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My DH and I had a similar situation...and finally wound up doing IVF.

If you're feeling patient and optimistic, it's fine to wait. Otherwise, I would probably proceed with the IUIs (actually, I DID wait another 4-5 months, but knowing what I do now...).

Good luck! It's a hard decision!

ETA: Some women have trouble with decreased EW cervical mucus while taking Clomid. You would be monitored if you went ahead with Clomid, Progesterone, and TI, right?

DH and I had no known issues with any of our testing. The RE suggested Clomid with IUI. I asked about TI instead and he basically said (in proper terms) - why bother. Why bother in the sense of why only go halfway there? Why train for a marathon and only run a half marathon? DH was convinced that our issues had to do with speed of sperm meeting egg or CM or something along that line. And TI wouldn't have helped if that were the case. In addition, you can really only be on Clomid for a certain number of times. Why waste those times with TI instead of IUI? Do you have insurance coverage for any of it? That's another issue. I would basically spend the same for Clomid and TI as I would for IUI.

ETA: If anything, the injectables part would "concern" me as a first step. I would question that. Why not Clomid (maybe Ovidrel), IUI and progesterone first? My RE didn't turn to injectables unless someone really didn't respond to Clomid in a predictable way.

I would agree with the previous poster that because you can only take Clomid a certain number of times (6 I think?), it feels like a waste to just take clomid with TI, particularly if you're ovulating on your own. I also assume that when you say injectibles, you're talking about a trigger shot at the end of a clomid cycle to time the release of the egg?

First of all, everyone responds to Clomid differently, so the seemingly hard-and-fast rule about the effectiveness of Clomid for only 6 months it not always the case. I took 50mg of Clomid for 8 monitored cycles, and it was always just as effective for me as the first. So it may or may not be a "waste."

Secondly, there are a lot of factors to consider that are different for every couple: 1) How "involved" of a procedure are you comfortable with right now? 2) How does DH feel about giving his sample in a cup? One reason we started with TI was because I felt DH needed some time to be convinced that we really needed to do more involved procedures. 3) What will insurance cover? 4) What is your "style"? Are you balls-to-the-wall let's get pregnant ASAP, or do you feel like you want to take your time?

Hopefully, if you have answers to these questions ready when you talk to your RE next, he'll be able to guide you in the right direction. If you're truly uncomfortable with the IUI right now, I really hope he won't push it if there's no medical reason to. I think the way I'd go about it is to uncover all of the reasons I'd want to go one way or another and then present those reasons to my RE and see what he says.

Good luck and let us know what you decide!

After 2 unmonitoried Clomid cycles with my OB, my RE went right to Clomid/Ovidrel also with TI. She said that TI vs IUI would not be a big difference since DH's numbers were all great. After first cycle of TI did not work, I pushed for the IUI, but all 3 did not work - with Clomid or Letrozle, all with trigger shot. It's always easy to look back and say shouldn't have wasted time and money with IUI and oral meds.... or if it worked, look back and say thank goodness we tried! But there's just no way to predict which side of the fence you will be on. For us, we just decided to do each step of the process that would give us the highest odds. At that point, we werent ready to skip IUI's and go with IVF, so we gave it our best with IUIs first. Good luck with your decision.

@Crystal: In your case, yes, definitely. Clomid is like $35 (i think) and ovidrel was like $100? I might be wrong on prices, but definitely not super expensive. IUI is more for sperm issues.

@Crystal: We did most of ours back to back. The only time we didn't is because we were waiting on genetic testing stuff. I was also on progesterone pre-RE and that didn't seem to make a difference in getting me pregnant either.

@Crystal: If you are not getting too impatient yet (I was seriously ready to skip the IUIs and just go for IVF, but DH talked me down), and you are uncomfortable with jumping straight to IUI off the bat, especially if you have to pay out of pocket (IUI was so covered for me, so that made my decision a lot easier.), definitely try Clomid/TI first. If it works, awesome! If not, at least you know you tried. But it's still easier for me, even though it didn't work, to look back and say we tried and know it didn't work, than to wonder if maybe something less invasive would have worked if we had skipped the incremental steps we took.

Question about taking clomid the first time .... Do you ovulate sooner ?!? Should I monitor o with opks? Just wondering since I haven't taken it before how I shojkd go about tracking o.