Some have good intentions, and because they know that the pregnancy rate in many IVF clinics is very poor, they justify this by claiming that this will save the patient a lot of money, because they won’t have to do IVF
and waste a far larger sum on money ! The tragedy is that a lot of patients end up wasting a lot of their time and energy on doing useless IUI cycles . They go from one gynecologist to another, who mindlessly repeat the same treatment again and again. Patients get fed up, and lose confidence in all doctors, which is why they refuse to explore any further options such as ICSI, even if these are highly likely to work for them.
The same problem applies with the confusion between
IVF and ICSI as well. While IVF is fine for men with a good sperm count, it’s too risky to do this for men with a low sperm count or poor motility, because the functional capacity of the sperm to fertilise the egg on its own is doubtful.
However, because many clinics don’t have the expertise to do ICSI well, then try IVF on these patients, and when the IVF cycle fails, they
add insult to injury by telling the patient to use donor sperm , rather than referring them to a reliable IVF clinic which can do ICSI properly !