They will probably do the sperm analysis again through the IVF clinic. I know my DH had one when we did IUI and we were going to do IVF & they made him do another one.....
They may send your friend for a laparoscopy prior to the referral to the IVF clinic - they did that with me. I was on Clomid for 6 cycles then had a lap & dye study (which was all clear) then got referred to a FS, who suggested IUI.
Yep, my next step was a FSH drug called puregon. For me I was ovulating on clomid but I had some severe side effects which wasn't productive. They often do puregon with IUI but you can use it and do timed DTD. Yes, I ended up on IVF but they gave me good chances with FSH but luck didn't go my way and I think the FSH and trigger injection made IVF seem easier as I already had the injections down pat.
i'm another that moved from clomid (no response) to IUI.
the injectibles were a bit hit and miss to start with - the first cycle/s are experimental while they work out how your body responds - it may be a case of not responding at all, or over responding. there is an aim to make you ovulate, but due to the risks associated with higher order multiple births, some clinics will cancel a cycle if more than 2 follicles develop (mine allowed me three because of the history of miscarriage). they need to find the type of cycle that is most appropriate for her
she may be asked to go on the pill for a while before kicking off, if this is what they want to do
she may be asked to take a drug called synarel (nasal spray) or lucrin (injections) to put her into a drug induced menopausal state and give the FS total hormone control
it's hard to say for sure what they will do given she hasn't had AF naturally for quite some time
i had the ovarian drilling and associated Lap and studies before starting the clomid - if she hasn't already had this, it may be something they look at too
Update: I am extemely excited my friend has just got a BFP. Woot woot. Bub or bubs (there were 2 dominant follies at her midcycle scan) was conceived on a high dose of puregon as previous doses didn't help get the golden egg. FX everything goes smoothly and she will be enjoying newborn cuddles in approx 8months
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