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Yep, most start trying IUI's or at least Clomid around a year. However, if your husband's numbers are good (no low county, motility, etc.) IUI's generally don't increase the odds of success very much. IUI's are generally the best for cases such as those. I would definitely try a few IUI's, though. No need to wait anymore. You've been waiting long enough! Why does your RE think you should wait? Most RE's see people at 12 months of no success and start with treatments right away. Can you find another RE?

What RE would want you to wait 20 months?! If you did treatments I would maybe find someone else. It's not uncommon to try some sort of intervention by a year.

@mopeybuthopey: He said that??!! That is awful. I would find a new RE if you can! I don't like the sounds of him. For both his personality and the fact that he isn't offering you any treatment! As I said before, my RE starts treatments like IUI's right when many women come to see him (at about 12 months unsuccess). I don't get why yours won't? Honestly, I really think IVF may be in your future. For unexplained infertility, often IUI's aren't successful. As I said before, usually they are beneficial for male problems. I know three women all in the last five years that have unexplained and all got pregnant on their first IVF cycles. (After 1-2 years not getting pregnant trying Clomid, IUI's, etc.) Do you have insurance coverage for IVF?

@mopeybuthopey: "You're already ovulating since you have cycles each month"...is not a sign of an RE who knows what he's doing. It's completely possible to ovulate (and regularly!) and have issues that could cause infertility. I agree that IUI is not in itself all that successful if you don't know what you're treating, but a different RE should hopefully do a better job of finding the cause!

My re recommended an iui at 12 months. I declined, but i dont see anything wrong with you doing it now.

@mopeybuthopey: It's not that IUI (vs IVF) is useless but it's what you do in conjunction that can make it more effective. If you haven't tried any interventions I wouldn't push for IVF just yet because you never know what will work for you - especially because you don't have insurance coverage! Clomid + IUI is one option, but there's also injectibles + IUI. And I would make sure your new RE does monitoring with any interventions because it can help you gather more data about your cycle!

@mopeybuthopey: The rule of thumb is 12 months if you're under 35 and 12 months if you're 35 or older. So, you're way beyond that. I think it's time to see an RE. Best of lucky to you!! They'll find and fix any problem that you may have.

@mopeybuthopey: first of all, your screen name is both honest and amusing at the same time..it made me smile.
You've already received some great advice. 20mo is too long to wait in my opinion, especially since 12mo is the general rule of thumb for under 35yrs old. Glad you're going to a new RE, dealing with IF is difficult enough as it is to add on the stress of an RE you don't see eye to eye with. I was also unexplained, IVF is what ended up working for me. Hope things go well with your appt, keep us updated!

eta: and don't ever be afraid to question/disagree with your RE, it sounds like you're already doing well in that dept, however