Post by discogranny on Apr 8, 2013 16:14:40 GMT -5
DH and I were discussing our "next steps" and "plan B" last week. We agreed 100% that we would be doing a FET in August and we tabled the discussion as to whether adoption or another full IVF would follow the FET if we were unsuccessful or had another loss. So, the WWYD:
We have two "perfect" grade embryos on ice. We initially transferred two and one stuck until the loss. I am 27, we have complete unexplained IF and the loss was also considered unexplained or "just bad luck." I always thought we would transfer two when we did FET, but DH said he thinks he wants to transfer one, hope we get lucky and then transfer another for a sibling later and hope we get lucky there too. His thought process is that while we would welcome any children at this point, we would prefer one at a time and he feels our chances are good enough with just transferring one. I am unsure based on the fact that only one stuck last time. FET will cost us about $4k each time but really, the money isn't much of a factor in this decision at this stage. Any thoughts?
PS, it's April, I know we have plenty of time to make this decision. This was just on my mind today.
If money is no object, I'd probably transfer just one. Your odds of success should be about equal - two at once vs two separate embryo transfers. But, by transferring just one at a time, you still have a chance of a singleton success and another frozen for a sibling. If the first doesn't work, you can go for the second and you're no worse
.....off than had you transferred two at once (aside from $4000 poorer and the additional stress on your body). And, you've also reduced your chance of multiples.
My RE does a single transfer program - if you agree to do one embryo at a time, they'll do 2 FETs for free, if the original IVF doesn't work and you have enough left over. If not for that, I'd probably transfer two embryos because of the money factor. I also wouldn't really mind twins, if its going to take IVF to get any babies.
I would also probably do one at a time. I would rather lose one at a time and know that I had one more attempt rather than losing both at once and thinking what if....of course all of this is worst case scenario.
I would also probably do one at a time. I would rather lose one at a time and know that I had one more attempt rather than losing both at once and thinking what if....of course all of this is worst case scenario.
I would also probably do one at a time. I would rather lose one at a time and know that I had one more attempt rather than losing both at once and thinking what if....of course all of this is worst case scenario.
I like this thought process a lot too. On the other hand...I might try for 2 only b/c I'd irrationally think I had a better shot of implantation with 2. But 1 is probably the better bet.
Post by changedname on Apr 9, 2013 10:07:42 GMT -5
The $$ is the only reason I would consider transferring 2. However, I would think 1 is by far the way to go. If you are lucky and the first one sticks then you will still have 1 frostie that might become your second child and mean you don't have to do ivf again.
What was your reasoning for transferring 2 for your ivf in the first place?
I have read conflicting info regarding the increased success rate for transferring 2 vs one, so I think I would lean towards one. But it is a tough decision w/ so many what ifs. What does your doctor recommend and why did you start w/ 2 for the first attempt?
I was 100% planning to do a single transfer on my first IVF attempt. Ended up doing a double transfer because my embryos weren't very high quality. If you have good quality embryos and are young I definitely think it's the way to go.
My only caveat - do you know how your embryos are frozen? Often they're frozen in 2s, so eSET might require thawing them both and refreezing. That's possible, but you do take some chance that the 2nd wouldn't survive the re-freeze and re-thaw process. In that case I'd want to consult with the RE and understand the risks better.