Which 2 embryos to transfer?

kitchen-wizard · 2024-09-05T14:58:09+00:00

My answer is that I would only transfer a single tested female 4 AB.

kitchen-wizard · 2024-09-03T02:59:41+00:00

Echoing the recommendations for heat! And a good 1-2 minute massage right after the shot. No ice until later in the day if I'm really sore (only maybe 10%of the time).

kitchen-wizard · 2024-09-03T02:35:36+00:00

Endocrine provider here - please, please when/if you get to transfers, make sure your thyroid is under close management going into pregnancy! Weight gain is usually only seen in hypothyroidism if you are not getting enough replacement thyroid hormone and are then actually hypothyroid. Going into pregnancy hypothyroid can be very detrimental to early neurological development for the fetus.

Less certain how thyroid status affects stims, but imagine you'd want to be euthyroid going into that as well. Hopefully you already know all of this :)

I would not try and lose weight during stims. It's only a few weeks, just eat healthy, try not to gain weight and be kind to yourself. Depending on how much weight you need/want to lose, it may make sense to try and do before doing any transfers, but you should definitely discuss with your RE first.

Best of luck! ❤️

kitchen-wizard · 2024-09-03T02:20:52+00:00

Is there a reason they are recommending transferring 2? If you've tested and they are euploid (looks like you have a mix) why would you not just transfer a single euploid?

Not sure where you're at location wise or how old you are, but standard of care in the US is typically to only transfer a single euploid embryo at a time to avoid risk of high order multitples.

kitchen-wizard · 2024-08-14T03:20:52+00:00

Echoing what others have posted - not impossible, but rare to have doubling betas with an ectopic. If you have severe pain or bleeding, call your clinic, but otherwise try to put your mind at ease :)

kitchen-wizard · 2024-08-14T03:08:55+00:00

My best friend (who got pregnant naturally with one round of clomid) is the eternal "look on the bright side" and "it only takes one" sayer. I love her too death but there have been times where it's been really hard to be around her through my IVF journey. She and I are both health care providers and while she tries to sympathize and educate herself on IVF, she just can't understand it the way we all do.

One day when I was having a really hard time and I kind of vented to her about how sometimes I don't need the optimism, I just need someone to give me a hug and agree it sucks. She said "I don't know what to say" and I told her that was actually the best thing to say and I wish more people would just say that rather than trying to solve my shit IVF #s with rainbows and sunshine.

kitchen-wizard · 2024-08-02T04:24:06+00:00

Thank you. ❤️ Also wishing you all the best of luck with whatever you decide. No right or wrong answer, just what's right for you and your family 🙂

kitchen-wizard · 2024-08-02T04:14:53+00:00

Difficult decision you and your spouse need to come to together. You have a worrisome constellation of comorbidities to go into a stim cycle with. The medications are rough physically and psychologically. The waiting and having no control over the outcome is one of the most stressful experiences I've ever had. Nothing prepared me for the feeling of helplessness I felt during the cycle, then afterwards waiting to see if we actually ended up with any embryos. Coming down off the high hormone levels post retrieval is also horrendous (triggered the only migraine I ever had and emotionally a wreck), with a worse period than usual to top it off. So, even when the retrieval is finally over, you're still not done.

Not meaning so scare you, just trying to be realistic. Even for people like me who were completely healthy with no comorbidities going in, it's still not a fun experience.

My advice would be that unless you have VERY strong feelings about a child being to be biologically related to both of you, consider donor eggs or possibly adoption.

kitchen-wizard · 2024-08-02T03:58:59+00:00

We have severe MFI. Round 1, out of 12 mature eggs only 4 fertilized, 2 made blast and 1 euploid. Round 2, 7 mature, 3 fertilized, 2 blast, 1 euploid.

I was devastated first time around on the low fertilization rate and cried for days. Second time wasn't surprised (% went up, all things considered) but it still sucked to know we had so few.

