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Usually treatment is reviewed after 3 cycles of IUI even if everything appears perfect. If a cycle doesnt result in a pregnancy, this is disappointing, but doesnt mean that the treatment needs to be chanced. In the Guzick study, the greatest number of High Order Multiple HOM pregnancies triplets or greater was in the gonadotropin/IUI cycles. This finding has been echoed by a number of other studies. In the FASTT report, there were an equal number of HOM pregnancies in each group. In the conventional group, there were two sets of triplets, both from gonadotropin cycles. In the accelerated group, there were 3 sets of triplets, one from Clomid, and two from IVF. The average number of embryos transferred in the IVF group was 2.3. With the improvement in IVF laboratory techniques, many IVF centers currently advocate for transfers of only one embryo in women with an average age of 33. This practice trend will likely decrease the number of HOM in IVF, and would most likely present further benefit safety and financial to the accelerated strategy. I started injections on the 26th of March but won t be doing my ER until around the 9th of April. Good luck to all! |
