Hi Ladies!
I'm hoping to get some advice from those of you who have done IVF and had to trigger with Lupron and/or Pregnyl.
My doctor is advising we not go forward with a fresh transfer and wait approx 5 weeks to do a frozen transfer.
My E2 levels on day 10 of stims were 3800 and today (day after trigger with Lupron and Pregnyl) was 5300ish.
From what I've seen on the follicle reports, there are a lot of eggs >20 and many are 18mm+.
We were initially planning on doing a fresh transfer but now my doctor is suggesting we wait and do frozen. I was pretty upset when she told me after my day 10 of stims appointment. I guess I just wasn't expecting this delay.
She called me today and said that if we want to, we can go ahead and do the fresh transfer but I would need to be started on estrogen patch, injection, etc. She said the success rate could go down about 20%. But I could expect some discomfort/bloating/etc.
I'm torn as to what to do.... I don't want to "waste" a good embryo on a fresh cycle if they don't think it will work. But on the other hand, I kind of want to try and at least see what happens. This is all going on before I even know how many (if any) embryos we will end up with at the end....
What would you do (or what did you do if you were in a similar situation)?
Thanks for any advice, my ER is scheduled for tomorrow and I'm so nervous as is....
4/15/16: Beta 379, 4/18/16: Beta 1358!
5/2/16: 2 heartbeats
5/11/16: Baby A hb180, Baby B hb166
Due 12/22/16 with two!
Re: Advice Would Be Appreciated :) Fresh vs. Frozen/OHSS
Me - 28, Lean PCOS
DH - 31
Married June 2010, TTC since March 2014
Blog: ourbinarystar.com
FET cycle #3 Transfer July 28th 2016, Triplets born healthy on February 26th 2017 at 33w1d!
I hated having to choose between fresh and frozen! We've all been trying so long that any delay just feels rotten! But the chances of getting your BFP are much higher with a frozen, especially if your estrogen is already that high. We made the decision to wait so we could get the PGS testing, but also so we knew my body was as zen as possible for the transfer. I know it's hard to wait, but I would.
---Trigger warning---
TTC since April 2013
Two cancelled IUIs in Aug and Sept '15 due to low motility/count
IVF round 1: January 2016
ER: February 17, 2016; 9 retrieved, 7 mature, 7 fertilized
Day 5 Blastocysts: 5 BB, 1 AB, all normal from PGS
FET date: May 11, '16; transferred 1 AB embryo
First beta: May 23, '16: 998!! Second: May 25, '16: 1648
EDD: January 27, 2017
RE DX for me: Anovulatory cycles/Mild PCOS RE DX for DW: Endometrioma on left Ovary.
Reciprocal Ivf Feb 2016. DW eggs and I am carrying. EDD: 10/27/16
Of course, freezing carries its own risks, but it also gives you the chance to do PGS testing, which can be worthwhile.
If I were in your position, I'd freeze. But of course, I have total respect for whatever choice you make-- it's not an obvious choice.
7 IUIs, 7 BFNs.
2 IVF attempts, both cancelled and converted to IUI, both BFNs.
Decided that my tired old ovaries are ready to retire.
Next step- reciprocal IVF, using my wife's eggs, my uterus!
fresh 5 day transfer (2 embryos) 4/17/17- BFP!
Identical twins "due" 1/2/17 (but anticipated arrival sometime December)
@KLake42 to be honest, I felt more bloated on Fri (day 8 of stims) than I do now. My energy level over the last few days has gone back up as well...That's partially why I approached the doctor about this, I don't feel too bad. Of course, I know that can change after ER - and if it is successful to continue that way into the pregnancy. Part of me just wants to stay the course we planned and the other (probably more logical part) is trying to understand that waiting might be the better option.
5/2/16: 2 heartbeats
5/11/16: Baby A hb180, Baby B hb166
Due 12/22/16 with two!
