Infertility

When do they do 3dt vs 5dt?

I am just curious.    Is there a specific number of eggs that fert before they consider doing a 5dt?    My donor is going in on Wed am for her retrieval and they said we would wait and see if it is a 3 or 5dt.

 

Thanks! 

Re: When do they do 3dt vs 5dt?

  • The day of transfer all depends on the growth/development of the embryo(s).

    GL!

    TTC #1 Since 11/08 - Dx: MFI & PCOS
    7 IUIs = All BFNs
    2011: March IVF #1.2 = e/p @ 6w: May IVF #2 = BFN: July sFET #1 = BFN

    2012: Jan We're Certified FC/A Parents
    May IVF #3 = c/p
    June-Nov Foster Mommy to M (Toddler)
    July FET #2 = BFN
    Aug FET #3 = BFN
    Sept-Nov Foster Mommy to Baby Bella (Newborn)
    Nov HSG/Sono = Clear!
    Dec FET #4 = BFN

    2013: Feb FET #5 = m/c @ 6.5w
    May-July Foster Mom to H (8 yr old girl)
    June/July/Aug IVF #4 = Freeze All
    July = Unofficially Adopting T (10 yr old boy)
    Sept FET #6 = TBD
    **PAIF/SAIF Welcome**
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  • My RE said that if by day 2 less than 6 embryos are thriving they will do a day 3, 6+ will be a 5dt.
    TTC since Jan. 2010 DX Unexplained infertility
    3 IUI's w/Clomid & Ovidrel=all BFNs
    3 IVF (2 Fresh, 1 frozen) =BFN
    Jan 2012 New RE & Fresh Cycle =BFP!
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    TTC #2 October 2014
    Meet with RE March 2015
    2 Frozen & 1 Fresh IVF= BFNs
    September 2015 Frozen ET=BFP!


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  • My clinic pretty much only does blastocyst transfers.  So, you transfer on day 5 or 6.  They believe if the embryos don't make it to blastocyst in the lab, they won't survive in the ute. 

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • My RE said it will depend on the growth and quality of the embryos.  GL!!
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  • You will find that the number of 'good' embryos required before labs will suggest a 5dt vs a 3dt will vary.  Also, some labs only do 3dt and others will only do 5dt.  You have to talk to your RE about the lab s/he uses and weigh the pros/cons accordingly.
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  • *ticker warning*

    I hope it's okay if I respond ...

    My first IVF we did a 5dt.  We had 5 growing on day 3 and felt they were all pretty good quality.  By day 5 we only had 2 left.  We transferred both and I did not get pregnant.  Had we transferred on day 3 I don't think we would have had better results.

    For our second IVF we spoke a ton about a 3dt vs 5dt.  When it came down to it, even though I still had all 7 growing on day 3, we transferred the best 2.  More for peace of mind than anything else.  So we did and we're pregnant with 1.  We also have 2 frozen.  Looking back, we may have still had all 4 on day 5 and maybe we wouldn't.  There's no real way to know.

    Some RE's say that if they don't make it to a 5dt in the lab they wouldn't in the ute either ... others say it's better to give them a chance in the body than in a dish.  I'm not sure which one I agree with. 

    Good luck!
     

    Our Journey to Brenden

    IVF #1: 4/11(Follistim/Menopur/Ganirelix) 10 retrieved/8 mature and all 8 fertilized / 2 embies transferred ... nothing to freeze Beta 5/10 = BFN

    IVF Take 2 Long Lupron July 2011

    ER 7/3/11 (our 6th anniversary) - 8 retrieved/7 mature/fert ....ET 7/6/11 - 2 beautiful grade A 8 cell embryos

    Beta 7/18/11 - 149!!! Beta 7/21/11 - 311 Beta 7/28/11 - 2,000 8/5/11 - Empty Sac 8/8/11 - There's a yolk sac and maybe a heartbeat 8/12/11 - Fetal pole, yolk sac, heartbeat 8/18/11 - Baby looks GREAT!
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  • my clinic only does 5dt as they really believe that whatever makes it to that day is only what makes it period....they do have a very good  lab although it does frustrate me...as my last cycle only 1 out of 10 made it to day 5...i did ask about a 3dt and my doc said he would do it but he strongly urges against it.  i know this is a huge debate in the offices.
  • My clinic does mainly 3dt.  They go with the argument that the embryos will survive better in your body than in a lab and in their experience, success rates are better with 3dt.  The first time I had 8 on day 3, the second I had 9.  Both IVFs resulted in a singleton pregnancy (lost the first one) and I was able to freeze the rest.
  • At my old RE's clinic there was no specific rule in terms of the number of embryos that would determine if it was a 3dt vs a 5dt, but rather they looked at how the embryos were doing.  But like PP have said, I have heard of clinics who only do one or the other.  Best of luck with your donoe this cycle hun! 
    ***SAIF & PAIF Welcome***

    TTC since November 2008; me - poor egg quality,hypothyroidism,missing beta 3 integrin;
    DH - some MFI;

    1 month clomid plus timing - BFN;
    3 months clomid + IUI - BFN BFN BFN

    IVF #1 Nov/Dec 2009 - BFP - c/p;
    IVF #2.1 Jan 2011 - Converted to IUI - BFN;
    IVF #2.2 March/April 2011 - ER 3/23/11: 12 retrieved, 8 mature, 3 fert-ET 3dt 3/26/11: 3 embies - BFN;
    IVF #3 May 2011 - ER 5/19/11: 20 retrieved, 10 mature, 9 fert-ET 5dt 5/24/11 3 embies - BFN;
    Switched RE's for IVF #4 (CCRM) Oct 2011 - Surprise BFP before starting IVF #4!
  • I had a 3dt (my clinic only does 3dt). We had 15 eggs retrieved, 12 fertilized and 10 that made it (8 frozen, 2 my transfer).
    Oct1201212 Twins born at 34w2d, Allison, 3lb,4oz-Ethan, 4lb7oz, both 16 1/2 inches. Out of Difficulties Grow Miracles BestBuddiesBoy AprilPosseMultiLilypie Premature Baby tickers
  • imageBella2u07:

    The day of transfer all depends on the growth/development of the embryo(s).

    GL!

    this.

    good luck.  

    TTC #2 since June '08

    ~*DD 10.21.07*~

    dx unexplained

    IUI #1-4 BFN

    IVF#1 June 2011 BFN

    IVF#2 Dec 2011

    Beta#1 12/21 : 812 Beta#2 12/23 : 1634

    EDD 8/25

    *PAIFW/SAIFW*

  • I think what everyone has said here has been helpful.

    My clinic would not give me specific details but just said that if the embryos met certain qualifications they might push to a 5dt.

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