WOMENS-HEALTH Messages for May, 1998: Re: Fertinex and IUI success rate ?

Re: Fertinex and IUI success rate ?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 10 May 1998 14:33:21 -0500 (CDT)

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In reply to: Sherry: "Fertinex and IUI success rate ?"

At Sat, 9 May 1998, Sherry wrote: >
>I start Fertinex tomorrow for 5 days once a night, I jus did 4 cycles of
>clomid with IUI and no luck. What is the success rate with injectibles
>and IUI ? Why exactly makes the fertinex inj increase my chances as my
>RE office told me it would increase alot over clomid, but why ? Any
>answers would be greatly appreaciated thanks.
>
>--
>Sherry
>

That's a different protocol than I've seen before (in general injectables are given until a dominant follicle develops and LH surge occurs)

Injectable gonadotropins like Fertinex increase the number of dominent follicles -- with controlled ovarian hyperstimulation, as it is called, and IUI, pregnancy rates are about 15% per cycle. With Clomid, the pregnancy rate per cycle is 20-25%. Remember that in most cases, injectables are reserved for women who have previously failed Clomid, or who are older or whose ovarian reserve is already significantly diminshed.

The incidence of twins on Clomid is about 5%, while with gonadotropins it is 10+%.

You are investing a lot in this endeavor to become pregnant -- both emotionally and financially. Do not hesitate to ask your RE questions and do not give up until your questions are answered to your satisfaction.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

Next message: Kelly Shanahan, MD: "Re: BBT/attention Marna"
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In reply to: Sherry: "Fertinex and IUI success rate ?"

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