Third-Party Reproduction

Worse obstetrical outcomes for DE/DEmbryos?

So I saw it mentioned on another site that studies had found scary high rates of preeclampsia (like 37%) and certain other issues in donor egg (and embryo) pregnancies, more so than in OE IVF pregnancies even adjusted for age, health, etc., probably due to immunological factors -- there's more foreign matter to set off one's immune response, apparently.  I've seen mixed reports on whether prematurity rates are higher for DE/DEmbryo pregnancies, but it makes sense that there would be more prematurity with more preeclampsia since delivery is the only cure.

I briefly asked my RE about higher rates of complications with DE at the tail end of an appointment and she confirmed it was true.  Have any ladies on here been briefed about this by their doctors in any comprehensible way?  What did they tell you?  Is it influencing/did it influence your choice of whether to put back one or two embies?  I'm not quite sure what to do with this knowledge, though it is making me consider an eSET where previously I thought I'd do two embies for sure.  I have to say I'm really surprised I hadn't heard about this before.

Re: Worse obstetrical outcomes for DE/DEmbryos?

  • Lucubratrix, you sound really well-informed about these issues.  Do you know if there is anything they can really do for you if they do find rising high blood pressure short of delivering the baby/ies?  I know they can monitor closely but if

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  • We asked our MFM about pre-e at my first appointment. He strongly disagrees with a correlation being drawn between DEDembryo and pre-e.  My doc said that there are too many other variables involved to know whether it's truly the fact of DE which caus
    Baby girl Lila born 2013.
    Baby boy Henry born 2015.
    Expecting our capstone baby (boy) early March 2018.
  • Wow, I had never heard about any of this. I'd be interested in the studies you found, if you have any links. That's alarming and definitely something for me to research and talk to my RE about.

    ************ Signature/Ticker Warning ************
    Me (32) DH (36) - Finding our way to baby #1
    Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
    DH: Severe MFI

    12/2/11 - IUI #1- BFN 
    8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)

    My ovaries are just for decoration

    12/6/12 - Adopted five embryos that had been frozen for over ten years!
    2/11/13 - DEmbryo FET #1 Thawed four, sadly two didn't survive. Transferred two beautiful blasts. 
    2/16/13 - First BFP of my life @ 6dp5dt! EDD 10/30/13
    3/27/13 - After beta and u/s hell, no heartbeat ever detected. D&C at 9w1d.

    6/5/13 - Adopted four new embryos that had been frozen for seven years!
     
    9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
    9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
    9/29/13 - m/c @ 5w1d. :(

    11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
    11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
    Beta #1 @ 13dp6dt - 522  Beta #2 @ 16dp6dt - 1373 
    6w5d ultrasound showed one perfect baby with a beautiful heartbeat of 134bpm!

    Snowflake baby is a girl! 
    Our beautiful Snowflake girl arrived on July 22, 2014!   
    My embryo adoption blog: Wishing on a Snowflake
     
        image      image 
  • I just want to add that we chose an eSET precisely because our donor was young and, as PP wisely said, we have the option of making choices which reduce the chance of multiples.  We would rather have endured a BFN after an eSET than a multiple pre

    Baby girl Lila born 2013.
    Baby boy Henry born 2015.
    Expecting our capstone baby (boy) early March 2018.
  • Wow... I'm embarrassed that I don't research enough :( Always glad for these boards to open up on other points.

    ME:46 MH:44 DE IVF 2014
    Met with RE 4/11. 2 IUI's BFN. DE best option. Switched clinics to do "shared" program. Had to retake all tests and a mamm that put me behind and then on a DE waiting list for 12 months. Picked a donor!! (10/13/13) Got matched. Estimated transfer in December. After 2.5 years of patiently waiting I will finally cycle....can hardly believe it. DE cycle got cancelled. One of her tests came back positive.  Waiting for another donor. Donor picked!! (1/18/14)

    DE IVF #1 (4/26) BFN  DE FET #1 (6/4) BFP! Beta 1=339 Beta 2=852 Beta 3=9957 EDD 2/22/15!!


