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Re: Next Step: IUI

From: j wang, M.D. (anonymous@obgyn.net)
Mon, 15 Jan 2001 13:38:31 -0600 (CST)


Management beyond clomid is somehting tha your repro endo doc should discuss, as he/she knows your situation much better. Studies show that about 10 mins lying down after IUI improves pregnancy. After that, there's no difference.

At Mon, 15 Jan 2001, Kathy wrote: >
>I am 33 yo with a 4 yo daughter. It took me a year to conceive her
>without any interventions. I have been TTC for about a year. I had
>known issues, so I went to an RE fairly quickly. My problems are: large
>posterior cervical fibroid (~12cm) and adhesions from my C-section
>(found during a lap). I have pain in my C-sec scar when I get my
>period. My RE cut apart my left tube and ovary, but left the adhesions
>that are causing my uterus to be attached to my abdomen. He said it was
>too extensive to cut apart. No endo evident.
>
>He felt, overall, that I should be able to conceive and carry. But,
>three months after the lap, still no baby. (Despite lots of cervial
>mucus and plentiful well-timed intercourse!)
>
>Our next step is IUI with Clomid. I trying to be optimistic b/c there
>is no clear reason why I am not pregnant. (Tubes clear when I had a
>hysterosalpingogram; mature follicle evident via ultrasound.)
>
>Questions: When I have the IUI, is there any benefit in resting on the
>day of the insemination, or is it okay to bounce off to work right away?
>If the IUI with Clomid does not work, what would be the next step
>(should I choose to take it)? Any other thoughts are much appreciated!
>
>Thanks!
>Kathy

--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.




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