Mini-IVF and "Banking" vs. IUIs

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Mini-IVF and "Banking" vs. IUIs

Post by andreadia » Thu Nov 19, 2015 5:37 pm

I was referred to you by my RE in the Bay Area who said you would have good data on Mini IVF cycles vs. IUIs. (It looks like you call them low-stim IVF there?)

I am 41 years old and on my second medicated IUI. I had a low response on my first round to Menopur/Follistem (3 follicles) and am now trying Clomid to see what if any difference there is.

My question: Would it be advisable to stop doing IUIs and move to several Mini-IVF rounds, in the hopes of retrieving enough eggs to get a viable embryo(s!?) for transfer? Or am I just as likely to be successful or unsuccessful with IUIs? I'm concerned about my eggs getting older as I try multiple IUIs.

Thank you for your insights...

Dr. Wisot
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Re: Mini-IVF and "Banking" vs. IUIs

Post by Dr. Wisot » Thu Nov 19, 2015 6:16 pm

At 41 with a low response to injectables, I think your best shot is minimal; stimulation IVF (which is what we call it. Only Clomid is used to get one (sometimes more eggs), fertilize and freeze. For the best results we recommend Preimplantation genetic screening (PGS) looking for that embryo with normal chromosomes to give you a real shot a a successful pregnancy.

You don't need to do the PGS and could at age 41 collect 3-4 embryos before a frozen transfer.

We are amazed at the success we are achieving in this group of patients who would conventionally be recommended to have egg donation. Your doctor who recommended this probably heard a talk on our techniques and success.

Arthur L. Wisot, M. D.
Reproductive Partners Medical Group
Redondo Beach, California

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