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

posted 4 years ago in TTC
Post # 17
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9579 posts
Buzzing Beekeeper
  • Wedding: October 2013

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mama2bee71 :  from 2 fresh cycles, we were able to freeze 5 embryos.

when it was time for #2, we absolutely used frozen. 

1) my embryos are from when i was 33 and will forever be 33, now i am 35  and if we decide to have a 3rd, my embryos will still be 33 which eliminates some of the advanced maternal age and genetic issues.

2) an FET is a lot less intensive on your body than IVF

3) it is less money to do an FET over IVF

 

so to answer your question, from my 1st round of IVF that became freeze all, only 2 were freeze quality. our RE pushed for an FET. but our next cycle would have been covered and i wanted the insurance of more eggs so i wouldn’t have to do IVF again.  had that cycle worked, i would have transfered 1 and froze 1.  then if that 1 didn’t take when we were ready to try again, i would need to do the retreival process again.

a friend of mine when through 3 retreivals to bank enough to PGS test and then did an FET.

so it really depends.  but if you have frozen, i would generally say, use those before going through the ER again.

 

 

Post # 18
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1128 posts
Bumble bee
  • Wedding: July 2013

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mama2bee71 :  We partnered with the clinic that was local to us. We didn’t really have much of a choice in that matter.

I believe they would use all the eggs from the first retrieval before moving on to another retrieval.

Post # 21
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9579 posts
Buzzing Beekeeper
  • Wedding: October 2013

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mama2bee71 :  so it really depends.  i added some more info to my response above.

here it is again

so to answer your question, from my 1st round of IVF that became freeze all, only 2 were freeze quality. our RE pushed for an FET. but our next cycle would have been covered and i wanted the insurance of more eggs so i wouldn’t have to do IVF again.  had that cycle worked, i would have transfered 1 and froze 1.  then if that 1 didn’t take when we were ready to try again, i would need to do the retreival process again.

a friend of mine when through 3 retreivals to bank enough to PGS test and then did an FET.

so it really depends.  but if you have frozen, i would generally say, use those before going through the ER again

 

Post # 23
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9579 posts
Buzzing Beekeeper
  • Wedding: October 2013

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mama2bee71 :  my clinic’s rule of thumb is under 38, first IVF, then the recommedation is 1 embryo.  of course, it is your body so if you want 2 then, i don’t know if they can really stop you as long as you understand the risks.  not just of taking care of 2 babies, but mutiples are usually early and there is a risk to mom for carrying multiples as well.

DH was 100% against twins, so we transfered 1 and got DS and transfered 1 again for my current pregnancy. if this one had failed, i might have been able to convince him on 2 for the next time.

 

and yes, if you want to do 2 retreivels before transfer, there is nothing wrong with that.

Post # 25
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9579 posts
Buzzing Beekeeper
  • Wedding: October 2013

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mama2bee71 :  not quite sure i understand your question.  after the retrival, they give you a daily fertilization report on the status of the embryos.  sometimes the embryos are slow to divide and some do stop growing and arrest.  but you would know everyday. you would never go in for transfer if there was nothing to transfer.

going into my FET, they thawed one.  had that embryo not survived thaw, they would have thawed another one for us to transfer. my clinic uses the vitrification process to freeze embryos and they have a very high survival rate. 

Post # 26
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340 posts
Helper bee
  • Wedding: July 2015

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ajillity81 :  
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mama2bee71 :  wow! I didn’t realize it was shared risk and I also didn’t know that shared risk ends with first baby. Are you saying if she had extra embies that they froze after she got pregnant they wouldn’t let her use them if she wanted another baby and she would have to do another retrieval with stims and everything bc she had her one baby?? Or am I interpreting that wrong? Lol 

Post # 27
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523 posts
Busy bee

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bellarose606 :  From what I understood, you would have to pay for the subsequent transfers but that you would have to use what you had until it was gone. For example, on first retrieval they froze 4, if it took 4 transfers to get pregnant, that would be it. They wouldn’t do another retrieval when you got down to embryo 2 or 1. 

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mama2bee71 :  Definitely ask what happens if you need to “upgrade” your package- we purchased a package of 1 retrieval max 2 transfers (ended with baby). We wound up needing/deciding to do a second retrieval after our first transfer failed (we had 1 in freezer at that point). They only charged us the difference between the 1 retrieval package and the 2 retrieval package (and we used the second transfer- I’m 26 weeks pregnant). I would pay for as little up front as you can. While nothing is guaranteed, I don’t think paying up front is going to save you any money and may cost extra.

Post # 28
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1036 posts
Bumble bee

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mama2bee71 :  That’s not the info you need.  You need to know how many average IVF cycles to become pregnant, not what % of pregnancies were singletons, twins, etc.  

Post # 29
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1036 posts
Bumble bee

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mama2bee71 :  If they got 15 eggs that yielded 5 good embryos, then you would transfer each of the 5 embryos before doing another retrieval.  

 

This is basically what happens after your retreival:

1. Day of retreival – doctor will let you know how many eggs were retrieved. DH will make a sperm “deposit” so they can fertilize the eggs in the lab. 

2. Day after retreival – embryologist will call to let you know how many eggs fertilized. Let’s say of 15 eggs, 10 fertilized and are now embryos. 

3. 3 and 5 days after retreival – embryologist will call with updates of how many embryos are still living.  On the 5th day, they will let you know how many embryos you still have and what quality they are.  If you are doing a fresh transfer, it will be today with the highest grade embryo.  If you are doing PGS, they will biopsy each embryo and send a cellular sample out for testing while freezing the embryos. Let’s say that 5 embryos are alive and in good/ great condition on day 5 (i.e., have a defined intercellular mass with a strong protective border).  Day 5 embryos are called blastocysts. 

4. If PGS, you’ll find out in a week or two how many of the 5 blastocysts are chromosomally “normal”. Let’s say 3 of the 5 are normal. You now have 3 tries for FET if you transfer singletons.  The doctor would transfer them in order of quality- ie, any great qualify blastocysts first, then good, then fair (if the fair ones defrost intact).  

 

If you transferred all 3 (over 3 tries) and were still not pregnant (or miscarried, chemical, ectopic, etc), THEN you would start the process for retreival #2.  

 

We had to do 2 retrievals because I only had one fair embryo from my first retreival and we did an unplanned fresh transfer as the embryologist did not think it would survive the freezing process.  That was an early miscarriage.  Second retreival we got 8 eggs and 3 embryos (2 chromosomally normal), one of which I’m 28 weeks pregnant with right now.  The other blastocyst is frozen for a future sibling.  If it doesn’t take, I’ll have to do another retreival and start again.

Post # 30
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340 posts
Helper bee
  • Wedding: July 2015

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Dreaming13 :  ok I figured that they would transfer as many as possible to get the first baby before doing another retrieval. I just read that as if the first transfer stuck and there were extra frozen embies she wouldn’t be allowed to use them in the future for a sibling bc she got her baby from that package?? But that seems crazy- they’re her embryos!! lol maybe I could see having to pay for another transfer for the second child if that’s what they meant but that has to be way cheaper than another medicated stim cycle with retrieval surgery. 

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