Infertility

Frozen transfer

I have a question about frozen transfers. This is my second cycle of IVF. First only produced two embryos to transfer and was unsuccessful. This time we have 4 embryos but on day of transfer I had a lot of endometrial fluid in my uterus and could not do a fresh transfer. What is the process of a frozen transfer? Are there meds for stimulation and then transfer or what? 

TTC for 8 years.
Started in 2008 with timed intercourse, ovulation testing, no official monitoring.
OB-GYN recommended Clomid and timed intercourse, attempted for 6 straight months.
First surgery June 2009 (OB-GYN): diagnosed with stage 4 endometriosis and large hydrosalpinx on right tube.
Second surgery (July 2009, RE performed this): Right tube had to be removed, lots of adhesions removed.
Attempted "trying on our own" as per RE recommendations, unsuccessful 5-6 months.
HSG performed December 2009: left tube open.
February 2010: started Femara and timed intercourse, attempted 6 months, no BFPs.
Took a break for a while.
January 2011: started IUI process, ovaries never properly responded to medications, 6 failed attempts, never actually completed an IUI.
Took 2012-2014 off due to depression and frustration (side note: did complete grad school to become a nurse practitioner- great distraction).
2015: started seeing RE again, went through tons of testing and HSG, left tube now blocked, only option is IVF.
September 2015: Started first official IVF cycle, cancelled in October due to large cyst on left ovary.
October 2015: started on birth control for 2 months.
December 2015: attempted to start another IVF cycle, cysts on both ovaries on initial ultrasound, left was huge, cancelled to aspirated cyst.
January 2016: Cyst back, surgery for ex-lap, cyst and adhesions removed.
March 2016: Attempted second IVF cycle, estrogen way too high, cyst back, cancelled again.
April 2016: Third attempted IVF cycle, 7 eggs retrieved, 2 mature (but not great) embryos made to fresh transfer, neither implanted.
May-Sept 2016: Break to regain sanity.
Sept-Oct 2016: Attempted fourth IVF cycle, very successful, cyst still on left but we ignored. 7 mature "great looking" eggs retrieved, 4 mature embryos made it to day 5 transfer. Transfer aborted due to large amount of endometriosis fluid in uterus.
FET of 2 embryos completed on 12/12/16.
12/22/16 1st Beta 179 BFP!!!
12/24/16 2nd Beta 449!!
EDD 8/30/17 with two girls!!!!!

Audrey (4lb 8oz) and Olivia (6lb 6oz) born 8/10/17!!

Re: Frozen transfer

  • Hi! For a FET typically they'll just give you estrogen starting on cd 2-3 and then monitor your blood/ultrasound for uterine thickness. Once adequate they'll start you on progesterone 5 days before your transfer, assuming it's a 5 day embryo. Process ideally should be 2 weeks give or take. Super simple if your body cooperates. I'm on my third cycle to attempt my first FET and my lining has been too thin so I've been cancelled. Lots of other ladies on here have a pretty easy time before transfer.  Hope this helps! Best of luck to you! 




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  • edited October 2016
    I think protocols are different, but after a clear baseline, I was put on estradiol pills for about 2 1/2 weeks. Then once my lining was shown to be thick enough, I started taking progesterone in the form of crinone gel, about 5 days before transfer. Then after transfer you keep taking the meds! I'm 3dp5dt right now. 
    ***TW***
    DH & I both 34.
    8/16: IVF, antagonist protocol 
    21 eggs | 9 blasts | 7 normal through PGS
    10/16: FET  = BFN  :(
    12/16: Surprise natural BFP 
    Beta 1: 177 | Beta 2: 483 | Beta 3: 8,755 | Beta 4: 39,007. Baby born 9/5/2017

    NOW on sibling journey. 
    2/20: FET = BFN :(
    4/20: Surprise COVID BFP

  • No stimulating meds for an FET, in fact you kinda do the opposite. You take estrogen for a few weeks which keeps your ovaries quiet while still building up your uterine lining. Then you start progesterone (for me it was PIO) about 5 or 6 days before transfer. You continue the progesterone and estrogen until beta, and then for a lot longer if you get your BFP! The best part about doing an FET is not having to stim. Good luck! :)
    ***BFP & Child Warning***

    Me: 34, DH: 38 ~ TTC since 2014
    IUI #1-3 (Nov 2015, Feb 2016, May 2016) = BFNs
    IVF ER (July 2016) = 7 PGS normal embryos
    FET #1 (Sept 2016) = BFP! DD born 5/30/17
    FET #2 (April 2019) = BFN
    FET #3 (July 2019) = BFP! DS born 3/27/20
  • Thank you guys so much! Today has been pretty terrible b/c I finally let myself get my hopes up that we would actually get pregnant and had to cancel the transfer. 

