If you have a blocked tube and used IVF to get PG...

nawlinsgrl · September 2011

Hi ladies,

I have one blocked fallopian tube and am having my first IVF ET tomorrow. *Knock on wood*, my cycle has gone really well so far: stimmed for 13 days with only minor emotional (no physical) side effects, retrieved 12 eggs, 11 were mature, 10 fertilized, and continue to grow (5 are 8 cell, and all 10 are rated 3s and 4s--the highest grades at my ER).

I am trying to determine how many embryos to push for transfer tomorrow (2 or 3), since this is my first ET, my only known issue is the blocked tube, and we have high quality embies (hopefully will have at least 2 blasts by tomorrow). DH and are both 38 and would like 2 kids, the sooner the better due to our age, so twins would be great, but we do not want triplets.

I am turning to you to get some input from those who were in a similar situation to get an idea of how many embies you transferred, how many stuck, and how many IVF attempts (including FETs) it took before you got your BFP.

Thanks so much for sharing your experience and advice!

ladychicago · September 2011

I did not have a blocked tube, but I am not sure how much that specific diagnosis is a deciding factor for deciding how many to put back, you know? IVF takes tubes out of consideration - so once you do IVF, they become irrelevant and success rates are determined by other factors.

Especially when you are doing a treatment for the first time, I am always a believer in not putting back more embryos than you are willing to carry. If you do not want triplets, I would not put back three - even considering your age. I think the only reason to put back MORE than you are willing to carry is if you've had several failed IVF cycles after putting 2 back and/or you have known egg/embryo quality issues and you know you are putting back sub-par embryos. It sounds like your embryos are doing awesome - so because it is your first IVF, I would only put back two.

just FYI - I didn't have a blocked tube, but I had no diagnosed issues (we were low-count MFI which was solved by IVF w/ICSI). We got pregnant twice on our first attempt with IVF. We put back two both times (we do 3 day transfers... first cycle was a 4 cell and 9 cell, next cycle was a 6 cell and 8 cell), and both times got pregnant with a singleton, my daughter and now my son - due in January.

Good luck to you!!!

Bread09 · September 2011

I agree with with the PP!

Both of my tubes are blocked and we were dealing with MFI as well. We put two high quality 5 day blasts in and are having twins.

Good luck!

ETA: We were successful on our first round of IVF.

mikeandangie · September 2011

IVF is supposed to bypass blocked tubes. My tubes being blocked is the reason we did IVF (We had other issues, but those could've been addressed differently). The only concern with blocked tubes is if you have a hydrosalpinx, because it can affect implantation. But if you do have that, they would take the tube out altogether (from what I can recall).

So blocked tubes should have no impact on the number of embryos you put back in. Transfer as many as you are comfortable carrying. HTH and good luck!

summer_12 · September 2011

I have a blocked tube, PCOS and we were dealing with MFI. I was planning to transfer 2 back, but ended up transferring 1 (due to hyperstim complications). I'm 29 though, and the most the RE would transfer in my case was 2. It worked for us the first try.

Has your RE made a recommendation based on age as to how many to transfer? Good luck!

nawlinsgrl · September 2011

summer_12:
I have a blocked tube, PCOS and we were dealing with MFI. I was planning to transfer 2 back, but ended up transferring 1 (due to hyperstim complications). I'm 29 though, and the most the RE would transfer in my case was 2. It worked for us the first try.

Has your RE made a recommendation based on age as to how many to transfer? Good luck!

When I first met with my ER, she said my age puts me right at the cut-off for 2 or 3, and that we would decide based on what caliber of embryos we have to work with. I spoke with my IVF nurse this morning, and although the doctor and I will make the final decision before transfer tomorrow, the consensus seems to be to go with 2, assuming they will both be blasts by tomorrow.

I think since it's my first time doing IVF, that's probably best, and then if they don't stick, we can consider using 3 the next time. So far everything has been working really well, I'm just scared to get too optimistic, because it doesn't matter how good the embryos are if there is something wrong with me that we don't know about, and they don't stick.

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