Pregnant after IF

XP: Need ET advice (a little long)

Hi, Ladies,

I already posted on IFV, but I wanted to get your advice as well.. Thank you in advance.  

The doctor called me back and told me the two eggs that weren't matured matured and they are waiting for them to fertilize.  I didn't know that that could happen...

But my advice is should we transfer one or two?  The reason I ask that is because the doctor wants us to decide.  He says that six of the embryos four of them are Grade A or 1 or something which according to them it's good.  And the other two are so-so quality.  And he says that if I put one back it's only 30% chance of it working and if we put two back it's only 50%.  But he said that he will probably put back one Grade A and one so-so just in case it doesn't work, he doesn't want me to use up all my Grade A or best ones.  

Also, my sister has high blood pressure and this is one of the concerns as well.  My sister spoke to her regular PCP and she told her that as long as my sister follows a specific diet during her pregnancy she should be fine. 

I don't know what to do.  I originally wanted two babies but at this point, I just want a baby.  I can't ask my sister to go through it twice, so I'm sure that I will only get one chance at this.  My sister told the doctor that she wants two embryos transferred. What would you do?  Thanks ladies.
My Wonderful Sister is my GC!!!! 3 IUIs, 2 unmedicated, 1 50mg of Clomid = All BFNs Next step IVF!!!! Melinda & Michael 5*6*06 God Bless The Broken Road

Re: XP: Need ET advice (a little long)

  • This is a very personal decision based on your situation.  We transferred two each time.  We got pg w/one first, had a m/c, and then both stuck for our FET.  Twins are not a joke, I'm already having complications and I'm not even anywhere near viability yet.  My guess is that two singleton pregnancies would be easier for her than one twin one, but no one can make this decision for the two of you.  GL deciding.
    TTK 9/06 / TTC 10/08 / Twins 12/11 / Life Blog
    5 REs + 3 surgical hysteroscopies for septum/lap + 3 failed IUIs
    IVF w/ICSI/AH & acu = BFP!, unexplained spontaneous m/c @ 8w2d (our little girl),
    FET w/acu = BFP!, B/G twins!, lost MP @19w, dx w/funneling cervix @20w,
    twins nearly lost to IC @21w, saved by rescue cerclage, 17P & 16w of bedrest
    Our twins born @36w4d via CS when A came foot first

    Thankful for every day

    Baby Birthday Ticker Ticker

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  • I would transfer 2.  I've had 6 transfers now and I did one with just one embie.  That was a BFN.  All of my 3 pregnancies were the result of transferring 2, and in each case I only ended up with a singleton.  And I've always been told that I had rockstar super duper embies.  Obviously they just look superduper because only one is ever able to stick.

    What KThappy said about twins is true.  Lots more risk.  But even for me carrying one is risky.  You never know what will happen.    

    Beautiful Miracle Baby lost at 21 weeks due to pre-term labor and incompetent cervix. FET#1 BFN, FET#2 BFP, early loss. FET#3 BFN. IVF#2 BFFN. FET #4 BFP after removing bilateral hydrosalpinx and 3 months of lupron depot. Sticky Bun is here!! Image and video hosting by TinyPic Baby Birthday Ticker Ticker
  • No one can make this decision except for you three. For us we transferred 2 blasts because we thought that we don't mind having twins. We thought if we ended up with twins it will be one and done. We had 2 heartbeats on week 8 and we lost one due to vanishing twin syndrome. Throughout this pregnancy, from what I read from the board and from IRL friends I realized that if we are pregnant with twins we would probably be completely overwhelmed. I'm sure DH & I will be happy with whatever we get and will manage at the end, but it will be a lot bigger adjustment with twins compared to singleton. For our next one if we decided to do another IVF we will definitely transfer just 1.
    TTC Since 01/09
    Unexplained IF
    Clomid cycle 1-3 - BFN IUI 1-3 - BFN 
    IVF 1 - BFP 4/4/11 - It's a boy!
    FET 1 - BFP M/C 6/14
    IVF 2 - 33R/19F 12 PGS resulted in 5 normal embies
    FET 1 scheduled 12/10/14
      Baby Birthday Ticker Ticker
  • It's not the same scenario but for my successful IUI I went ahead with it even though I had two mature follicles which even in a small percentage Could have been twins. If I wasn't comfortable or willing to handle a twin pgcy I wouldn't have gone through with it.

    My opinion is IF your sister is willing to transfer 2 knowing the risks of a twin pgcy AND you are ready for two at once AND don't want to put her through this twice then I'd transfer two. Transferring 2 increases the chance for twins but it doesn't guarantee it....
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  • As the pps said this is a decision for you three to make but my experience has been that I only transferred one b/c I was so afraid of the complications of a twin pregnancy.  My egg donor was 22 and we had "perfect" 5 day blasts.  I think the odds I was given of one working was like 65% and we knew we'd have some to freeze.  I also have had previous pregnancies so issues were embryo quality not something immune or with my ute. (not sure what your sister's age/history is) My point is we could be more comfortable with going with one b/c we had alot of things on our side.

    But I ended up with twins anyway, Honestly the pregnancy has been easier than my singleton pregnancies - I have no idea why and I've seen lots of twin moms on this board with lots of problems so it's not to be taken lightly but you can have a healthy twin pregnancy.

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  • I would transfer 2.  We transferred 2 Grade A's and only one stuck so my risk tolerance on this is a little lower, and your sister would have to really make sure she is okay with the risk of carrying twins which is really no joke, but the chances are low enough that I would go for it.  Good luck!
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