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Hi everyone...I posted a few months ago about my hubby and I struggling to get pregnant. We have a wonderful 2 1/2 yr old pre j pouch. I will be 2 years with j pouch this coming ctober. We have been trying for baby #2 with no success for 11 months. I am seeing a fertility dr and had hsg which was totally clear and all blood work shows good stuff and my husband was tested and he is perfect. Only thing RE can say is that it might have to do with some scar tissue that can't be seen via hsg that is impacting sperm and egg making contact. Very frustrated and our plan is to start IUI by October if no luck naturally.....any advice or similar stories? I am losing hope we will get preg without fertility drugs/treatments. Thanks Smiler

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I agree with skipping IUI. LIke you I had perfect HSG and my husband had no issues. Same assumption as your dr - scar tissue keeping things from meeting up.

I was told the chance of success with IUI for "regular" people was 10% but for me they felt it would be about 1%. Add to that the risk of higher order multiples (they were ok with me carrying twins but not more), my drs recommended skipping IUI altogether. In my state IVF is covered if you do 6 IUIS but I got approval to skip over all of them and go straight to IVF.

First fresh cycle we got 8 embryos and transferred the strongest two. We do think I was pregnant with twins initally but by my ultrasound we had one. That baby is now 7 1/2 with a very old soul!

Then I did a frozen cycle using one embryo from the first fresh - the only one that survived the thaw. I got pregnant but miscarried early.

Second fresh cycle we transferred one 6 day hatching embryo and that baby is now my feisty 5 year old daughter.

If the problem really is egg and sperm meeting, you should have good success with IVF...
J
You might be able to get the IUIs waived as I did - talk to your dr about it. If they think the egg and sperm aren't meeting from scar tissue, that doesn't get solved with IUI.

If you do IUI, I strongly recommend that you monitor the fertilization process through ultrasound to reduce the risk of higher order multiples. So check prior to insemination how many follicles have developed to get an estimate of how many potential embryos you have. If you have 6 strong follicles of similar size, you could end up with six embryos.

Also, you should discuss with your husband how you feel about selective reduction - what if you end up with a multiple pregnancy out of IUI? How many would your drs feel comfortable with you carrying? Would you be ok with reduction? If the drs said you needed to reduce for your health how would you feel?
J

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