BONUS 222: Choosing Between IUI and IVF

August 30, 2019

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Today’s bonus episode guest is Dr. Allison Rodgers. She is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility and has been practicing medicine since 2004. Dr. Rodgers currently practices at the Fertility Centers of Illinois. Her personal experiences with both secondary infertility and pregnancy loss have given her a unique insight into reproductive medicine in order to help you beat infertility.

Episode Sponsor:

Fertility Centers of Illinois

Dr. Rodgers begins by answering six listener questions. The full questions are read on the air, but here are brief summaries:

  • Kala had a growth hormone deficiency in childhood. She’s had two chemical pregnancies, a live birth, and two more miscarriages, along with other difficulties. She asks if her HGH deficiency could be the cause of her infertility and what labs or tests would be recommended.
  • Kathy has had three failed timed intercourse cycles. She asks if PCOS and hypothyroidism can negatively affect her fertility, even though she ovulates regularly and takes thyroid medication.
  • Ashley has unexplained secondary infertility, with a recent miscarriage at 14 weeks. She asks if Dr. Rodgers has patients with her prothrombin issue and what advice Dr. Rodgers has for her.
  • Amy has a one-year-old son and is planning to transfer her last remaining embryo. She asks about the significance of “inconclusive” results from the PGS test on her embryo.
  • Charlotte has chronic endometritis. She asks what this condition means for her fertility and what treatment might be recommended.
  • Audrey has had five miscarriages through timed intercourse cycles. Her first IVF yielded two low-grade embryos and no success, and her second IVF yielded no fertilized eggs. She has MTHFR and mild endometriosis, so she asks about the wisdom of a third IVF cycle or if they should pursue egg donation.

Dr. Rodgers and Heather continue the episode by discussing everything you need to know about how to choose between IUI and IVF:

  • Let’s start at the beginning. Take us through a typical initial consultation appointment.
    • Someone or a couple seeing a reproductive endocrinologist for the first time
    • Someone or a couple who is seeking a second (or more) opinion
  • Explain to us what should be included in a thorough fertility workup.
    • Female partner
    • Male partner
  • The results are in! Let’s discuss the basic overview of IUI and IVF as you would explain them to patients.
    • IUI
      • When it’s recommended
      • When it’s not recommended
      • Protocols (Clomid, Letrozole, gonadotropins) and expected response
      • Monitoring and procedure
      • Success rate
      • Approximate cost
      • Recent research?
    • IVF
      • When it’s recommended
      • When it’s not recommended
      • Prep and stim protocols and expected response (see BONUS 72)
      • Monitoring and procedure
      • Success rate
      • Approximate cost
      • Recent research?
  • What do you take into account when recommending IUI over IVF, and vice versa?
  • In your opinion, how should individuals and couples determine the best approach for their situation?
  • Is there anything else you’d like to add?
  • What words of hope would you offer to patients who are trying to determine their best path forward?

Have a question you want Dr. Rodgers to answer next time she’s on? Click here.

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