     

     

         imageimage 
         image   imageimage



  • Km672Km672 member
    This is fascinating.

    Since we are starting our first attempt with young DE, we are hoping to do a eSET. In the past we had always planned to transfer 2, given my DOR and quality issues I never really thought we would end up with multiples.

    Me (32) DOR, elevated NK Cells/ 2 copies of MTHFR mutation/ MH (35) azoo/high DFI   (TTC#1 since 2009)

    IVFs#1-4: (4/10-2/12) all BFN

    Surprise Bfp (9/11) - c/p

    DS IUI#1-2 (9/12, 10/12) - BFN

    DS IVF: (11/12) - BFN

    DE/DS IVF#1: (10/13) - 2 day 3 embies transferred-BFFN

    FET of 2 day 6 blasts: (12/13) - c/p

    DE/DS IVF #2: (4/14) - 1 day 5 blast transferred...BFFN...again.

    FET 5/14: 1 day 5 hatching blast transferred...another BFFN

    Repeat SHG 6/14-normal / Endometrial Receptivity Array biopsy 7/14-Receptive Uterus

    New RE, additional testing reveals elevated NK Cells

    FET of 1 day 5 blast (RE recommends transferring 1 due to elevated NK cells) with lovenox, steroids & intralipids in October

     

     

     

  • imageBeckyP005:
    Wow... I'm embarrassed that I don't research enough :( Always glad for these boards to open up on other points.</di

    April 2013 DE IVF= BFN

    September 2013 DE IVF (Fingers Crossed) = BFFFN! again...

    October 2013 FET of our last 2 = Beta Hellzz for 6-7 Weeks. M/C

  • imageliz4paws:
    Wow, I hadnbsp;never heard about any of this. I'd be interested in the studies you found, if you have any links. That's a
  • Hi ladies,

     I'm just an occasional lurker, but I do work at a research university (grad student, yay science) so I was able to find a study about this pretty easily and wanted to share.

    The lin

  • Hi Argylebride, thanks very much! No one is going to run you out of here for posting helpful info.

    I would insert a smiley above but Bump mobile won't let me ... sigh.
  • MrsT4MrsT4 member

    Hmm...this is interesting b/c whenever I've asked about using donor eggs and the possibility for rejection (or triggering an immunological response), the response has always been 'oh, it's the same as using your own eggs'....but the above study seems t

    Me: AMA, DOR, undetectable AMH, carrier of SMA, MTHFR homozygous C677T, high cytokines, low IGg B cells, Factor XIII V34l mutation, High Anti-Phosphatidylethanolmine, borderline hypothyroid and mildly insulin resistant.

     

    MH: No known issues, aside from MTHFR.

     

    Recommendations from RI: LIT, Humira, IVIG, Lovenox, Baby Aspirin, Folic Acid, Low-dose synthroid and Metformin.

     

    Currently taking:  Pre-Natal vitamins, Foltanx, Low-dose synthroid and Metformin. 

     

    When cycling also taking: Baby Aspirin, Lovenox, Humira and IVIG.

     

    TTC since 7/11/09..with medical intervention starting in 2010, including 4 failed IVF's and 6 failed IUI's...only "success" was a chemical pregnancy in 11/2012 (credited to use of DE).

    FET #1 (11th cycle) on 8/23/13 = BFN.

    FET #2 (12th cycle) Transfer of last two (day 6) donor egg blasts on 1/22/14 = BFP, EDD = 10/10/14 (please stick little BOY!)

     

    My favorite breed:

     

    image

    ***PAIF/SAIF always welcome***

  • I hadn't read anything like this, but it does not surprise me. My doc told me he was worried about pre-e with me, mainly because of my age (over 40).  He's been watching my BP very carefully.

    Having gone through pregnancy now for 27 weeks,

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • jcathjcath member
    imageArgyleBride:

    Hi ladies,

     I'm just an occasional lurker, but I do work at a research university (grad student, yay s

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