(Closed) IVF question: How many embryos would you transfer?

posted 5 years ago in TTC
  • poll: How many embryos would you transfer assuming you had 3?
    All 3... : (31 votes)
    39 %
    Just 2... : (41 votes)
    52 %
    Only 1... : (7 votes)
    9 %
  • Post # 3
    2295 posts
    Buzzing bee
    • Wedding: April 2013

    Probably 2. So many factors at play though – age, finances, doctor recommendation based on how “good” they are. Even carrying twins can be risky but my first reaction is 2.

    Post # 4
    529 posts
    Busy bee

    I’d go with two. Triplet would be a massive challenge, and exhausting, which I personally don’t think I could deal with, hence wouldn’t want to take the risk.

    Post # 5
    2490 posts
    Buzzing bee
    • Wedding: July 2018

    I would go with 2. This is something I have thought about a lot because it could be something that we might be facing eventually. I would be happy and fine with twins but I wouldn’t want triplets if I could help it… I don’t want more than 2 kids and I think triplets would drain us in every way possible.

    Post # 6
    1226 posts
    Bumble bee
    • Wedding: May 2011

    I was in this position with my first IVF — we had 3 embryos and had to decide how many to place back.  We were good candidates for elective single embryo transfer (eSET in the OB/GYN lingo) because we are young (both Darling Husband and I are 32), and we have the resources to do multiple IVF cycles if needed.  So we implanted just one embryo and froze the others.  So I chose 1 in your survey.  Unfortunately our first round didn’t work, so with our frozen cycle we again had to decide whether to implant 1 or do both of our frozen embryos.  We again did 1 and I am in the “TWW” for that cycle to see if it worked (though I’ve cheated by checking at home and it seems again unsuccessful). 

    Our RE supports eSET so it also made our decision a bit easier.  Your chances of ending up pregnant from transferring 1 embryo are somewhat lower than from transferring 2 at once (at least this is the prevailing view — some people say differently).  But research has shown that the cumulative success rate of transferring 1 and then doing a frozen cycle transferring 1 is as high as if you transferred 2 at once.  For us it was worth it to try multiple times since we really do not want twins.  I am very scared of a twin pregnancy — twins have much higher rates of prematuraty, cerebral palsy, etc. etc.  That said, of course many people have twins with no problem!  I also had specific reasons to worry about my own pregnancy — I have a high stress job and most people seem to deliver prematurely even without twins! Transferring 3 was out of the question for us because I absolutely would not want triplets — triplets are at extremely high risk. 

    The other thing to keep in mind is that, though very rare, the embryos can split once inside you.  So you could transfer 3 and end up with even more.  This is how some people end up with such high order multiples. 

    All of that said, if I was in your shoes at age 38 I feel like I probably would lean toward transfering 2, and then freeze any embryos you had in excess of that.  But it’s a very personal decision and there’s no right answer!  Feel free to PM me if you want to talk. 

    Post # 7
    1949 posts
    Buzzing bee
    • Wedding: August 2011

    I’ve never been in this position, and am currently expecting our first child. But I would say that if you only ever want two kids, then I would say do not transfer 3 embryos. You have to be 100% fine with the possibility of having triplets if you are transfering all 3.

    Good luck with whatever you decide! 🙂

    Post # 9
    9142 posts
    Buzzing Beekeeper
    • Wedding: November 2013 - St. Augustine Beach, FL

    I would transfer two.  If you do one and it doesn’t take, you will always wonder.  If you do three and all three take, triplets is lot to deal with emotionally and physically.  Twins can be overwhelming at times but they are slightly more doable than triplets.

    Post # 10
    3686 posts
    Sugar bee
    • Wedding: August 2013

    I’ve only had one friend go through IVF. The first cycle, they transferred one and it didn’t take. The second cycle, they transferred two, one implanted, and she’s 32 weeks pregnant today.


    Post # 11
    543 posts
    Busy bee
    • Wedding: November 2012

    I think I would only do 2, tops. As 1 pp said, embryos can and do split; even with just 1 embryo you risk having twins, and the risk doubles from there.

    Post # 12
    4041 posts
    Honey bee
    • Wedding: August 2013

    I’d do two. 

    But to add another perspective – a good friend from high school had to do IVF. They had 3 viable embryos, decided to implant 2 as they didn’t want to chance all three sticking and having triplets. Well, one of the implanted embryos split, so they now have triplets – twin girls and a boy! 

    Post # 13
    1052 posts
    Bumble bee
    • Wedding: March 2011

    I’m probably an outlier here, but if this is going to be your only IVF cycle due to age/circumstances, you’d like more than one child, and you’re okay with having twins, I’d probably go with two or three. It’s more common for some of the embryos not to take than for all of them to implant successfully, but so much of the decision depends on your personal medical history so it’s tough to say.

    I would discuss with your Darling Husband whether you’re open to twins, if you’re open to and have enough time for another IVF cycle, etc and then discuss your answers with your doctor. Your doctor can analyze your personal case, your chances of conceiving etc. and help you make the decision. If I was in your position, at 38, with such a small window to continue treatment, I’d probably try for twins. I also have a lot of experience nannying for multiples though, and am especially fond of and comfortable with twins so they would be a plus for me.


    Post # 14
    13099 posts
    Honey Beekeeper
    • Wedding: July 2010

    I’d do two.  I’d want the extra “chance” to help our odds of at least one of the embryos implanting successfully.

    Post # 15
    3572 posts
    Sugar bee
    • Wedding: September 2011

    My sister implanted one each time, and they each took.  

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