Male Factor
Male Factor

Male Factor IUI !?! Please help!?
Hi there. Gonna keep it simple. Been ttc a year now, ubby had vasectomy reversal after we got married and now his morphology and motility is low and we have our first IUI in 12 days time. I ovulate without meds and have a 26 day cycle and 12 day Lutheal Phase.
QUESTION: Doctor wants to do a unmedicated IUI. Should we have a trigger done to get the timing done? I read about it but he hasn't mentioned it? Wont that work better? I just want my facts straight before going!
Does male factor always have a UNmedicated IUI? Thanks soooooooo much!
The doctor says that on teh day of ovulaton the follicle must be 22mm to burst and be released. HE says is grows 2m per day. So when i go for an ultrasound on day 1 he can work out how many days left before it is going to be released. What is the trigger shot?
HcG trigger (to cause LH spike) is obviously better than "guessing" when you are likely to ovulate. The doctor obviously doesn't think it is needed since you ovulate normally anyway. That is fine, but doctors can be wrong as well (despite daily ultrasounds).
I think "waiting" for follicle to reach 22mm in size is cutting it VERY close (although that is the ideal size). A good / mature follicle is anywhere from 18 - 24mm, and you may ovulate before follicle reaches 22mm. Obviously better to do the IUI earlier rather than later since sperm can live inside for at least a couple of days.
The good news (and perhaps make sure doctor is doing this as well) is that the doctor can monitor your LH levels daily in order to look for the spike. Alternatively you can use OPKs to figure out when you are ovulating during the cycle.
Good luck.
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