DH have been discussing moving forward with IUI. I have begun researching the process of an IUI. I have outlined how this process will go. I have contacted the doctor to determine what our next steps should be. Once he replies then we will decide what our next steps will be.
- AF starts, call the office to schedule baseline ultrasound and blood-work
- Get ultrasound and blood-work done to make sure there is not cysts and ensure that the lining is thin.
- Doctor will prescribe FSH (follicle stimulating hormone) to stimulate follicle growth.
- Start FSH shots (injectibles) on CD 3 and continue daily, or whatever schedule the doctor has given
- The aim is to stimulate 1 or 2 follicles and definitely a maximum of 3 follicles. If more than 3 follicles are stimulated then the treatment has to be abandoned due to the risk of multiple pregnancy
*On day 1 of your cycle several follicles start maturing. About day 7 the follicle with the most estradoil dominates and in a normal cycle this ensures only the strongest follicle matures and starts to produce and egg. In detail this estradoil tells your pituitary gland to stop producing extra FSH so this follicle does not have to compete. The FSH injections override this process so you get multiple follicles. (Fertility Friend, UK)
- On CD 8 and get mid-cycle ultrasound
*At this stage the doctor will assess how many follicles have grown and an estimated time for the next stage, this occurs when the lead follicle is about 18mm or more and is usually 7 to 12 days after you start injecting but sometimes it can be 25 days...again it all just depends upon your body. The clinic will also look at the thickness of you endometrial wall. Generally for ovulation this is greater than 8mmm thick but it is still possible to fall pregnant if this is as thin as 5mm.
- Natural ovulation or the HCG injection
* If you are ovulating by injection the most common drugs are profasi, pregnyl or Ovitrelle. This drug is the same thing that starts your luteal phase. It tells your body to produce some progesterone and hence your follicles will release their eggs. You will be given a very specific time to take this drug and then about 32 to 38 hours later you have to go to the clinic and get what we call Basted (Inseminated)
- DH will give specimen
- The sperm will be washed
- The doctor will use a speculum and inject the prepared sperm into the uterus.
- Wait 2 weeks