Success after IF

Transfering 1 or 2 embies...WWYD?

This is such a hard decision. My RE says I have "beautiful" embies which is great and I'm so thankful. Here are my percentages

60% chance of getting pg if we transfer 1 embie.

70-75% chance of getting pg if we transfer 2 embies.

40% chance of getting pg w/ twins if we transfer 2 embies.

Before I had Beau - I would have done 2 (and we did with IVF#1) no problem but the thought of Beau and twins terrifies me. I know there are ladies on here that do it but I'm so scared it would just be too much for me. That being said, I want to get pg more than anything. We are 100% OOP so that is something to consider also.


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Re: Transfering 1 or 2 embies...WWYD?

  • I would do 2.  Being OOP is the swaying factor for me.

    ETA:  Also, how are your embies frozen?  Individually or in straws of 2?  If they are in straws, are you prepared to discard one if both survive the thaw?

     

     

    Me: PCOs DH: Perfect!
    4 Fresh IVF cycles + 1 FET where embies didn't survive the thaw = 2 perfect little men!
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  • I would put 2 back, but that's just me.  Given that you put 2 back with Beau, got 1 and you are OOP.  I seem to be pessimistic when it comes to stuff like this though.  One of our FET's we transferred 3 beautiful embies and got none.  

    But, whatever you decide good luck! 

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  • It's such a personal decision, but for myself, I always fall back on "don't transfer more than you're prepared to carry/have."

    If we do a FET down the road, we'll transfer only one at a time. We'd rather do multiple FETs (even though we're 100% OOP too) than have twins (a blessing for sure, but not one we're prepared for...unless that one embryo would split!)

    After 20 months, 3 Clomid cycles and 4 IUI cycles, IVF #1 with ICSI = BFP!
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  • imageOrangeSmoke:

    I would do 2.  Being OOP is the swaying factor for me.

    ETA:  Also, how are your embies frozen?  Individually or in straws of 2?  If they are in straws, are you prepared to discard one if both survive the thaw?

     

     

    They have been individually vitrified.


    Baby Beau
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    TTC #1 for 5 years - Many years, many tears 3 Clomid IUIs all BFN IVF#1 w/ ICSI = BFP!!!! Beta #1 - 157 11dp3dt, Beta #2 - 340 13dp3dt


    FET for #2 9/1/11 Beta #1 9dp5dt - 153!!! Beta #2 11dp5dt - 426!!! Lilypie Second Birthday tickers
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    Psalm 113:9 He settles the barren woman in her home as a happy mother of children. Praise the LORD.
  • even though money woudl be a HUGE factor for me...I **think** that since they are individually frozen and given how scared of twins you are..and the already existing possibility that one could split...I'd only do one. 
  • That is definitely a tough decision.  I would probably transfer 2.  I would rather take the risk of twins than the risk of having to cycle again while OOP.

    Edit - I changed my mind :)  I didn't realize this was an FET.  I thought it was a fresh cycle.  I think I would transfer just one at a time since an FET cycle is significantly cheaper than a fresh cycle (at least at my clinic). 

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  • I feel you and I am there with you. Still trying to figure this out in my head!

    good luck!

     

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  • When we did our FET we transfered 2 AA grade (highest grade) blasts. Hayden is the result. Just because they are excellent doesn't guarentee success. Short answer...2
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  • Tough call.  I would transfer 2.  But that's because I'm 37 and OOP.  Good luck!

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  • We transferred two when DD was 10 months old, and totally panicked at the thought of twins. We were willing to do it (wouldn't have transferred two if we weren't), but it wasn't what we wanted. Obviously, only one stuck, so we were happy with our choice...

    that said, if we had been in your shoes with individually frozen embryos, we probably would have transferred one at a time. FETs are cheaper and faster, so we probably would have gone conservative at first. Maybe transfer one the first time, maybe one a second time, then get more aggressive if those dont work.
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  • imageMouseygail:
    even though money woudl be a HUGE factor for me...I **think** that since they are individually frozen and given how scared of twins you are..and the already existing possibility that one could split...I'd only do one. 