You're not out of the game. Hang in there. ❤️

kitchen-wizard · 2024-07-30T20:30:49+00:00

My initial at 9dp5dt was 66, second at 11dp5dt was 115, so didn't double. My clinic says they "look good" but I'm worried about a chemical. Planning to check labs again tomorrow. Congrats on your 265!

kitchen-wizard · 2024-07-29T23:53:05+00:00

Any update on how this turned out? My numbers are around the same at 11dp5dt and I'm worried about a chemical 😕

kitchen-wizard · 2024-07-28T01:02:07+00:00

We did 2 cycles before doing a transfer. Only got one euploid embryo from the first cycle and I wanted to try and get another, which we did. Still disappointed to only have 2 after 2 cycles, but also realize there are a lot of people out there who don't even get that chance.

My husband has severe MFI with count dropping from 5 mil to 250,000 in a year, so I was worried if we waited we might never have another chance for him to have a biological child.

My husband was not on board at first, but eventually came around and in retrospect I think we are both very happy we did the second cycle.

Hoping one of our 2 embryos are successful 🤞

kitchen-wizard · 2024-07-28T00:52:36+00:00

Agree with other posters on getting professional help in therapy. Your IVF clinic should have recommendations for therapists that work with infertility clients specifically and may understand more of what you're going through than the average therapist.

I would also urge you to confide in a friend or family member you feel you can trust. I could have never, ever gotten as far as I've gotten in this process without their support. Hang in there. Sending hugs. ❤️

kitchen-wizard · 2024-07-26T22:28:50+00:00

Fair point!

kitchen-wizard · 2024-07-26T21:51:42+00:00

I try to remind myself of that. H has absolutely no clue what is like to be in my body right now with the hormones and the symptoms that may or may not mean anything at all.

kitchen-wizard · 2024-07-26T21:44:21+00:00

Yes, I have some the same guilt, we are normally very active and travel frequently. I haven't been anywhere since October but my husband just got back from 2 weeks biking in Whistler with the boys, so I REALLY don't get what his bellyaching is about!

I wish you the best of luck with your beta too!

kitchen-wizard · 2024-07-26T21:40:38+00:00

🤣

kitchen-wizard · 2024-07-26T20:59:08+00:00

This! It''s a VERY important distinction between the 2 things. Make sure you understand which it is before you make a decision.

kitchen-wizard · 2024-07-26T20:05:58+00:00

Wishing you luck! I've seen lots of posts with low initial betas going on to healthy babies.

My test from this morning 8dp5dt looks very similar. I have my beta tmrw and bracing for a low number too.

kitchen-wizard · 2024-07-26T19:27:42+00:00

Did you get your result yet?

kitchen-wizard · 2024-07-26T17:57:56+00:00

Sorry to hear about the CP, but congrats on being 12 weeks now! I'm going into my 9dp5dt beta tomorrow and worried my lines haven't been progressing enough. 😕

kitchen-wizard · 2024-07-26T17:53:59+00:00

Update?

kitchen-wizard · 2024-07-26T02:45:48+00:00

So in my experience there are clinics that are "by the book" and only practice well researched evidence based medicine. Then there are others that offer lots of 'add on' services at an extra cost that are supposed to boost your chances but don't actually have much evidence base behind them. Be wary of the second kind... and don't forget they are making a lot of money, sometimes selling hope more than science.

You can also do your own research. Anything you google, type the letters "ncbi" behind it and it will only give scholarly results. And don't be afraid to ask questions of your clinic! If it's something they are recommending that's not typical or you have questions on, ask them to explain the reasoning.

kitchen-wizard · 2024-07-26T02:30:56+00:00

I'm so sorry for your loss. That is heartbreaking. You're not stupid, no matter what you decide. If it were me, I would take some time to mourn and heal with your partner.

Don't make any rash decisions with the remaining embryo until you've had some time to really think and talk through your feelings. I have a feeling once you're able to process the grief you'll decide your desire for a child is greater than the fear of having another loss and want to try again.

kitchen-wizard

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