Infertility
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Number of embryos transferred for 1st IVF cycle?

Monica54321Monica54321 member
edited April 2016 in Infertility
The clinic we're getting ready to go to has a mandatory single embryo transfer protocol for patients who are less than age 38, have no history of failed IVF cycles at their program, and the development of at least one good quality blastocyst.  I'm curious how this compares to other clinics.  If you fit the above criteria, how many embryos did you have transferred your first cycle?
Me (31) & DH (31) - married 2008; TTC since 2013
SA = normal; HSG = clear; history of DVT/PE
Diagnosed with unexplained infertility
IUI #1- April '16 - BFN 
IUI #2 - May '16 - BFN
IVF Fresh Xfer #1 (1 blastocyst) - Sept '16 - BFN
FET #2 - 11/8/16 (2 blastocysts) - Beta on 11/18
4 more blastocysts on ice

Number of embryos transferred for 1st IVF cycle? 47 votes

1
51% 24 votes
2
44% 21 votes
3
4% 2 votes
4
0% 0 votes
5+
0% 0 votes

Re: Number of embryos transferred for 1st IVF cycle?

  • Options
    I am 26 and have transferred 2 hatching blasts for each of my 3 transfers. My clinic has never required that I transfer just one, and has always left the decision to me and DH as to whether we want to transfer 1 or 2. I've heard of people transferring up to 4 at a time, though not usually on their first round.
    About us:
    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!

  • Options
    ******Children/Pregnancy  Mentioned *******
    *
    *
    *
    We transferred 2 hatching blast, we were nervous about neither sticking but both did and we ended up with twins.  If I knew what I know now I probably would have only transferred 1.  Granted every pregnancy is different I spent a total of 20 weeks on bedrest including a lengthy scary hospital stay before they were born at 34 weeks.  

    Now that both kids are 90% healthy I can tell you how much I love their bond, but we are still dealing with twin/preemie issues with each baby.

    ~~~~~~~~~Siggy Warning~~~~~~~~

    Me~28 DH~27 

     6-12-2010  Miscarriage. 
    3-16-2012 D&C/Miscarriage.
     Blocked Left Tube. 
    Diminished Ovarian Reserve   
    MFI - Sperm Morphology 2%.  
    MTHFR 
     Abnormal Antiphospholipid Antibodies
    April 2013 ~  1st IUI attempt - 100 mg Clomid- Canceled
    May 2013  ~ 2nd IUI attempt -100 mg Clomid- Canceled
    June 2013 ~ 3rd IUI attempt - 100 mg Clomid+ Trigger+ Progesterone~BFN
     IVF/ICSI #1 May 2014 ~ Freeze All ~ Due to OHSS
     5/1/2014 ~ 22 retrieved, 12 fertilized, 3 frozen
    5/28/2014 ~ FET#1 ~ Transferred 2 Hatching Blasts
      6/1/2014~ **BFP**
    6/9/2014 Beta #1 ~ 1022
    6/12/2014 Beta #2 ~ 3099
    6/16/2014 Beta #3 ~ >5000
    6/19/2014 First U/S ~ TWINS!!!  
    1/7/2015 Twins born @ 34 weeks

    image image Image and video hosting by TinyPic



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  • Options
    My RE said he usually advises to transfer 1 if a woman is under 35, has good quality embryos and has never done IVF before. That said, he also said it's up to each person/couple to decide and he will just make a recommendation of what he thinks is best. He will not transfer more than 2 for someone like this. 
    ***History & TW in Spoiler***