TTC - since 2014
7 rounds of Clomid - BFN
IUI #1 - October 2015 - BFN
IUI #2 - November 2015 - BFN
IUI #3 - December 2015 - BFN
IVF #1 - March 2016
Retrieval #1 - April 2016
FET #1 - May 2016 - BFP!!! DS - Born January 2017
Trying for baby #2...
FET #2 - January 2018 - BFN
No more embryos left; switched to a new RE
IVF/Retrieval #2 - January 2019
IVF/Retrieval #3 - March 2019
FET #3 - April 2019 - BFP!!! - DD: Born December 2019
Trying for baby #3...
FET #4 - October 2021 - BFP!!! - Due June 2022
Me:34, Wife: 32
IF reasoning = MFI: Zero Sperm Count using FairFax donor bank
IVF: 2011 = BFN, lost all 10 embryos (with C/Ps)
Jan 2014 - OBGYN (not RE) found and removed wife's "field of" uterine polyps after failed IVF
Moving on to surrogacy (actually a planned adoption)
Surrogate IUI#1: 7.17.12 = BFP!! 15dpiui = 256, 17dpiui = 346
Oliver Zane born - 3/29/2013 on Good Friday!
IUI #4 - #6: 2014-2015 = BFN (with C/Ps)
Switch sperm donors, start ketosis diet to reduce inflammation late 2015
IVF 2: Jan and Feb 2016, 3 great looking, 8 cell 3 day embryos. Two ET, one frozen
2.18.2016 (8dp3dt) = BFFP!
2.22.2016 (12dp3dt) = 649!!
Started foster care experience in 2012. Now waiting to adopt our foster daughter, 7, who has lived with us for 3 years.
"Wait for your God, and don't give up on Him - ever!" Hosea 12:6 (msg)
Started with RE 12/14; 3 failed rounds of clomid, started letrozole
IUI #1 & #2- BFN
IVF #1 - 9/15 Cancelled Day 9
IVF #2- started stims 10/24 ER- 11/15 6 eggs- 5 fertilized/ 1 frozen
FET #1 -1 embryo-12/9/15- BFN
IVF #3- started stims 1/22/16 ER- 2/8 33 eggs(!)- 21 mature, all 21 fertilized - 6 snowflakes!
FET #2- 2 embryos- April 4th-BFN
ERA-June 8- results show need 12 addt'l hours of PIO
FET #3- 2 embryos transferred August 14,2016 BFP! on 8/24! Beta #1-22 Beta #2-83 Beta #3-368
Confirmed singleton-Heartbeat on 9/19-160bpm! EDD: May 1, 2017, It's a girl!!
Pre-term labor/loss-stillborn at 18w.
FET #4- 1 embryo-Aug 12th-BFP on 8/23 Beta #1-112 Beta #2-298 Beta #3-1010
Confirmed Identicals!- Heartbeats seen on 9/8 Miscarriage on 9/18
FET #5- 1 embryo- 1/12/18-BFN
Lots of testing and finally determined I have elevated natural killer cells. Will begin prednisone and IVL treatment before next round.
IVF#4- April 2018 8 eggs, 7 fertilized/3 frozen
FET #6- 1 embryo- 6/11/18- BFP on 6/21 Beta #1-446, Beta #2-1841
Confirmed singleton- 6/29/18 HB-157 EDD: February 22, 2019. It's a Boy!
I really wanted a fresh as well, but I had a 30 eggs retrieved, 25 of those being mature. I did experience mild OHSS symptoms and it was painful. My RE told me as we were nearing retrieval that because of the possibility of OHSS and also other reasons (progesterone), I would have to do frozen. I was disappointed, but after the retrieval, there was no way I would have been ready physically or emotionally in just a few days for a transfer. My first FET worked, and it was a much more relaxing and healthy way to try to conceive. I feel that with the time that the FET allows your body to "reset", you are in a much better place to have implantation and the transfer be successful. I'd definitely heed the advice of your RE.
Congrats to the BFPs in the group! I hope the rest of us catch up soon
5/2/16: 2 heartbeats
5/11/16: Baby A hb180, Baby B hb166
Due 12/22/16 with two!