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Second Opinion
jquiggl25 posted:
I am actually looking for a bit of advice/second opinion. My husband and I have been trying to conceive for two years. I am 30, he is 29. Neither of us smoke and we only drink socially, once or twice a month. We eat healthy and exercise and consider ourselves to be in good shape. I have had blood work done that verifies I am ovulating and last summer I had a hysterosalpingogram that verified there were no blockages. Recently my husband had a semen analysis that showed his sperm count is normal.

We have talked to our doctor about our options and he has recommended IUI. However, we asked about trying fertility medications like Clomid for a few months first, before trying such invasive measures. We were told the Clomid wouldn't do anything and just to call when we were ready for the IUI. I wanted to get the opinion of another doctor first. I just feel like jumping straight to IUI (without ever trying anything else) seems drastic. Am I wrong in this perception? Would another doctor take this same course of action?

Thank you so much for any help you can offer. After two years, we feel like we haven't really done anything and we are wasting time. We are just so frustrated and don't feel like our doctor has the sense of urgency or willingness to listen that we would prefer. Unfortunately, we live in a small area and we don't have many other options. Any advice you can offer would be greatly appreciated.
An_256553 responded:
I think that you and your husband have to ultimately decide what is best for you, however I do not believe that IUI is really all that invasive if you are already looking into fertility drugs. My husband and I started this process just a few months ago after having every test in the book done and realizing that I had ovarian polyps that we removed. I was originally on Clomid, however it thinned out my lining too much so I changed to Femara. I begin taking the drug on day 3 of my cycle through day 7. On day 12-14 I go in for a mid-cycle scan which tells the doctor if all looks well and how many eggs I have developed. I like this so we can tell if the drug is working properly and if I have too many mature eggs for that month's cycle. Once the ultrasound is done then I get a shot in my bum to trigger ovulation. My husband then goes into the office the next day to provide a sperm sample which they clean up and get the best stuff and then insert it into my uterus. It is a rather simple process, but allows the sperm to have a better path with the least resistance. You lay there for about 20 minutes or so and that's it. In my opinion if you are considering hormone treatment then I would also use IUI, but again you and your husband need to find what will work best for you and if your doctor is not listening to you and respecting your wishes in this process then I think you should go looking for one that will. This process will only become more emotional and exhausting as you proceed and it is important that your doctor is also your advocate. Best of wishes to you!

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For more information, visit the Duke Fertility Center