DH and I were TTC for 5.5 years before we turned to IVF, and were successful with FET#1 (could not do a fresh transfer, due to risk of hyperstimulation). We thought we would try again when DD was 1. Have had 2 failed FETs since (Jul, Aug), but scheduled for another try this month. Has anyone else had similar experiences with FET after a success? Did your RE suggest any alteration to your path? I'm trying to be positive and hope for the best, but just feel a bit lost, given the outcomes the last two times.
**History in Spoiler**
Me-35, DH-36 - TTC since 08/10
Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
IUI#1 - 02/15 - Cancelled due to scrubbed sperm count <1MM
IVF#1 - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
ERA Testing - 12/17 - window moved (-1 day)
FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
Karyotype Testing - 04/18 - Negative (we're ok)
FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)
Re: Secondary infertility with IVF (TW: child mentioned)
What protocol are you using for your FETs? Has it been the same each time? Is there anything that has been of any concern with your response/numbers (hormones, lining, etc.) during the process?
*TW loss and children mentioned*
Apr 17: IUI #1 = BFN
May 17: IUI #2 = BFN
Jun 17: IUI #3 = Late BFP (18 DPO) | NMC 17Jul17 @ ~6w
Aug 17: IUI #4 = Cancelled due to premature ovulation | TI = BFN
Sep 17: IUI #5 = Cancelled due to overstimulation (10+ follies)
Nov 17: IVF #1 = Cancelled due to non-IF related health issue | TI = BFN
Dec 17: IVF #1 = Puregon 200, Menopur 75, Orgalutran, Suprefact trigger due to OHSS risk | 22R, 18M, 16F, 10B frozen
Feb 18: FET #1 (medicated) = BFN
Mar 18: FET #2 (natural cycle) = CP (beta 1: 54; beta 2: 0)
EDD: 07Jan2019 Team Green
My Rainbow Baby Boy born 03Jan2019
Same protocol as the first: no difference in any of the blood tests, ultrasounds (when looking at uterine lining thickness), and I'm even the same pre-pregnancy weight!
Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
IUI#1 - 02/15 - Cancelled due to scrubbed sperm count <1MM
IVF#1 - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
ERA Testing - 12/17 - window moved (-1 day)
FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
Karyotype Testing - 04/18 - Negative (we're ok)
FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)
With that being said, the only thing that has changed so far is they switched me from the suppositories to the progesterone shot. I was never really given a reason, but I guess researchers have found the shots to be more successful. Also for the FET this month, they are putting me on plaqueinil, I guess in hopes of making it stick better.
My issue is early miscarriage. The reason is still unknown, but the doctor suspects I have poor egg quality. If the next two FETs do not work, he is recommending PGS to us. We opted not to do it last time and got lucky, but if these fail we might have to pony up for PGS...
We're concerned mostly with the PGS now that they're frozen, given that there is that whole extra thaw+freeze put into it, and the impact on quality and integrity of the embryos of undergoing that is not well known as of yet.
Sorry to hear about the early miscarriages, my issue was that I was anovulatory (due to high levels of androgens). So much so that I had to take the highest level of ALL the meds when going through IVF to just get those suckers to mature. However, with all my FETs (including the successful one), everything has measured the same, so I don't feel it's me, per se. But then again, I am reticent to test the embryos because of the concern above - and the fact that they formed and looked so great.
I was always on the same protocol: estrace escalation (for uterine lining) and then added PIO after lining thickness was measured and transfer date confirmed, then added suppositories (to estrace & PIO) after transfer. There was a 2-day difference in FET#1 (the success) than the other two, but that was due to massive flooding that made it impossible for me to get to my RE - and my RE said that it would have had no impact (waiting longer v. keeping the typical time schedule).
After much soul-searching, we have actually decided to do a double-transfer with FET#4 (so I guess, technically, FET#4/5) - since there would be approx. a 90% chance of pregnancy and we are in a good spot to be able to take care of twins, should that occur. If this round does not work, we do still have 8 embryos left and - at that point - is when we would consider the risk of non-pregnancy would finally outweigh the risk of completing PGS.
Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
IUI#1 - 02/15 - Cancelled due to scrubbed sperm count <1MM
IVF#1 - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
ERA Testing - 12/17 - window moved (-1 day)
FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
Karyotype Testing - 04/18 - Negative (we're ok)
FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)
Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
IUI#1 - 02/15 - Cancelled due to scrubbed sperm count <1MM
IVF#1 - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
ERA Testing - 12/17 - window moved (-1 day)
FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
Karyotype Testing - 04/18 - Negative (we're ok)
FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)