 51% for women under 40 and  72% with donor eggs women over 40 it's only 18% with their own eggs.