So we got our fertilization report this afternoon and i have to say i am a bit upset by it. We had 16 retrieved and only 7 fertilized. i don't have a lot of information beyond that. I missed the call from the in-cycle nurse and it was the end of the day. I am sending an email to my dr. tonight.
A bit of background: For our previous cycle we had 16 mature eggs and 15/16 were fertilized. However, we used ICSI in that cycle because we did the PGS testing. This cycle our RE recommended we do a day 3 fresh transfer because we were doing so well on day 3 in the prior cycle we had 15 embryos and a high percentage were 6-10 cells with good quality). So for this cycle she said we did not need ICSI -- we had no medical reason to use it - we had just done it for the PGS testing which we would not be doing this cycle. It made me anxious to switch another variable given that part had worked so well so i asked several times and she said we would get similar fertilization rates with conventional fertilization. Last time we had a 94% rate and this time it was 44% -- not so similar.... If i had been given any indication that this was a chance i would have paid the extra for ICSI again as assurance. We could have afforded to tack that on, but i can't really afford another cycle. This was going to be our last one.
My partner is being optimistic and says to focus on the 7 we have (and i know for some that would be a good result), but i am pretty realistic about it and at my age each day 3 embryo has only a 5% chance (and that is assuming a well graded embryo -- so we will have to see how many i have at day 3). We were really counting on quantity given my age -- the fact that i had a high ovarian reserve and that we had such good fertilization and day 3 results last time. If either of those had not been the case, i doubt we would have tried a second cycle.
sorry for the ramble. just frustrated and feeling i should have gone with my reasoning despite the dr's recommendations.
Me (42) w/ partner for 16+ years
TTC #1: 11/2012 - 9/2013; 6/2014 - present
Follistim + TI (3x): All BFNs
Follistim + IUI (1x): BFN
IVF #1: 17 retrieved,15 fertilized, Day 3: 15, Day 5/6: 3 biopsied