Thoughts on assited hatching with FET

posted 2 weeks ago in TTC
Post # 2
Member
3934 posts
Honey bee

I specifically told my RE not to do assisted hatching. My embryo from my FET had not begun hatching on its own at transfer, and wasn’t even 100% expanded, but it stuck and I’m now 19 weeks pregnant. I did not want assisted hatching, after reading quite a few studies that concluded there isn’t significant value in it, it could cause damage to the embryo, it slightly increases the possibility of twins, and is more of a “may as well since we can” type of add on at the clinic. I am very against doing anything with the RE that is not proven to be useful and effective in my case, since there are still so many unknowns about how IVF effects children throughout their lives. Do I think its a huge deal whether you do it or not? Not really, but for me, I didn’t want it.

I read your other thread about this being your last embryo. I understand you may feel the stakes are higher. IMO, what’s most important is that you feel good about the decision and won’t beat yourself up if things don’t go well (hopefully its a non issue). So if you think you will say “what if we did AH, would it have made a difference?”, I would lean towards just doing it.

I was actually somewhat in your shoes with this last transfer. While we did have more embryos, my husband didn’t want to do more than 1, or maybe 2, transfers, and we for sure did not want to do another round of IVF. We did keep the window open to change our minds should we need to, but that was our feeling going into our transfer. We are happy as a family of three, and didn’t want to go down the long road and stress for #2…it just turned out the one shot worked!

Post # 3
Member
8520 posts
Bumble Beekeeper

candy08 :  my clinic does it for all FET and I was hesitent – the risk of twins scared the crap out of me! My fresh transfer resulted in my daughter so I had never had a failed transfer, I was 34 at the time of my FET, and I’ve never had any lining issues (10mm+ for both transfers). However my RE was insistent and I chose that clinic because I trust their judgment and abilities. It worked and I’m currently 20 weeks pregnant with one baby so I have to say it was a positive experience for me. 

Post # 6
Member
8520 posts
Bumble Beekeeper

candy08 :  we also did ICSI and still no twins! They said that they have found that they have a higher success rate using the assisted hatching and it’s just their standard protocol for FET. They also said that they have to give the twin warning, but that the actual increased risk is extremely slight. I was willing to try without it since we had 3 embryos, but my husband and doctor both wanted the assisted hatch so I just said fine. Now we have 2 embryos leftover that we need to decide what to do with!!

Post # 7
Member
240 posts
Helper bee
  • Wedding: September 2017

candy08 :  my clinic automatically does assisted hatching for FETs. I was happy because my fresh transfer failed and thought the extra help couldn’t hurt. It worked, but now I’m 9 weeks pregnant with identical twins which is a whole other set of worries :/ from what I’ve heard this is rare, but I know now I’ll be more hesitant in the future. 

Post # 8
Member
92 posts
Worker bee
  • Wedding: October 2012

My clinic also does assisted hatching as standard practice (maybe only if you’re over 35?).  I’m about to start prepping for my first FET after CCS testing, so no commentary yet on how it turned out.  My doctor is big on a lot of the extra IVF bells and whistles, which sometimes makes me nervous when I read the negatives, but they have extremely high success rates and I trust their judgement so far, so I’m hoping for the best.

My bigger concern on the hatching was damage to the embryos, especially after ICSI and biopsies, but now reading this thread I’m probably going to be more paranoid about twins :/ 

Post # 11
Member
8520 posts
Bumble Beekeeper

candy08 :  my understanding is that there is no reason to do it on fresh because it’s the act of freezing that makes the outer shell harder and needing of the help.

Post # 13
Member
8520 posts
Bumble Beekeeper

candy08 :  thanks! And good luck with your transfer! We’ll have two years of double daycare and it’ll be tight, but we have a plan and two years will fly by. Plus it will feel like a massive raise when our daughter goes to kindergarten lol. My husband still wants to leave open the possibility of a third since we’d always talked about it and I flat out said “sure, but you’re carrying this time because my uterus is closed after this kid”. 

Post # 15
Member
240 posts
Helper bee
  • Wedding: September 2017

candy08 :   scootersandwich :  I wouldn’t worry too much. To be honest I’ve rarely heard of this happening. I think I read 2% as well compared to the general population of 0.5%. But I will say after 2 years of loss and infertility the idea of holding my breath for another 9 months isn’t fun 😂

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