Back from the clinic. The transfer went very smoothly with minimal discomfort. I got a few blurry pictures of the blastocyst on the screen before the transfer. I may try to get one of those off the phone and onto here later. The procedure itself was relatively simple. I changed into a hospital gown, went to the treatment room, hopped up on the table. They cleaned me and inserted a speculum, cleaned the cervix and then put a catheter just through the cervix. Then they let the embryology team know they are ready and the embryologist loads a small catheter with the embryo and solution. This is then threaded through the catheter in the womb opening and further up into the uterus. The plunger is depressed and you can actually see a little white spot on the ultrasound forming where the fluid (and embryo) come out. The catheters are then removed. The embryologist then thoroughly checks their catheter to ensure that the embryo didn't get stuck to it anywhere (as they're very sticky at this stage) and if you're given the all clear then they remove the speculum and that's it. I was given the all clear. They did warn me that sometimes the embryo gets stuck and they have to reload it and do it again, but luckily that didn't happen.
In the end, I decided to transfer the one blastocyst from the frozen egg. It had actually been the second best blastocyst (I got that wrong) in the morning but by noon, it was the same quality as the other that emerged faster. Both were already hatching, so that was all promising. The reason I decided on one was due to the risk factors of multiples and also that the success rate chances for the frozen egg is better because it's younger. If it doesn't take and I need to do a frozen embryo transfer, then I may rethink the strategy of how many I put back.
Because.... the two slow emergers from this morning developed into full good quality blastocysts by the afternoon!! Completely unexpected! I was really shocked by this news. So in the end, with 8 fresh eggs collected and 2 frozen eggs successfully thawed, I ended up with 4 good quality blastocysts; 1 from the frozen eggs and 3 from the fresh. Those are pretty good statistics so I'm very happy with the numbers. Of course I'll be even more happy with a successful pregnancy, but it seems like a good starting point. So if this transfer doesn't work, I have 3 embryos to work with. All in all, a good result.
The clinic gave me a pregnancy test and said that I need to test in 10 days. I will of course be peeing on sticks well before that. If today is day 6, then the earliest you could get a pregnancy read is day 8/9. So I'll give it a few days and probably start testing in the morning like I did before. Until the 'right' day when I will use the test they gave me.
So that's where I'm at. Exciting and terrifying. As usual.
Showing posts with label hatching. Show all posts
Showing posts with label hatching. Show all posts
Tuesday, May 31, 2016
IVF 1 - Day 23 6 Day report and transfer
So the good news is that two of the morulas have emerged to be good blastocysts. One is from one of the frozen eggs (the leading blastocyst rated good/very good which is partially emerging/hatching) and the other is from the fresh collection (rated good/good). Two more emerged but have yet to re-inflate so are considered slow growers and perhaps not good for freezing. Two failed to emerge. This means I am going for a transfer today!
When I was speaking to the embryologist this morning she dropped into our conversation something about transferring two. I have been reasonably comfortable with the idea of transferring one. I was a bit surprised that she assumed I would transfer two as my clinic is very much against increasing the risk of multiples and makes a big deal about transferring one. So I am struck with a conundrum. Do I transfer one or two? I can wait until the transfer to decide which is exactly 2 hours away. I texted a good friend of mine who has undergone many many IVF cycles (15?). Her first pregnancy was with twins and it did not end happily. It was a complicated pregnancy (she is tiny) where she delivered prematurely. One of the babies had problems and was in the NICU for months before finally succumbing to his issues. While she's been very aggressive about fertility treatment, she says that she would never suggest to anyone to put back more than one now.
The balance is this - as you get older, your chance of successful live birth go down rapidly due to non-viability issues. If they transfer two, your risk of multiples goes up. Basically you are playing a game with weighing the risk of multiples against increasing your chances for one healthy baby. If you do one at a time, you are looking at financial, time, and emotional costs. If you transfer two, you run the risk of a multiple pregnancy which is higher risk and could result in various complications including increasing your chance of miscarriage. Basically, for women under 38 they only recommend one but as you get older, the viability issue creeps up and up making it balance out to suggest that they are more comfortable with two.
I have the added complication that the leading embryo is not from 41 year old me but from 38 or 39 year old me, so right on the cusp. Maybe if it was two 41 year old embryos, I'd feel differently. But I'm nervous. I do not want twins. I am prepared to raise a single child. I will obviously make due if I get identical twins. But I do not need to do anything to increase my risks of multiples because it would make life incredibly difficult.
So I'm leaning towards the one and freezing the other. The clinic says they have a 90-95% success rate with thawing embryos, so it's very likely that if this one doesn't take I can do a frozen embryo transfer. If that one doesn't take, I can do all of this over again. It's not like I have so many embryos to freeze. We're talking about one frozen embryo transfer before I'd have to start anew if this one doesn't take.
So I think I'm leaning towards transferring the one, but I will definitely talk to the doctor when I'm at the clinic later to make the final decision. I'm not against it if they think it's a very good idea. But I definitely do not want to increase my risk of twins by much at all.
Very excited about the transfer today. Still can't really believe it. Still very nervous that it's just going to be negative results. Trying not to be too hopeful but maintain positivity.
When I was speaking to the embryologist this morning she dropped into our conversation something about transferring two. I have been reasonably comfortable with the idea of transferring one. I was a bit surprised that she assumed I would transfer two as my clinic is very much against increasing the risk of multiples and makes a big deal about transferring one. So I am struck with a conundrum. Do I transfer one or two? I can wait until the transfer to decide which is exactly 2 hours away. I texted a good friend of mine who has undergone many many IVF cycles (15?). Her first pregnancy was with twins and it did not end happily. It was a complicated pregnancy (she is tiny) where she delivered prematurely. One of the babies had problems and was in the NICU for months before finally succumbing to his issues. While she's been very aggressive about fertility treatment, she says that she would never suggest to anyone to put back more than one now.
The balance is this - as you get older, your chance of successful live birth go down rapidly due to non-viability issues. If they transfer two, your risk of multiples goes up. Basically you are playing a game with weighing the risk of multiples against increasing your chances for one healthy baby. If you do one at a time, you are looking at financial, time, and emotional costs. If you transfer two, you run the risk of a multiple pregnancy which is higher risk and could result in various complications including increasing your chance of miscarriage. Basically, for women under 38 they only recommend one but as you get older, the viability issue creeps up and up making it balance out to suggest that they are more comfortable with two.
I have the added complication that the leading embryo is not from 41 year old me but from 38 or 39 year old me, so right on the cusp. Maybe if it was two 41 year old embryos, I'd feel differently. But I'm nervous. I do not want twins. I am prepared to raise a single child. I will obviously make due if I get identical twins. But I do not need to do anything to increase my risks of multiples because it would make life incredibly difficult.
So I'm leaning towards the one and freezing the other. The clinic says they have a 90-95% success rate with thawing embryos, so it's very likely that if this one doesn't take I can do a frozen embryo transfer. If that one doesn't take, I can do all of this over again. It's not like I have so many embryos to freeze. We're talking about one frozen embryo transfer before I'd have to start anew if this one doesn't take.
So I think I'm leaning towards transferring the one, but I will definitely talk to the doctor when I'm at the clinic later to make the final decision. I'm not against it if they think it's a very good idea. But I definitely do not want to increase my risk of twins by much at all.
Very excited about the transfer today. Still can't really believe it. Still very nervous that it's just going to be negative results. Trying not to be too hopeful but maintain positivity.
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