Elective freeze-all: thoughts?

Davie813 · April 2015

So I'm currently scheduled for a fresh embryo transfer on Sunday, but my husband and I are more and more tempted to freeze the embryos that make it to blasts and do an FET next month. My thinking is this:

I don't think my lining/uterus are in optimal condition at the moment. My progesterone almost got too high for a fresh transfer. It didn't technically cross the threshold, but it came close. Also, my lining kind of plateaued around the time of trigger, and had actually gotten thinner by the day of egg retrieval. It was still OK-ish (8), but the DR put me on estrace to make sure it didn't get worse. It just seems like my lining and everything else is out of sync with the proposed transfer.

We're moving the weekend after next. It would be nice not to be restricted from lifting stuff.

We just have a lot of stress/stuff going on (the move, DD is having a mysterious allergy issue that doesn't seem to be effecting her health--thankfully--but has her in and out of daycare, in and out of the ER, etc, etc). I feel like going through with the transfer and the meds, etc, that accompany it might just be one thing too many.

What do you all think? Am I being ridiculous? Is this even something clinics DO? I did talk to mine, and they'll be getting back to me with the Dr's recommendation. I just thought I'd ask for your feedback in the meantime. Thanks!

CTinNV · April 2015

You are not being ridiculous. Each and every blast is precious, and you just went through A LOT to create them. If you don't feel your body or mind is in optimal condition then you may want to wait until you feel you are giving the transfer its 100% best chance.

With that said, you should wait to see what your doctor says BUT definitely listen to your gut in the end.

Also, your office should easily be able to freeze the embies and do a FET later, but of course talk with them.

GL!

fuzzbumble · April 2015

If your lining isn't perfect and you do a fresh transfer and it fails, you will always wonder 'what if'. I would freeze all just because of the lining issue. Endometrial receptivity is a huge deal, and raised prog levels can make it impossible for implantation.

My doctor, after my m/c fresh transfer last cycle, will only do a FET after a freeze now in case the failure was in part due to receptivity issues caused by superovulation stimulation.

ellebelle2384 · April 2015

fuzzbumble said:
If your lining isn't perfect and you do a fresh transfer and it fails, you will always wonder 'what if'. I would freeze all just because of the lining issue. Endometrial receptivity is a huge deal, and raised prog levels can make it impossible for implantation.

This. I think with the borderline lining I would go for a freeze all as well. You just went through a lot of work to get those precious blasts. I hope your doctor has some advice soon too.

Davie813 · April 2015

So I did discuss this with the doctor. She really doesn't have any concerns about the lining, but left it up to me. As of now, I'm on the schedule for Sunday as long as it looks like we'll have enough embryos to freeze for an FET next month in addition to a fresh transfer this weekend. If that changes, we'll cancel the transfer and do a freeze-all. Thank you all so much for your input!