Infertility Treatment & IUI Success: A Patient's Story

Question
I am Padmini from Sri Lanka. I got married when i was 32 years old.Now my age is 39 years old.In this perid I try to get conceive. But it wasn't work. And i went to get treatment from many gyneacologist in sri lanka.Now i get treatment Dr.Gamini Perera , famous gyneacologist in castle Womens Hospital in Sri Lanka. At there they gave me Clomophene Hormone tablet to get from 02nd day of Menstrual period and after I have done Two IUI.but it is not sucess.again on 12th day i got scan but doctor said there is small fibriod and said to stop clomophene hormone tablet and said get only folic acid tablet.after 12th day of each month , doctor asked me to get a scan. After checking this he said there is no mature eggs and cannot do IUI. I am suffer from this situation. can you tell me what shall i do to have mature eggs?

Answer
Hello Padmini from Sri Lanka,

I think you are being led astray.  Your biggest problem at this point is your age (39).  Even with IUI, you only have a 3-5% chance of pregnancy per month due to your age.  The problem is that the eggs deteriorate in quality over time.  A woman is born with all the eggs that she is going to have for your lifetime.  In addition, having been married for such a long time, there is definitely something wrong that prevented you from getting pregnant naturally.  Therefore, I would not recommend a "natural" method like IUI to get pregnant.  It does not overcome whatever problem there was before.  My recommendations would be to proceed to IVF (In Vitro Fertilization).  It is the best method for your age.  In the U.S., you would have a 50-60% chance of pregnancy per attempt.  That is much better than the 3-5% with IUI.  

In terms of mature eggs, the eggs mature as the follicles are stimulated and grow.  With the proper ovarian stimulation, the eggs will grow and mature. I know that medical care is probably limited in Sri Lanka, but you need to find a good Infertility specialist.

Good Luck,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV