My name is Kristin, I am 31 and my husband Aaron is 39 (he has a 16 year old daughter from a previous marriage). I am currently seeing a fertility specialist and recently had cycle day three testing, ultrasound and an HSG. Upon completion it was determined that I have Diminished Ovarian Reserve and a Unicornuate Uterus on my left side (one Fallopian tube that is completely healthy on my left side as well as a good looking uterus on my left side, both ovaries, although, are small). My husband had a sperm analysis done as well and his Count/Motility/Volume were more than double the normal range. So we now know that the infertility issues are due to my body alone. We have discussed our options with our Dr and have decided to go ahead with medicated IUI cycles starting in May 2013 although our Dr thinks IVF is a better option. We cannot afford to do IVF at this time, IUI is far more cost effective for us. My question is how likely am I to conceive from IUI. My Dr only gave me a 2% chance of conceiving naturally, 5% with medicated IUI and 30% with IVF each cycle. Is that accurate? Or is it possible my chances may be higher given that my husband has exceptional sperm and even though I do have DOR I am still fairly young?
I appreciate your taking the time to answer my question. Thank you in advance.
As I see it, there are a few issues to discuss.
First, I think it is important to recognize that infertility is NEVER due to one partner alone. Remember that making a baby is a team effort. Just because one partner’s tests are normal and the others are not, does not necessarily mean that one person is at fault or responsible. Further, remember that women have many more variables at play in this situation. Men only have to have a few normal sperm; women need normal tubes, ovaries and uterus not to mention the hormonal environment for the 9 months of pregnancy! It really is a lot, so don’t get down on yourself!
Second, the unicornuate uterus represents abnormal embryonic development. The prognosis of a unicornuate uterus can range from poor to good, but it depends on how small the uterus is. From your letter, it sounds like your uterus is of decent size so as not to be too much of a problem. One thing I would recommend however, is that your doctor evaluate your kidneys. The kidneys and uterus form at near the same time and is not uncommon for women with a uterine abnormality to also have a renal (kidney) abnormality.
Third, the diminished ovarian reserve (DOR) is a bigger deal. I am not sure what your doctor is basing the DOR on, but it is probably the most important factor facing you. The medication should help with this and the fact that you are young is also a positive!
Fourth, the fact that your husband’s semen analysis is normal is a good thing, but it doesn’t trump the other factors.
As far as numbers, I’d say your doctor is pretty accurate. Maybe your chance is 5-15% with medicated IUI, but it really depends on your response to the medication.
The bottom line is that doing something will increase your chance over doing nothing. If you could easily afford IVF that would be great, however if you cannot, then IUI is a reasonable way to go.