Married for 4 years, failed IUI twice, should I do IVF?

Specialist Doctor 1 Nguyen Thanh Dat, IVF Phuong Chau Saigon - Phuong Nam Hospital replied: Thank you for sharing your story. Normally, if there have been 2 unsuccessful IUI (intrauterine insemination) attempts, it could be due to poor sperm quality or poor endometrium or ovulation/fallopian tube problems. In particular, the wife's age also plays a very important role in determining the success of IUI. In these cases, the doctor can usually consider and suggest that you and your husband switch to IVF (in vitro fertilization), but the important thing is to find the cause and treat it in the right direction.

To compare the success rate of IVF and IUI, Dr. Dat shared more:

Success Rate of IVF vs IUI

At IVF Phuong Chau Saigon - Phuong Nam Hospital, the IVF success rate can reach 70% in women under 30 years old. This is a very encouraging result, much higher than IUI, which only reaches about 30-33% per cycle. However, the success rate of IVF also depends on the following factors.

Age of the wife: Under 30 years old can reach more than 60%, over 35 years old about 40-50%, and over 40 years old about 30%.

Health status: Endocrine diseases (thyroid, diabetes, high blood pressure...) or uterine diseases (endometriosis, polyps, uterine malformations, obesity) can all affect the ability to conceive.

Embryo quality: Good embryos (type 1) have a pregnancy rate of 60-75%, average embryos about 40-60%, weak embryos below 30%.

The decision on how many days to culture the embryo (2, 3 or 5 days) will depend on the quality and quantity of each person's eggs, and will be determined most appropriately by the doctor.

Kết hôn 4 năm, làm IUI thất bại 2 lần có nên làm IVF? - Ảnh 1. — Specialist Doctor Nguyen Thanh Dat consults with customers about IVF

How to increase the chance of pregnancy when doing IVF?

Dr. Dat said that IVF is a process, not an instant result. Below are factors that contribute to increasing the success rate when performing IVF:

Early detection and treatment: Age is a deciding factor. Under 35, the chances are much higher.

Optimizing health: Both husband and wife should maintain a reasonable weight, eat healthily, get enough sleep, limit stress and alcohol.

Individualized protocol: Each patient has a separate protocol, from egg stimulation, embryo creation, to embryo transfer, which will optimize effectiveness for each patient's body.

Modern technology and techniques: Factors such as international standard labs, ICSI techniques, day 5 embryo culture, pre-implantation genetic testing (PGT)… all contribute to increasing the success rate.

How much does IVF cost these days?

Depending on health status and protocol, at IVF Phuong Chau Saigon, an IVF cycle usually ranges from 80-145 million VND with a beta positive embryo transfer rate of up to 70% in cases of frozen embryo transfer, which is quite promising for many infertile families.

Note: Costs may vary if additional items such as embryo freezing, PGT, egg or sperm donation are included (when indicated). All costs are clearly and transparently advised, with no hidden costs, medical advice and psychological support throughout the treatment process, so that couples can feel secure during their treatment journey.