    TTC for 8 years.
    Started in 2008 with timed intercourse, ovulation testing, no official monitoring.
    OB-GYN recommended Clomid and timed intercourse, attempted for 6 straight months.
    First surgery June 2009 (OB-GYN): diagnosed with stage 4 endometriosis and large hydrosalpinx on right tube.
    Second surgery (July 2009, RE performed this): Right tube had to be removed, lots of adhesions removed.
    Attempted "trying on our own" as per RE recommendations, unsuccessful 5-6 months.
    HSG performed December 2009: left tube open.
    February 2010: started Femara and timed intercourse, attempted 6 months, no BFPs.
    Took a break for a while.
    January 2011: started IUI process, ovaries never properly responded to medications, 6 failed attempts, never actually completed an IUI.
    Took 2012-2014 off due to depression and frustration (side note: did complete grad school to become a nurse practitioner- great distraction).
    2015: started seeing RE again, went through tons of testing and HSG, left tube now blocked, only option is IVF.
    September 2015: Started first official IVF cycle, cancelled in October due to large cyst on left ovary.
    October 2015: started on birth control for 2 months.
    December 2015: attempted to start another IVF cycle, cysts on both ovaries on initial ultrasound, left was huge, cancelled to aspirated cyst.
    January 2016: Cyst back, surgery for ex-lap, cyst and adhesions removed.
    March 2016: Attempted second IVF cycle, estrogen way too high, cyst back, cancelled again.
    April 2016: Third attempted IVF cycle, 7 eggs retrieved, 2 mature (but not great) embryos made to fresh transfer, neither implanted.
    May-Sept 2016: Break to regain sanity.
    Sept-Oct 2016: Attempted fourth IVF cycle, very successful, cyst still on left but we ignored. 7 mature "great looking" eggs retrieved, 4 mature embryos made it to day 5 transfer. Transfer aborted due to large amount of endometriosis fluid in uterus.
    FET of 2 embryos completed on 12/12/16.
    12/22/16 1st Beta 179 BFP!!!
    12/24/16 2nd Beta 449!!
    EDD 8/30/17 with two girls!!!!!

    Audrey (4lb 8oz) and Olivia (6lb 6oz) born 8/10/17!!

  • @tiffanyw1783, sorry yo hear that! Why did you have to cancel? Hang in there!




  • When he attempted to perform the transfer, I had a lot of nasty endometriosis fluid in my uterus and he didn't want to waste my embryos. B/c they wouldn't have implanted with all the fluid. So now we have to wait and do another HSG to make sure it clears up before we can do a frozen transfer. I'm just thrilled that we actually have really good quality embryos. Last time we only had two "decent" embryos and they didn't implant. 

    TTC for 8 years.
    Started in 2008 with timed intercourse, ovulation testing, no official monitoring.
    OB-GYN recommended Clomid and timed intercourse, attempted for 6 straight months.
    First surgery June 2009 (OB-GYN): diagnosed with stage 4 endometriosis and large hydrosalpinx on right tube.
    Second surgery (July 2009, RE performed this): Right tube had to be removed, lots of adhesions removed.
    Attempted "trying on our own" as per RE recommendations, unsuccessful 5-6 months.
    HSG performed December 2009: left tube open.
    February 2010: started Femara and timed intercourse, attempted 6 months, no BFPs.
    Took a break for a while.
    January 2011: started IUI process, ovaries never properly responded to medications, 6 failed attempts, never actually completed an IUI.
    Took 2012-2014 off due to depression and frustration (side note: did complete grad school to become a nurse practitioner- great distraction).
    2015: started seeing RE again, went through tons of testing and HSG, left tube now blocked, only option is IVF.
    September 2015: Started first official IVF cycle, cancelled in October due to large cyst on left ovary.
    October 2015: started on birth control for 2 months.
    December 2015: attempted to start another IVF cycle, cysts on both ovaries on initial ultrasound, left was huge, cancelled to aspirated cyst.
    January 2016: Cyst back, surgery for ex-lap, cyst and adhesions removed.
    March 2016: Attempted second IVF cycle, estrogen way too high, cyst back, cancelled again.
    April 2016: Third attempted IVF cycle, 7 eggs retrieved, 2 mature (but not great) embryos made to fresh transfer, neither implanted.
    May-Sept 2016: Break to regain sanity.
    Sept-Oct 2016: Attempted fourth IVF cycle, very successful, cyst still on left but we ignored. 7 mature "great looking" eggs retrieved, 4 mature embryos made it to day 5 transfer. Transfer aborted due to large amount of endometriosis fluid in uterus.
    FET of 2 embryos completed on 12/12/16.
    12/22/16 1st Beta 179 BFP!!!
    12/24/16 2nd Beta 449!!
    EDD 8/30/17 with two girls!!!!!

    Audrey (4lb 8oz) and Olivia (6lb 6oz) born 8/10/17!!

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