10 replies to this topic

[cdgal1981]

Hi Ladies,

 

I'm really struggling with making the decision on how many embryo/blasts to transfer (god willing we have this choice to make)...I hope I got my terminology correct, forgive me if it isn't....I'm not an expert ;-P 

 

Hubby really has strong feelings against transferring 2, I really want to transfer 2.

 

What decision did/will you make?  What factors went into your decision making process?

 

I do know the clinic is strongly advising ESET but ultimately its our decision.

 

Charissa

[amp77]

Check out this recent thread:  https://ivf.ca/forums...twins/?hl=twins

 

I just read an article about a couple that transferred 2 and both split so they are expecting quads!

 

It looks like it is your first cycle and, personally, I would transfer 1 but it is a very personal decision.

 

Best of luck to you!!!

[TryingForOur2ndChild]

cdgal.... it really is a personal preference. I know for my clinic they will only allow one day-5 and two day-3s to be transferred, especially for the first couple of rounds. The stats they gave us were as follows:

one day-5: 40% chance of pregnancy, 2% chance of twins

two day-3s: 40% chance of pregnancy, 12% chance of twins

 

We only have day-3s and as much as we struggled with the risk of twins we both saw how small of a chance it is even though there still is a chance and we decided to transfer two with was a BFN. This month I'm gearing up to do a FET of our last two day-3s and we've not questioned our decision.

Before you make your decision why don't you ask your clinic to give you the stats on single vs. multiple pregnancies with day-3s and day-5s so that you can make an educated decision that works best for you, your DH and your situation. Best of luck!! 

[cdgal1981]

This may sound silly to some but I'm scared to death to do an FET, because of the PIO injections.  I would prefer to have a singleton pregnancy, twins wouldn't be ideal but also not the end of the world to me.  Where I'm getting up there in age if I do only have one baby I will be cycling again sooner than I would have preferred if things would have gone according to my "plan" but I just can imagine doing this process with a young one (I know people do it I just can't imagine).  I'm also nervous because if this fresh cycle doesn't work for us we will not be cycling again until probably May.....I just can't handle the 4 hours a day of driving on bad roads.

[MapleBecky]

If your partner only is comfortable with 1, definitely only go with 1. sET is definitely recommended most, especially on a first attempt. Twins are hard work and not something DH felt would be good for us.

[amp77]

The best advice here is to never transfer more embryos than you can handle babies.  That being said, you could transfer 1 and get twins.  A lady in my due-date group has triplets from a 2 embryo transfer and I mentioned the person with quads from a 2 embryo transfer.  Yes it is rare, but you need to at least understand what could happen and what that means.  

 

I would read through all the posts on the forum that I posted because there are people who have had twin pregnancies and mention the risks etc.  I posted about my family where we have had 3 sets of twins.  All 3 delivered very early and in 2 of the pregnancies, one baby died shortly after birth.  

 

For both my cycles, we were only allowed to transfer 1 due to the quality of embryo and guidelines of our trial.  For our first, we only had one embryo good enough on day 5 anyway but the second we managed to transfer 1 and freeze 4.  (At my clinic, only 40% have anything to freeze, so we were shocked and excited to get four!).  For our second (when I am 39ish), we will try a FET with 1, 1, then 2 with our 4 frozen embryos.  As much as I think it would be great to get two for one, I am just really worried about the risks associated with twins, based on family experience.

 

I didn't do PIO shots but others on here have and they have tips to make them more manageable (like icing the spot etc.).  Childbirth will be way more painful than shots though

 

I totally understand about you not wanting to drive in bad weather.  The added stress is not going to be helpful, but I don't think I would consider that in your decision.

 

I agree with Trying that you should ask for the stats based on your age, embryo quality, and other factors to help you and your hubby make the decision.  If you and DH still cannot come to a consensus, you may want to visit with a fertility counsellor to help make a decision so that you are both comfortable with your decision.

 

I wish you success in your cycle and hope that you have lots of great embryos to work with!  It certainly is a difficult choice.

[Bubby99]

In the end we didn't need to make this call but we talked about it and we were both OK with transferring two but that was b/c the chance of both working out was pretty slim for us.

We both agreed that we would be OK with twins but I do know someone who transferred two, one split so it would have been triplets and they had to make the very difficult decision of reduction...something I wouldn't want to have to be faced with.  

It's a really personal decision but I think you both need to be on board with what you decide.

Good luck!!

[Kitty2011]

You may want to hold off on making any kind of decision until you start the process and see the quality of the embryos. I've always found that there are so many surprises when cycling that sometimes its better to just make the decisions as they need to be made.  Though I can understand wanting to think about these things early on. Best of luck to you!

[amp77]

You may want to hold off on making any kind of decision until you start the process and see the quality of the embryos. I've always found that there are so many surprises when cycling that sometimes its better to just make the decisions as they need to be made.  Though I can understand wanting to think about these things early on. Best of luck to you!

I made this mistake my first cycle.  I had 36 antral follicles and I thought for sure I would have 6 or 8 eggs to freeze!  In the end I had one great one to transfer and nothing to freeze.  The second round, I was way more realistic!  I responded way differently, even on same protocol and dosages and was so sure I was going to end up with 4 total embryos an was just hoping there would be one to transfer... and, surprise!  I had 1 great one to transfer and 4 to freeze.  It is so easy to get ahead of ourselves  

[JacMac]

Our clinic is the same as TringForOurFirst. Two embryos on Day3 or one embryo on Day5. I think this is the industry standard for first time patients who are under 40. They are trying to limit multiples births, as well as increases chances of pregnancy sense.

Even though I think my losses were more attributable to my adrenal Tumor, we transferred two Day3 embryos and ended up pregnant with twins, which caused my severe OHSS and we ended up losing high babies. I think expecting twins definitely caused more stress than I needed.

[cdgal1981]

Thanks ladies :-)