Post # 1
I’m curious as to how many embryos you would transfer during IVF…or how many you did transfer for those bees who’ve done this process.
IVF is our only route according to my RE and a Girlfriend of mine that used the same doc said that particular clinic only transfers THREE max. This Girlfriend had 3 (actually 5 but only 3 survived) but her RE told her (and I completely understand) that she thought she should only do TWO. She decided to do the max of 3 and is expecting twins. Said Girlfriend told me that her and her Darling Husband spent the days waiting for the transfer back and forth on how MANY to transfer. She said I needed to think about it before I’m faced with that decision.
I have only 1 other friend IRL that had 2 successful IVFs and both times only transferred ONE embryo b/c they felt their chances were better. But his wife had major medical issues and they told her she shouldn’t consider more than one anyways…she also delivered both at 6-7 months b/c of her condition.
So I’m not starting IVF for a few more months but I think this is something that needs to be considered…of course, I know that I may not be lucky enough to have that many. Our RE also likes to have an idea of where we stand on the decision too.
Finances aren’t an issue here…but pregnancy complications is something I’m thinking about as is the fact that multiples aren’t exactly easy. I know quite a few moms of twins here and all of them only have the 2 b/c that’s how many they wanted…which is actually the number Darling Husband and I want..although I’d be happy w/one!
There’s also the bonus of not having to go through the fertility stuff again b/c I’ll be 38 when I give birth (assuming it works) and my clinic doesn’t do treatments on women over 40 so I’d have only 18 months after the first to try again.
I’ve included a poll and also assuming the clinic only transfers 3…
ETA: If I only had 1, the answer is obvious. If I had 2, I’d still have to consider twins…this is more of taking the chance of having triplets.
Post # 3
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
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
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
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
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 # 8
@nyckitten: FX for you!!! I haven’t talked to our RE about freezing the embryos since we’re overseas and “might” not be here when we’re ready to try for #2…assuming we are successful the first time.
I can honestly say the only reason I’d consider 3 is NOT because I think they’d all take but that it would give me a better chance than one….but that’s the risk itself and I don’t think I can do that.
Like I said I would be happy w/just one. However, I can only imagine going through the process and failing since I’ve done that for a long time…attempting naturally, using clomid, injectables/IUI several times but never IVF.
I’ll have to ask the RE about eSET and see what she says…thanks for the info. I might PM you once I have my next appt.
Post # 9
- 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
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
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
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
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
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
My sister implanted one each time, and they each took.
Post # 16
@Glasgowbound: I had NOT even considered the fact that they might split. I looked it up and found many instances where it had happened. Now I’m freaking out! I’m petite and don’t know if my body could handle triplets.
I’m going to ask my RE what the statistics are for their clinic on splitting. Apparently the risk goes up if you do ICSI or AH. I’m pretty sure we’ll do ICSI since there is a male infertility factor in my case.
Not sure if the splitting has to do w/actually doing IVF or genetics or both. Darling Husband has 2 female cousins that each have a set of twins and his brother just had twins. We found out a few years ago that my mom’s “real” dad (she was adopted) has twins in his family as well. I’m leaning towards only transferring 1 now.