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Arguing over number of embryos

ReganRegan Senior Member Senior Member
I finally changed clinics and went to a fertility specialist, who suggested we go to IVF after an Hsg this month. It will be my first time on injectibles, and I'm excited to get a better response than on Clomid.

Is it normal for a doctor to only transfer "1, 2 at the most" embryos the first time? I was very shocked at the doctor's response, I was expecting at least 3 be transferred for a better chance of pregnancy (understanding the risks for multiples). But IVF isn't a gauranteed implantation of all THREE embryos, either.

This is a whole new field for me, I'm feeling excited, but so nervous with ALL that I don't know! I feel like I JUST wrapped my head around IUI and was getting that down!

I appreciate any thoughts, or ways to convince my doctor to try harder!
~Regan

Comments

  • TandThopefulmommys2bTandThopefulmommys2b Junior Member Junior Member
    Hey Regan, in response to your post, your doctor is absolutely not "outside the norm". They weigh a lot of factors before they choose how many eggs to transfer. Your fertility issues (if any), your age and the quality of the eggs just to name a few. Being pregnant with multiples is a challenge to not only the mother but that babies as well. When myself and my partner began the IVF process we had the same thoughts regarding number of embryos to transfer. Initially, the doctor had only wanted to transfer one embryo of good quality and I was a little upset with this as I am 33 years old. I was diagnosed with Multiple Sclerosis almost a year ago and he thought my body couldn't handle multiples. After speaking to my neurologist he realized that I was no more "high risk" then anyone else! LOL :)
    IVF is a long sometimes draining process. My first IVF cycle was cancelled due to poor stim response. I was devastated and not prepared for it at all. The doc increased my meds a bit, I wound up going to retrieval where they retrieved 9 eggs. The embryoligist calls you everyday and lets you know how they are progressing. My retrieval was on a Thursday morning, and by Sunday we only had 3 eggs left :( I was so scared. My doc decided that he would do a day 4 transfer of two embryos. The embryologist said the one that was hanging on she would watch to see if it were going to make it to day five because it was a littly iffy. The embryoligist grades the eggs the morning of the transfer and the doctor was very excited. He said the embryologist grades the eggs on a 5 point scale, 1 being the worst and five the best. They like them to be at least a 3 by day four. We were lucky because he said in this 25 years of practice he has only seen the embryoligist give a grade 5 rating to one other couple and we were only the second. So, we transferred two, one a grade 5 the other a 3.75. We were cautiously optimistic after the transfer, I was just praying that at least one would implant. After a week I tested at home and got a faint positive. Again, until I got the official from the doc I was not going to get too excited. One week later we got confirmation that we were in fact pregnant!
    Needless to say we were thrilled! One week later we got the second surprise that there were two! We were expecting TWINS! I am not sure if your fertility center is the same, but after your pregnancy you go for ultrasounds every week or two, and it's so amazing to see your beans progress from week to week! We are due in mid December and so far everything looks great!
    I wish you both luck in your journey! It is a long emotional and sometimes exhausting process, but so rewarding to see life unfolding right before your eyes:) My partner and I were very lucky in that we were successful on our first attempt...(minus the cancelled cycle). The shots get exhausting and everything has to be timed, you feel like your life is full of schedules and appointments and you are at the mercy of these little embies that dictate your next move. Be patient, keep stress to a minimum and enjoy the ride!!!! Good luck to you both and keep us posted on your progress!!!!!!
  • ReganRegan Senior Member Senior Member
    As I read your post, I was going through the emotions, of "yippee, I'm so happy for them" and a total big "phew", thank goodness someone took the time to explain all this to me. It's such a relief to hear from the patient's view how things are going, and to know what should be happening.
    Thank you for your explanations, and for sharing your story. I do understand the huge risk carrying multiples brings, and I've tried so hard so far, to be so grateful for even ONE baby is a blessing. You also opened my eyes to the thoughts of cancelling a first cycle, and that possibly everything won't go to plan, and that IVF is no guarantee. I'm the first to admit, I've already planned on everything working, the Hsg is going to be normal, then I'll start the injectibles, then I'll get pregnant! So I appreciate your candor, and am so glad it all worked out for you.
    My partner, nor I, allow ourselves to get very excited, but along this journey there have been many days full of cautious optimism!
    Thanks for all your advice,
    ~Regan
  • TandThopefulmommys2bTandThopefulmommys2b Junior Member Junior Member
    Just a quick update, as I have not visited the site in a while! So, the latest news is that myself and my partner welcomed twins on November 21st, a boy and a girl! They were born at 33 weeks and were 4lbs 9 oz and 3 lbs 8 oz.....they were in the NICU for just about two weeks and we welcomed them home at the beginning of December, just in time for Christmas! They are the joys of our lives and we couldn't be happier that they are here. They are perfect in every way and we are totally in love. I wanted to share the news so that everyone out there who is trying, or thinking about trying will continue their journey, because in the end there is no greater joy than being a parent! Prayers to you all for success!
  • ReganRegan Senior Member Senior Member
    Congrats to you and yours! So happy to hear about a positive story! Sorry about the NICU troubles, but glad to hear everyone is home, safe and happy!
    Thanks for stopping in, funny it was today, and I'm only here about every 6 weeks myself!
    ~Regan
  • FairiesdustFairiesdust Junior Member Junior Member
    Hey girls,
    I invite you to join our ttcing donor-sibling facebook group at:
    http://www.facebook.com/groups/donorsib ... p_activity

    I think you may find it a supportive and informative place.
    Have a nice week,
    D.
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