I had my ER yesterday and the retrieved 10 eggs and told us 8 mature and they would watch the other 2. I won't lie, I was so upset. After doing a much more intensive protocol, it was upsetting to have the same number of mature eggs. I got a voicemail from my nurse a little later and she told me that one of the other eggs was mature and they were watching the last one. It was a M1 and could potentially mature in the lab.
This morning I got my fert report and the final count was 10 retrieved, 10 mature, and 7 fertilized normally. Given our issues with embryo quality, I was hoping for a few more, but we can work with 7. Now I just need a good day 3 report. My embryos are usually poor quality by day 3, so the day 3 report usually gives me a good idea of what to expect from the cycle. As crazy as this sounds, if we only get 1 or 2 blasts from this cycle, I am considering another fresh cycle in January. DH thinks I am completely nuts.
Update: So our day 3 report is in and it's not good. On day 3 embryos should be 6-10 cells and my clinic gives them a grade on a scale of 1-3, 1 is no fragmentation, 2 is minimal fragmentation, 3 is high fragmentation. Both 1s and 2s are considered good quality, my clinic rarely rates embryos as a grade 1 on day 3. Here is what we have:
1 3 cell grade 3
1 4 cell grade 2
2 4 cell grade 3
1 5 cell grade 3
1 6 cell grade 3
1 7 cell grade 2
Pretty much all of our embryos are slow growing and highly fragmented, so it seems that the change in protocol and immune treatments didn't make a difference. Right now out of 10 mature eggs, we have 1 decent embryo. I think we will be lucky to have one embryo make it to blast, more than likely we will have nothing to freeze. I know a lot can change between day 3 and day 5, but this isn't our first rodeo. We've had slow growing fragmented embryos before and they don't catch up. I would like to say that I am holding out hope for this cycle, but I am not. I think we are looking at a major egg quality issue and I have not hope right now of getting pregnant with my eggs.
I got my day 5 report and most of my embryos are still in the cleaved stage and haven't progressed since day 3. We have one grade 2 compacted embryo that they are watching to see if it makes it to blast tomorrow to be frozen. I talked to my nurse today and she said I would get a call tomorrow, but the nurse I talked to Wednesday said that I would receive an email with my final freeze report either Saturday or Sunday. Either way, I'm not feeling hopeful.
TTC #1 since August 2011
September 2012: Start IF testing
DH (32): SA is ok, slightly low morph, normal SCSA Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA
October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos
November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues. Converted to freeze all due to lining issues. 2 blasts frozen on day 6!
January 2015: FET #2 Cancelled due to lining issues
April 2015: FET #2.1