    ***bfp & child warning***
    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


  • Options
    We're still doing IUI, but I've started researching IVF some, just to understand what the possible future road could look like, and it the mandatory single embryo transfer policy struck me as odd, just because I hadn't heard of anyone else reporting similar protocols.  There are only 2 IVF clinics in Iowa, so there aren't exactly a lot of options.
    Me (31) & DH (31) - married 2008; TTC since 2013
    SA = normal; HSG = clear; history of DVT/PE
    Diagnosed with unexplained infertility
    IUI #1- April '16 - BFN 
    IUI #2 - May '16 - BFN
    IVF Fresh Xfer #1 (1 blastocyst) - Sept '16 - BFN
    FET #2 - 11/8/16 (2 blastocysts) - Beta on 11/18
    4 more blastocysts on ice
  • Options
    Our clinic recommends 1 if it's a blast and you're under 35 however will let you put two in if you want. They won't do more than 2. By day 3, we only had 2/4 embryos still growing so they froze ours at that point rather than risk neither making it to a blast. Our RE recommended both go back since they were day 3.
    Me: 33, Hubby: 36
    TTC since May 2014
    First RE Appt - September 2015
    DX: Hypothyroid, DOR
    IUI w/ Clomid - October 2015 - BFN
    ER - 2/10/16, 2 Day 3 Embryos
    FET - 4/15/16 - BFN
    Summer 2016 - Taking a break to try herbal treatment and acupuncture
  • Options
    Our office recommends if you are under 35 only one but I will be 35 in September so I think two. I just had the ER today and I had 5 eggs 
  • Options
    We only did one and that is all we would ever do. Really take the time to compare the cost of doing a second transfer if the first fails vs. the pregnancy risks, nicu stays, preemie issues, and financial strain for twins. Like the previous poster said, every pregnancy is different but the risks are there with multiples. 

    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

    Pregnancy Ticker
  • Options
    edited April 2016
    My clinic will do 2 max, but they're only doing one for me - my RE says I can't be as wide as I am tall lol.  IVF is high-risk pregnancy anyway  (at least some hospitals view it that way) so multiples would just increase risk.  Good luck. :)
  • Options
    Hi there ! My clinic advised that I transfer one due to my age and quality of my embryos . My husband and I did decide to transfer two . Our doc was ok with our decision just warned us of the risks . Only one of my babies stuck which is fine . I don't regret doing two . I would have been happy with one or two sticking ! 

    **BFP and loss warning**

    Me: 29
    DH: 29
    Us: Married Valentine's Day, 2015
    DH: No issues.
    Me: PCOS, unexplained infertility (whatever that means!!)
    June 2015 Medicated TI cycle: BFN
    July 2015:  Medicated TI cycle: BFN
    August 2015: IUI: BFP. Chemical pregnancy :(
    October 2015: IUI: BFN
    January 2016: Egg retrieval: 10 frozen embryos!
    March 2016: FET Cycle- 2 embryos transferred!: BFP !
  • Options
    *paif mentioned*

    Our clinic treats it as a case by case basis. Since I was 29 and healthy, they put their foot down and only would transfer one (Day 5 embie). I wasn't happy but had no choice. Well thank goodness for that, bc the first one took. Twins seem like a good idea, but I am so thankful I had a full term, 9 lb singleton. There have been a few preemies in our family and it's rough for everyone. 

    Based on on my history, I doubt my clinic will ever let me transfer more than one Day 5 embie. 
  • Options
    First time was one, but only because that was all we had. We would have transferred two. 

    ***TW****MC mentioned & BFP mentioned***


    me 38 DH 39.  
    TTC#1 since July 2014
    AMH 0.1, DOR, Poor responder
    Moved to Prague, Czech Republic for IVF
    2 Natural IVF cycles, 3 full IVF cycles, 4 transfers, 1 BFP - heard heartbeat at 6w5d
    Diagnosed MMC at 9w1d on 11/30/15
    Headed back home to Colorado 12/12/15

    DE attempt in Czech Republic!! 

