IUI treatment in New Jersey

For people with unexplained infertility it may be reasonable to consider Clomid and IUI for 2 to 3 cycles before moving on to IVF. FSH/IUI may yield slightly higher pregnancy rates and may be a better choice for women over 40 and those with diminished ovarian reserve or who do not respond well to Clomid. However, FSH carries a much higher risk than Clomid for ovarian hyperstimulation and multiple pregnancy, especially HOM – high order multiple pregnancy – triplets or more. Greater than 80% of triplet pregnancies in this country are a result of FSH/IUI rather than IVF. For most patients who fail lesser treatments, the use of FSH – (follicle stimulating hormone – injectable gonadotropins like Follistim, Gonal F and Menopur) should be used during an IVF cycle where ovarian hyperstimulation and multiple pregnancy risks can be better controlled.

When looking at IUI as a means of fertility treatment several factors should be considered. Though IUI procedure is a less expensive treatment as compared to IVF, its success rates are also significantly lower. Most studies show success rates between 5 and 15% for IUI, while IVF pregnancy rates for many patients are 5 to 10 times higher, making the overall cost per live birth much lower for IVF than for IUI.

If you have a cap on your fertility benefits and are looking to maximize your pregnancy potential from your first attempt, going straight to IVF may make more sense for you. This is certainly a complex decision that is impacted by multiple factors and one you should discuss with your physician as well as your CCRM Financial Counselor. Our focus is to help you maximize your insurance benefit and achieve your goal of having a healthy baby as quickly as possible. The CCRM team has many years of experience assisting patients to be as informed as possible about their individual situation both medically and from an insurance perspective. Our job is to help you work through these complex decisions. Although we know the statistics and numbers quite well, you need to feel comfortable with the plan. Ultimately these decisions are up to you.