Q&A: I'm in my 20s and interested in IVF. What should I consider to make a decision?

Ask A Doctor Question: 

I'm a woman in my 20s trying to conceive I'm married to a woman I want to try IVF. What should I consider to make a decision?

- Sonia Ochoa


John Norian, M.D. -

Given your age and that you are in a female same sex relationship, it would be appropriate to begin with Donor Sperm IUI’s (intrauterine inseminations).  However, it would be important to know if you have regular menses and are ovulating on your own.   There are simple ways to track ovulation, by either checking your morning urine with an ovulation predictor kit or by checking a Day 21 progesterone level.  If you ovulate irregularly, there are several ways to help induce ovulation.  However, the success rates with Donor Sperm IUIs vary between 10 and approximately 20% per month. 
Proceeding directly to IVF (in-vitro fertilization) would offer a shorter time to pregnancy and a corresponding success rate of approximately 60% being that your medical history is uncomplicated.  Ultimately it is a very personal decision.  Undergoing an IVF cycle for a person in their 20’s is very reasonable and often relates particularly to a person’s unique history.  I hope that this helps and I look forward to meeting you in the future.

--John Norian, M.D.
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