    March trip to Prague canceled due to Pancreatitis. :sob:
    Headed to Prague April 30
    3 different donors resulted in 1 PGS tested embryo and 1 fresh embryo
    2 embryo's transferred (from 2 different donors) on 5/10/16
    BFP on 5/15/16 at 5dp5dt
    Beta 1 = 81 at 8dp5dt, Beta 2 = 295 at 10dp5dt, Beta 3 = 891 at 12dt5dt. Beta 4 = 2114 at 14dp5dt, Beta 5 = 4916 at 16dp5dt, Beta 6 = 13252 at 19dp5dt
    Heartbeat at 6w5d 133BPM <3
    We are having a GIRL!!! Due Jan 26, 2017


    BabyFruit Ticker

    My blog: www.wearethehammitts.blogspot.com

    Babysizer Cravings Pregnancy Tracker
  • Options
    *TW*
    I'm under 35 so my clinic was hell bent on only transferring 1. However, after only retrieving 6 eggs @ ER and 2/6 fertilizing, he recommended to transfer both embryos to increase my odds. So thankful I did transfer both because only one stuck. 
    ****Siggy TW****
    natural pregnancy: 2008 
    Me: 28 (Hypothyroid), DH: 35
    Together since: 2010
    Married: 2013
    TTC: 2013
    Infertility: severe MFI, low AMH (0.5)
    Met RE: January 2016
    ER: 3/14 (4 follies, 6 eggs retrieved, 2 fertilized)
    fresh 3dt of 2 embryos= BFP (1 implanted)
    EDD w/ baby boy= 12/6/16
  • Options
    My doctor is recommending only transferring one since I am under 35 and otherwise healthy. Depending on how many are retrieved/fertilized and quality I will be discussing with her again before transfer as well.
  • Options
    My current clinic transfers 2, but if you are under 35 you can ask to only have 1 transferred. We are moving in a few months and the new clinic will only transfer one.
  • Options
    My doctor said two since I'm 35. But when ET day came the embryologist actually suggested just one since we had two perfect embryos. So we just did one and have four frozen. So if this doesn't work we will transfer two next time. She said since it's our first Ivf also to do just one. She said even if it was our second she would recommend two. 
  • Options
    I am a big advocate of a single transfer for your first attempt.  I was devastated when we went that route and got a BFN, but it was not meant to be.. for our FET, we did transfer 2 and I'm 8 month pregnant with twins.  So go figure.
    ***Pregnancy Mentioned***
    ME: 32; DH: 34; TTC since 3/2014; Diagnosed Unexplained Infertility 2/2015
    3/2015-5/2015 IUI #1-3 with clomid + trigger:  CP + 2 BFN
    6/2015 Prep for IVF + ICSI + Assisted hatching
    7/2015 17 high-quality blasts, transferred 1 & froze 16
    8/2015: IVF#1 BFN; prep for FET
    9/2015:  Transferred 2 top grade hatching day 6 blasts
    10/2015:  10dp6dfet 754!! 13dp6dfet 2327!! 15dp6dfet 4919!!
    Present:  TWO heartbeats and all is well!!  G/B TWINS Due Date:  6/16/16
  • Options
    *****tw, children and loss mentioned*****



    Our first cycle was fresh, I was 28, unexplained infertility, 2 failed iuis, healthy, and we would use 5 day blasts. We were told we could do 2 but with them both being high quality, they suggested one. We told them twins would be a blessing. 
    They allowed us to transfer 2 and only one took, but split. Unfortunately, it didn't split correctly so we suffered a loss.
    We then did a frozen transfer a few months later, we had them transfer 2 with no disagreement from them and both took. We now have 4 month old twins who are worth everything we went through and more.
  • Options
    ****TW, children mentioned****



    We have severe MFI and there does not appear to be any issues with me (I have two older children from a previous marriage and had no issues getting or staying pregnant).  My clinic recommends 1-2 on the first attempt for women under 35, but ultimately lets the couple decide.  Because we are paying OOP and are paying the fee for service (no package), we have decided to transfer 2.  I am concerned about the risks as well as the emotional and financial toll of twins, but we are also mentally prepared for it (I guess as mentally prepared as one can be!).
    TTC since March 2013

