Don't forget about the dreaded male factor IF. With IF, 1/3 of the time it is the female, 1/3 of the time it is male only, and 1/3 of the time it is both male and female. We were unfortunate to have both male factor and PCOS! I went of BCP in 1998, Started Actos and Metformin in 2000, and in 2006 still had no baby. It was not until we saw a reproductive endocrinologist and had a semen analysis at a andrology center that we realized how severe our male factor IF was. With male factor IF, IUI or IVF is definitely the way to go. IUI is definitely cheaper, and of the male factor is not too awful it may help. If the male factor is more severe, they can do IVF/ICSI and make sure the sperm fertilize the egg.
Just my thoughts... |