Posted by on June 24, 19100 at 12:01:56:
In Reply to: ? for doctor--treatment options posted by Elizabeth on June 23, 19100 at 07:07:47:
: I had a consult with my RE yesterday and have some decisions to make.
: I was interested in another doctor's opinion. I'm on metformin
: and just took 100mg of clomid this cycle. It had no effect.
: My doctor said I could go one of three ways:
: 1. Double clomid to 200mg and see what happens
: 2. Be agressive and go straight to invitro fertilization
: 3. Begin a cycle with Gonal-F or Follistim and do IUI
: He does not recommend the third for people like me, saying it is high risk and low
: outcome. I'm nervous about jumping right to IVF but at the same
: time don't want to go through another cycle of disappointment if I choose
: the clomid option. Any thoughts on this?
: A second opinion on the matter would be greatly appreciated.
: According to my doctor I have moderate PCOS--I've been resistant
: to the drugs, but I'm on the thin side and only have minor
: problems with hirsutism. Thank you.
There are several reasonable options here and I agree that IVF will give better results than a single IUI cycle. However, increasing Clomid is fine if you did not ovulate on lower doses. If you are afraid of IVF, there is nothing wrong with using injectable medications + insemination.