Infertility

? on # of embies transferred back

How much input did you have on the # you had put back?

Was it primarily up to you? As in, if you only wanted 1 (to not risk having twins) or if you wanted 2 to increase your odds of getting KU. 

Was it primarily up to the doc ( based on your your dx & the quality on transfer day)? If this was the case, did they just flat out tell you what they were going to do or was there any room to negotiate?

 

My RE told me that they generally put back 1 but will put back 2 in certain circumstances. I'm just wondering what other docs say.



"Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all." -- Dale Carnegie
"Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time." --Thomas A. Edison

Re: ? on # of embies transferred back

  • My RE makes a suggestion but it is 100% up to us. We had decided on 2 from the very beginning. But having a blast transfer fail we will now to a 3dt with 3 embryos.

    I don't know if that helps but I hope you come to a decision you and YH are comfortable with!

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  • My RE follows national standards as to how many to transfer, which ended up being all of what we had both times because they were still fewer than the max.
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  • i've always done 2, my RE also rec's 2 for us.

    i have limited tries w/ insurance so i would not transfer less than 2.

    it will also depend on embryo and quality 

     

    image
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    MTHFR A1298C & C677T, Immune Issues and Factor II
  • the RE recommends based on your age and dx. i started with 1 bc he was certain it would work bc of my age, etc but now we are at 3. i always think no less than 2 is best, if of course you are ok with the possibility of having twins. 
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  • Just before starting stims, my RE said he recommended transferring only one if you had a decent blast on day 5.  The day of ET, we had 3 embies, but none were at the blast stage.  The RE that day (not my regular doc) recommended transferring all 3 b/c of the quality.  Ultimately, it was our choice whether to transfer 2 or 3 that day.
    IVF #3 = Feb 2012
    beta#1 3/21 (14dp3dt)=413, beta#2 3/23 (16dp3dt)=785, u/s 4/11
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  • imagetheworms:

    i've always done 2, my RE also rec's 2 for us.

    i have limited tries w/ insurance so i would not transfer less than 2.

    it will also depend on embryo and quality 

     

     This is kind of what I was getting at. We also have limited tries and am not sure how they would feel if we insisted on 2. We want to increase our odds of 1 sticking and are 100% comfortable with twins ( although that is less than ideal b/c of the risks that go along with multiples). If we were given a 100% chance that if we transferred 1 that it would stick, we would only do 1.



    "Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all." -- Dale Carnegie
    "Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time." --Thomas A. Edison
  • My RE suggested one, based on our MFI and my age (27). That said, he will give us the option to transfer two if we want to.
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  • It was totally up to us. My RE has a reputation for being a little aggressive with the number put back though. I bet he would have let us put four back, honestly. The first IVF cycle we put back 2 day 3 embies, the FET cycle we put back 2 day 3 embies, so for IVF #2 we decided we were ready to get aggressive and put back 3 day 5 blasts.
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  • My RE recommends under 35 to put back 2 and over 35 to put back 3. So - we went with 2. He said he would be willing to put back 3 if we "wanted to live on the edge". We didn't!
    Married 08.06
    Started TTC 05.08
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    DH: perfect
    1 lap, 5 IUIs = 4 BFNs and 1 c/p
    2 IVFs, 2 FETs = 1 BFN, 1 c/p, 1 ectopic and finally a sticky BFP in May 2011!

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  • On my first IVF, my RE guided us as to what to do. We had enough to freeze and one great quality 3day embryo, so she strongly suggested we just transfer 1. I think we probably could have pushed for 2, but were happy with one.

    On my FET, I felt like we were given a bit more choice. We chose to transfer 2 and will likely do the same next time. Both times though, when we got to the transfer, the embryologists had already made a recomendation as to what they wanted us to do.

    Hope that helps and Good luck!

    TTC #1 since 03/09 Dx Unexplained
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    June 2010 - IVF - BFN
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    March 2011 - FET #2. Thawed 11 Day 1 embryos; 5 'exploded' / possible lab error?
    ET 4/2/11 transferred 1 blast & 1 morula
    Beta#1 10dp5dt =81; Beta#2 12dp5dt =222 Beta#3 16dp5dt =1337
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  • imagesweetky_06:
    My RE recommends under 35 to put back 2 and over 35 to put back 3. So - we went with 2. He said he would be willing to put back 3 if we "wanted to live on the edge". We didn't!

    This is literally what happened with us as well. I am 34 so I think my age played into his recommendation for sure.  


    SAIF/PAIF Always Welcome!
    TTC #1 May 2008
    6 Rounds Clomid, 1 Round Femera-BFN
    4 IUIs (1 Clomid, 1 Femara, 2 injectables)-BFN
    February 2010-Laparoscopy
    4 months of Lupron
    August 2010-IUI #5-BFN
    October 2010-IUI #6-BFN
    IVF #1 November 2010-BFN
    IVF #2 March 2011-BFN
  • They leave it 100% up to us (I'm guessing within reason) and suggested 2, since we had 3 other ones that weren't very good and probably wouldn't make it to freeze. We had pretty much decided to do 2 from the get-go so that was a no brainer for us.
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  • The RE strongly suggested what they thought, but it was our decision. 

    My clinic basically always reccomends 2.  They told me "you cut ur chances in half but transferring 1".

    They are more likely to rec 3 than 1, but 2 is what seems most common.

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  • My RE strongly suggested we put back 1 based on my age (31)  however it turns out that I had a poor response and after 2 cycles we have a new dx of DOR, we put back 2 both times.
    Lilypie First Birthday tickers
  • My RE recommended one but ultimately left it up to us with 1 vs. 2.  We have limited insurance coverage, weren't sure if any of our embryos wold make it to freeze, and are comfortable with the possibility of twins, so we transferred 2. 

    It was a difficult decision, but I think we made the best one for our specific situation.   

    Our IVF miracles arrived on 7/20/11 at 37 weeks after 3 weeks of hospital bedrest! Lilypie Second Birthday tickers "Stubbornly persist, and you will find that the limits of your stubbornness go well beyond the stubbornness of your limits." ~Robert Brault
  • We were in cycle for an IUI but I responded too well to the meds and had too many follicles (9). From that they retrieved five eggs and four fertilized. We had discussed it and thought two would be the right amount to transfer UNTIL we were advised by the specialist (does RE stand for reproduction expert? -- I'm new here) to go with all four. We were a bit concerned but he said the statistics were extremely low for having more than two and so we should go for it. We did. My hCG climbed for two blood tests and then on the third it was back down to 5.5 -- a chemical pregnancy. :-(

    Age does have something to do with it -- I'll be 39 in a few weeks. Have you checked the statistics for the fertility center where you're going? That may give you some more info to go on.

    TTC since 4/2009 (with RE since 8/10) Got pregnant on our own 12/09. MC 3/2010 IUI #1 & 2 unsuccessful (Sept & Oct 2010) IVF #1 9 follicles, 5 eggs, 4 fertilized, 4 transferred. Chemical pregnancy. Bad news received Thanksgiving 2010. IUI #3 Chemical pregnancy (12/2010 double IUI) IUI #4 Success! (2/7/2011 & 2/8/2011 double IUI) ultrasound 3/8/2011 determined there are four ultrasound 3/17/2011 showed one not developing so we're down to 3 unltrasound 3/23/2011 showed Baby C had stopped developing so we're at twins. Same ultrasound showed good measurement and heartbeats for babies A and B. Due date is Oct. 31, 2011 (for singleton so twins will probably be earlier) BabyFetus Ticker
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