    HSG: Sept 2014, clear tubes

    Dx: MFI - Low motility, morph, count (Aug. 2014); Hypothyroidism (May 2015)

    Moved to IUIs October 2014

    IUI #1 w/ injections:  Nov 2014- BFN

    IUI #2 w/ injections:  Jan 2015- BFN

    IUI #3.1 w/ injections:  Feb. 2015, cancelled due to cysts- 10 days BCP

    IUI #3.2 w/ injections:  Feb/March 2015- BFN

    IUI #4 w/ 100mg Clomid +  Injections:  August 2015- BFN

    IUI #5 w/ 5mg Femara + Injections:  September 2015- BFN

    IUI #6 w/ 5mg Femara + Injections:  October 2015 - Cancelled due low response

    Moved to IVF May 2016 

    Retrieved 18 eggs on 05/27/2016, 13 were ICSI'd, 9 made it to day-five transfer

    Transferred 2 beautiful day-five embryos on 06/01/2016, froze 7

    BFP 4dp5dt on 06/05/2016!  Line continued to darken beautifully!

    EDD:  February 17, 2017

    Beta #1:  92

    Beta #2:  305 

    Ultrasound #1 - one baby!

    Ultrasound #2 - saw heartbeat!


    LFAF Badges:

     

  • Options
    ***tw*** The answer of 1 or 2 is definitely different for everyone. I did IVF due to MFI and was 27 with no known fertility or health issues. A lot of clinics would've had me just put in 1 embryo, my clinic, however,puts 2 in for almost all cycles. My RE barely mentioned having a single embryo transfer, and probably only did just for legal reasons. I'm happy I did 2 in the end since only one embryo stuck. I was also physicially/emotionally/ financially ready to have twins if both would've stuck. I'd say look at your clinic's success rates and if you're comfortable with where they're at with single transfers. Also, if you truly feel like you are ready to take on the challenge of a twin pregnancy, don't be afraid to talk to your RE about transferring two.
    ***pregnancy mentioned***

    Me: 27/ DH: 29
    Dx:  obstructive azoospermia 
    IVF#1:  October 2015
    10/7/2015:  ER  11 retrieved, 8 mature, 7 fertilized w/ ICSI
    10/12/2015:  Transferred 5AA and 4AA blasts, froze one 4AA and 4BB
    Beta #1 9dp5dt:  122!!! BFP!
    Singleton, due June 2016

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    Hi, ladies! We've passed 3 IVF rounds with donor eggs. The 1st time we transferred 3 embies but, unfortunately, it didn't work out. Our next cycle we did with 2 embies (5-day blasts) which was also a failure. But our round#3 with the other 2 nice 5-day blasts was finally a success!! I suppose putting in more than 1 just gives us more hope and probably boosts the chances at least one manages to survive.
    May god give lots of baby dust to all :*
  • Options
    I am 30 yrs old suffering from unexplained infertility. My uterine lining seems to be non compliant, w/ my last cycle cancelled due to my lining not thick enough for transfer. My dr. recommended that for FET we transfer 2. He said that we have very good embryo's , and they are very strong. He says knowing what we have gone through to get this far, he would not want to see us do 1, and it fail.
  • Options
     I am so on the fence about this issue. My doctor does not mandate it but he also feels one is the best choice. I'm OK with having twins because this may be our only try to have children and I would love to have more than one. But the complications of twins does make me nervous. My husband really only wants to do one. I am so torn. 
    TTC #1 since August 2013
    Unexplained/ Endo
    Medicated IUIs # 1-3 BFN
    IVF #1- BFN
    FET #1- BFP; Ectopic pregnancy found at 7wks
    FET #2- February 2017 BFP  Beta #1- 119 (8dp5dt) Beta #2- 475 (12dp5dt)
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