HomeAnswersObstetrics and GynecologyiuiI had three failed IUIs. Will I benefit from IVF?

I had three failed IUIs. Will I benefit from IVF?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 20, 2017
Reviewed AtJuly 20, 2023

Patient's Query

Hi doctor,

I am 27 years old. I went through three IUIs, but all of them failed. All my hormonal tests, such as FSH, LH, TSH, and sugar, are normal. Even the ultrasound is normal. My AMH is 1.14. Six months back, during my follicle study, I used to have five to six follicles SGFS on day 2. But, I have two to three follicles on each side from the last two cycles. The doctor has suggested IVF. Is my AMH level too low? Will IVF benefit me?

Hello,

Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity). Your AMH (anti-mullerian hormone) level is not low rather it is low-normal. Since the FSH (follicle-stimulating hormone) is normal it does not matter much. If not done already, I suggest you check for serum testosterone and prolactin levels. Have you done any tests for tubal patency like HSG (hysterosalpingogram)? What is the husband's semen analysis report? IVF (in-vitro fertilization) has a similar chance as IUI (intrauterine insemination) if the tubes and semen reports are good. Age is in your favor.

Patient's Query

Hello doctor,

Yes, I have done the prolactin test and HSG tubal test. Both are normal. My husband's semen analysis was also normal. Even during IUIs, the motility count was good for him. I am yet to do serum testosterone. I was told that around eight to ten follicles are a good number, but I have two to three on each side, which is quite low, according to my doctor.

Thank you.

Hello,

Welcome back to icliniq.com.

You should do testosterone levels. Two to three on either side, with a total of five to six, is fine while going for IUI. For IVF, you may need more follicles. These days, even one to two good follicles are considered sufficient, and some centers abroad are doing natural cycle IVF with one to two follicles.

Patient's Query

Hello doctor,

After three failed IUIs, I was suggested for IVF and done 3-day embryo transfer. And I have attached my report. Today is 15 days post transfer got a negative HPT. I have given the blood for the HCG test. But I am not very hopeful. Crinone 8 % gel morning and night, Progynova 2 mg thrice, and Ecospirin at night are the prescribed medications after embryo transfer. Now my question is, what would have gone wrong? Do I have an issue with the egg, or is it with implantation? If I have to go for another IVF, what difference would u suggest? Should I look for a donor egg? As I have an AMH of 1.14 and could only retrieve two eggs. Please, suggest to me what should be my next step.

Thank you.

Hi,

Welcome back to icliniq.com.

It is difficult to say what may have gone wrong; in IVF average success rate is not more than 30 % at best can be 40 %, so there is always a chance of failure. You should do blood/serum testosterone level if it is high, then treatment can improve egg quality; you can also take Myo-inositol, folic acid, and multivitamin tablets.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy