IVF – how many cycles, egg retrievals? What option to pick?

posted 3 weeks ago in TTC
Post # 2
Member
152 posts
Blushing bee

What is the doctor’s average success rate?  They should be able to provide you with that stat for your age & infertility issue.

 

My doctor’s average was something like 1.1 transfers per IVF pregnancy so 9 out of 10 women got pregnant on the first IVF transfer.  I was the 1 in 10 who took longer. We did 2 retrievals and 2 transfers before I got pregnant.  My office doesn’t sell “packages” but if it did, his stats more closely align with the second package you described. I would let the office’s stats guide you UNLESS package #1 allows for multiple pregnancies and not just the retrievals/ transfers to get baby #1.

Post # 3
Member
1541 posts
Bumble bee

Thankfully we needed only 1 egg retrieval and FET to get pregnant (after a very long TTC journey with our clinic). We were 100% OOP. I did not think the first time would work as I had so many fertility issues including significant hyperprolactinemia. I remember asking one of the doctor’s if they ever had a case like mine and he said, “If we didn’t think it could work, we wouldn’t be suggesting this treatment.” I’m now 35 weeks along. 🙂

I want to wish you all the best on this journey. 

Post # 4
Member
3269 posts
Sugar bee

If you respond well to the meds you could end up with a lot of embryos.  For me personally 6 retrievals is a lot.  I wouldn’t have had 6 in me. 

In the end I had 1 retrieval, 1 fresh, 4 transfers.  The first retreival yielded 21 that survived to day 5 and were frozen. 

Canadian clinics are quite hestitant to transfer more then 1 unless you have had multiple failed transfers.  So even after all of that I had loads left over.

After we went to a donor we had 18 day 5s.  And we then transfered 4, 3 times and ended up with 1 set of twins (well triplets, but resulted in twin birth). 

6 retreivals is very hard on a body and mind.  There is also the question of what happens to the embryos that you don’t end up transferring.  It is good to think of this now if you have any religious or moral objections to their destruction.

Post # 5
Member
260 posts
Helper bee
  • Wedding: July 2015

I think if your main issue is the male infertility you should hopefully not need 6 retrievals ESP if you’re doing icsi. However I’m not sure how tilted uterus affects implantation or anything and sometimes there are unknown issues with egg quality and other stuff that you just don’t know until you get in there and try. But we did ivf with icsi for sperm issues and ended up pregnant on the first retrieval/transfer with 3 more in the freezer. Hoping to not have to do another retrieval again. There are a lot of women on these boards who overcame male infertility fairly easily as well (I can’t remember if it was on the oct baby thread or the journey of pregnancy after infertility or miscarriage thread)  but I think you should talk to your doctor about the expectations for your specific issues. 

Post # 6
Member
3688 posts
Sugar bee
  • Wedding: October 2013

We had issues with male infertility as well. We did one retrieval, had one failed fresh transfer (it implanted but was a chemical pregnancy) and got pregnant off of our first FET (currently 31 weeks). My clinic was able to put all of our numbers in to a computer program and give us a probability of success for each trial… does your clinic do that? IVF tends to be pretty successful for couples with MFI only. Best of luck!

Post # 8
Member
3269 posts
Sugar bee

If it’s 1 retrieval and 5 FETs I would  look to see if it is really cheaper even if it took all 6. FETs were really cheap, like 400 a cycle. It was only the retrieval and stims that were expensive.

As much as it is a very emotional issue the clinic is also looking to make money. I’d suspect that the guaranteed package is what is in their best interest and plays on your heart strings

Post # 9
Member
7671 posts
Bumble Beekeeper
  • Wedding: October 2013

after our 2 IUIs failed, i was starting to worry how we were going to pay for IVF. 

even though my state mandates infertility coverage, i have federal insurance.  the financial counselor at the RE’s office suggested i purchase seconadary insurance. 

i did another round of IUI, then IVF with ICSI.  my progesterone got too high prior to transfer and it became a freeze all cycle.  we had 2 freeze quality.  RE was pushing us to do transfer but at that point the next cycle would be 100% covered since we met our OOP max on the secondary.  i went through another fresh round 3 were freeze quality, 1 was transfered.  and now we have a 15 months old son.

fast forward to DS turning 1, we wanted to do an FET.  this time 100% out of pocket.  the shared risk program was a little more than 2 transfers would cost.  so we decided to gamble and not do shared risk.  1st transfer was successful and now we are expecting #2, i am almost 17w.

so overall, both my transfers worked on the first try.

i was 33 at retrieval.  i have high E2, (eqq quality about 10 years older than I am), a large fibroid outside of my uterus. DH has on the lower side of normal count but very poor morphology.

 

good luck

 

 

Post # 10
Member
260 posts
Helper bee
  • Wedding: July 2015

mama2bee71 :  are you looking to get only one baby out of your IVF treatment or have frozen embryos left for future siblings? I think given what you said about the tilted uterus I would go with the second plan. If it allows for 2 retrievals you should hopefully get a few embryos out of those. You might even get enough embryos to freeze some after the first retrieval like I did, then you could do frozen transfers (the second package also includes 4 transfers right?) with those remaining whether it be that the first transfer doesn’t stick or that you want more than one child.  I would also price out what it would be if you did the lower package and maybe needed one more retrieval or one more transfer. I feel its more likely that if the lower plan didnt work out then you would only need one or two more retreivals and that 6 retrievals seems like a catastrophic type insurance plan. 

Post # 11
Member
961 posts
Busy bee
  • Wedding: July 2013

I don’t know anything about packages (I think it’s different in Canada).  What I can say is 6 transfers is an awful lot. I would have had a hard time doing more than one or two. If you respond well to meds you will likely have embryos left (as a PP said). So more than a couple retrievals may be unnecessary depending on how many babies you want to have. For us, we did one retrieval, one fresh transfer (failed) and one frozen transfer (successful). I only got 2 embryos despite being expected to respond very well (my clinic low dosed my meds because they didn’t want me to get OHSS). I would have done one more retrieval if I had to but I doubt I could have done more than that. We paid OOP as well.

Post # 12
Member
7671 posts
Bumble Beekeeper
  • Wedding: October 2013

bellarose606 :  every shared risk program i have seen, ends when you take home a baby.  you can’t carry over transfers for subsequent transfers on multiple children.

so if she uses 1 fresh IVF, is able to freeze from that cycle, and take home a baby.  when she is ready for her next child, she will have to go through this process again of shared risk or pay by cycle.

Post # 13
Member
3688 posts
Sugar bee
  • Wedding: October 2013

mama2bee71 :  no we didn’t do PGT. It was a big out of pocket expense plus our doctor said he thought we would be fine since I had no egg issues, and we also wanted to do a fresh transfer. 

Post # 15
Member
961 posts
Busy bee
  • Wedding: July 2013

mama2bee71 :  OHSS is Ovarian Hyperstimulation Syndrome. Can happen if you are overstimulated with meds. Your clinic should be very aware and try to keep you as safe as possible. OOP is out of pocket 🙂

For my clinic their fresh and frozen transfers had the same success rate and we didn’t do PGS, so it didn’t make as much of a difference for us.

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