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@littlek: Can you add a 'depends' option? Usually it's just one ultrasound but based on meds, I might need more.

Going off of @Shutterbug:'s comment, my first IUI cycle had only one ultrasound because I was on a standard femera does that ended up being too high for me. So my follicles were large enough on day 10 ultrasound. I triggered on the same day and had the IUI the next day.

The femera caused me to have a possible cyst or left over follicle that following month so they suggested lowering my femera dose so I don't overstimulate.

After I was on the lower dose, that's when I had to come in for a second ultrasound because my follicles on day 10 ultrasound was not quite big enough.

@littlek: well, I'm convinced that your insurance will be covering it but if they don't, I would go with the $450 per time, because I don't think you'll end up going more than 3 times (and $1600 is only worth it if you go 4+ times). If you weren't consistently ovulating then I'd say you may end up going back a bunch of times and messing with your dosage (people with PCOS, for example), but since you are ovulating and your dx is unexplained (mine too) then I'd say plan to pay per time.

I tended to go in around 6 times on a TI cycle and then 1 more time to check for progesterone. And yes I always ovulated.

I went in 3 times for TI monitoring when I was on Clomid or Femara. For IUI with injectibles I went in 9 times for my first IUI and 8 times for my second.

Last cycle I had 2 ultrasounds (baseline and CD10) but I was doing a sequential cycle of femara CD3-7 and gonal-f CD7-10. I had poor response, so called off the cycle, but likely would have had at least one more if not.

This cycle I'm doing a straight FSH cycle (gonal-f CD3-?), and so far have had 4 scheduled (baseline, CD7, CD9, and will have another tomorrow on CD11). Each ultrasound appointment I've been in and out in about 10 mins, but of course, it costs $250 each time out of pocket.

My understanding is you need a lot more monitoring the more meds you're on, so I would take that into consideration when picking which option to go with. You might just want to do the $450 option for now, since I wouldn't think you'd have more than 3 ultrasounds?

@littlek: Seems like your insurance should cover it. Have you checked with them?

I always had to go several times for my TI cycles because I was a poor responder. I've honestly lost track since it was a while ago now, but as much as 6 or 7 some cycles. But again, I'm not good at responding to meds and I have PCOS.

When we were considering IUI with injectables they gave us an info sheet that explained how often monitoring was and the pricing - my RE has kind of a flat rate pricing for IUIs and the monitoring. And the monitoring was WAY more than what I was doing on oral meds. I don't remember specifics but I know I was a little horrified. I don't know how anyone holds down a job while going through that.

@littlek: once per cycle. They had me OPKs at home starting on CD12 and through CD15. If I detected a positive surge I went in for same day bloodwork & ultrasound. If I didn't detect a surge, I went in on CD16 for bw & u/s

@littlek: I didn't ovulate on my own, so I need need clomid to make that happen. Once in my cycle I needed Ovidrel to induce ovulation.

I liked the TI cycles. If I went based on CM alone, I never would have timed anything correctly. And, OPKs weren't 100% accurate for me. The cycle I got pregnant I had a positive OPK and when I went in for monitoring we discovered that I was close, but not AT a surge point. That was the one cycle I went back in the following morning (I normally was monitored 1x/cycle) & we detected that I did surge overnight. I wouldn't have timed anything properly if I'd gone off OPKs alone.

I liked that it was perfectly timed, no questions asked, no guessing games.

I also like that my RE could pinpoint conception.

@littlek: I'd ask! My gut tells me that if you take clomid you'll O later.

You generally surge 4-7 days after the last pill.