    I agree.  Because of my age and history, we transferred 4 (2 2cell and 2 4cell with a 2dt) and started with twins.  I know we would have been been fine but thinking of what was going to be involved with twins and my toddler and my life (DH travels a lot) was very overwhelming for me.  (We ended up losing one of the twins early on.)  If you know that you REALLY don't want twins, I would transfer 1.

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  • If you do not want two babies at one time...absolutely do not transfer 2 embies. I think you really have to just boil it down to that. Did your RE give you a % chance for multiples if you transfer 2? That is important as well. Twins are very difficult and I understand that sentiment of wanting to be successful more than anything but you've got to be totally ok with having twins.
  • I did two not so perfect embies and got twins....if it was me and I had it to do over again I would have listened to my gut and NOT the doctors and just done one....GL to you!

    "I have four children. Two are adopted. I forget which two. -Bob Constantine

    "All for Love,' a Saviour prayed 'Abba Father have Your way. Though they know not what they do...Let the Cross draw men to You...."

  • Thanks for all your advice ladies. I have a big decision to make.

    Baby Beau
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    TTC #1 for 5 years - Many years, many tears 3 Clomid IUIs all BFN IVF#1 w/ ICSI = BFP!!!! Beta #1 - 157 11dp3dt, Beta #2 - 340 13dp3dt


    FET for #2 9/1/11 Beta #1 9dp5dt - 153!!! Beta #2 11dp5dt - 426!!! Lilypie Second Birthday tickers
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    Psalm 113:9 He settles the barren woman in her home as a happy mother of children. Praise the LORD.
  • That's a tough decision, but I would probably only transfer 1. If I didn't want twins (which I completely understand especially with a toddler), I wouldn't be comfortable transferring 2. 40% would be too high for my comfort. If your doctor recommended 2 because you were older, had poor quality embryos etc then it would be different, but you don't. Good luck with your decision! I know it's not an easy one.

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  • I currently in this debate as well...This is what I'm thinking...I put back 2 with my DD and got her, so my mindset is that if we put back two again we up our odds of having one.  I did a fresh IVF with one and that didn't work out, so 2 to me is better odds!  GL and KUP with your decision, I'm curious!
    PCOS~MFI~MTHFR IUI #1,#2,#3- BFN IVF #1- BFP!--C/P FET #1 = BFP!!! DD- June 3, 2010, Via C-section. FET #2 = BFN IVF #2 = BFP! Baby Birthday Ticker Ticker Pregnancy Ticker
  • Personally i would only do 1.  I was oop as well and I was  fearful of carrying twins and the health risks to them (many times twins are preterm and need special attention in the beginning).  

    I always hear about the OOP argument, but i think to myself, what does an FET cost?  5K?  So maybe you had to do it twice..even 3 times.  

    What would raising twins cost?  Probably 10x as much, right?

    If you didn't already have a child i would say 2. I found it easy to have 1 baby.  When you add a toddler and a baby to the mix.....IT IS SO MUCH HARDER! 

    I did transfer 1 on my fresh (my 2 fets didn't work) and had my son.  We had PTL issues with him so thankfully i didn't put it 2.  It could have been a disaster! 

  • I'm so excited for you that you're at the point of doing an FET!

    If I were you, I would only transfer one embryo.  I know what a difficult decision this is, but it just seems to make sense for you.  We did an eSET for our successful cycle.  It was heartwrenching knowing that we were reducing our chances of getting pregnant, but it worked and we are so thankful that we made that decision.  I really think with you having such high quality embryos individually frozen at a great clinic, transferring one makes a lot of sense.

    I wish you the best with everything!

    TTC with DOR, low morphology, fertilization issues
    IVF#1 Oct 2009 (CCRM) - BFN
    IVF#2 March 2010 - Poor response/cancelled
    DE IVF#1 Aug 2010 - BFN
    DE IVF#2 Dec 2010 - Transferred 1, 2 frozen - BFP!
    TTC#2 FET Jan 2013 - Transferred 1 - BFP!

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