Mock HRT transfer cycles? thoughts? - Fertility Network UK

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Mock HRT transfer cycles? thoughts?

Emmyeve profile image
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Just wondering what everyone’s thoughts are on mock HRT transfer cycles? Has anyone had it done? Do you think it was worth it? Did It delay things?

While we are waiting for our NHS first cycle date, we are looking into private costs & our clinic charge £550 for this.

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Emmyeve profile image
Emmyeve
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Anya80 profile image
Anya80

I’m not expert here never had this done it before although 2fresh ivfs and 2fet done in past and one son in result. But currently I’ve undergone with my 3FET, with the same clinic, and with my surprise they did Mock transfer shortly before the real one, they did not charged me extra as they said they offer that option as a part of following attempts (I had two earlier FETs with them which one ended mmc and second one was clear bfn).

Not sure what the outcome will be for me this time but I was glad they did it this way at last as this is new thing this time round for us-God knows if this helps. But they tested themselves with the best way of inserting embryos and so they knew the shape of my uterus and how they should perform in live transfer.

I think it is good thing and this procedure should be offered for free because undergoing transfer doctors needs to be super sure where they transfer the embryo-but is there lots of chances to transfer embryo elsewhere or in not exact space I don’t know.

Well yet again private clinics try to charge extra for everything ...

Good luck with your chances whatever decision you make! X

Emmyeve profile image
Emmyeve in reply toAnya80

Thank you for your response. If you’ve already had transfers with them, why would they need to do a mock one if they’ve already seen your uterus etc. Or did you have them done a long time ago? Xx

Anya80 profile image
Anya80 in reply toEmmyeve

I was having treatments first 4yesrs ago, then last year and now again and I’m having every time different doctors so they might’ve not knowing my body well, my scans also were made by completely different persons from those making transfers (this is common in my hospital). they did tell me that each time (for reoccurring attempts) they do transfers differently, sounded as they might’ve bit checking themselves what is best outcome for their patients..

Emmyeve profile image
Emmyeve in reply toAnya80

Do you know at what point in your IVF that you’re having the mock transfer?

Anya80 profile image
Anya80 in reply toEmmyeve

That was done for me the same day and same time as real transfer. So they’ve put me on bed and prepared for real transfer as they did normally any other time, and once ready they did do MOCK transfer. I was really so unaware of it so it was big surprise to us when theyve taken the cater out of me as thought something was wrong They explained that was only trail first and then proceeded straight to real transfer so I should not worry!

All procedure taken but longer in the end but I guess not bad thing in the end ...

Emmyeve profile image
Emmyeve in reply toAnya80

Oh i see. Sounds very straight forward. I do think that’s the best time to do it, right before the transfer. X

Anya80 profile image
Anya80 in reply toEmmyeve

I think it depends from clinic how/when they do! It’s good thing but I must say it’s expensive if you do this with additional expense. What’s your feeling for it?

Emmyeve profile image
Emmyeve in reply toAnya80

I probably wouldn’t pay for it to be done first time round tbh. I would consider it second time round if first cycle wasn’t successful. I had the camera inside the uterus when I had excision surgery last December and everything fine but I guess that was a while back.

I’m not sure what mock hrt means but a mock embryo transfer is definitely best practice. At my clinic they do it whilst you are down regulating. My first one was unsuccessful and so I downregulated for an extra week so they could book me in with the clinic director and she succeeded with a mock ET and was happy for me to start stims so that I could go ahead with my cycle. If she had not been able to do a mock transfer then I would have either abandoned or done egg collection but frozen embryos before having a cervical dilation to make transfer easier.

My first cycle failed so I ended up having a dilation anyway.

Emmyeve profile image
Emmyeve in reply toLizzielizzielizzie

Thank you for your reponse. I’m a bit confused, you had the mock transfer BEFORE stims? What did she want to do mock transfer before the meds for? Surely things could have changed inside there between the time of taking meds and time to do real transfer? (I’m not too knowledgeable on this)

can I ask why you had to have cervical dilation? What does this involve?

Lizzielizzielizzie profile image
Lizzielizzielizzie in reply toEmmyeve

Stims shouldn’t affect how easy it is to access your womb through your cervix and that’s what a mock embryo transfer is testing. Stims are affecting your womb lining and ovaries but your womb lining thickness doesn’t make any difference to your cervix as far as I know. As I say, at my clinic where they do a lot of long protocol, this is their standard procedure for first rounds of ivf. If you’ve already had a camera through your cervix though then you should be able to feel fairly confident that your cervix is accessible and I would question whether you need a mock transfer if the camera was done whilst you were awake and was done without any problems.

What’s the HRT part? I’ve never heard of this.

I had cervical dilation because I had a pinhole cervix in a fairly inaccessible location (retroverted uterus) and the only way they managed ET the first time was by using a tool called a clamp. This is not nice! Cervical dilation is a procedure where they use increasing size catheters to widen your cervix and is usually done under general anaesthetic though I have heard of clinics abroad who are willing to do it whilst you are awake. It lasts at least six months and makes access through cervix easier. It’s pretty rare to need this though so I wouldn’t worry about it.

Cinderella5 profile image
Cinderella5

Hi Emmy, I didnt have a mock transfer for the first 3 of my embryo transfers. However as time went on and I got the 4th it was actually a difficult procedure which Im sure contributed to my failure. I had a mock transfer after that one as there was talk that I may need a cervical dilation (this is the dilate/stretch the cervical canal as some people have blockages or its very tight...google cervical stenosis) so that the best catheter could be selected for me and it also confirmed that I indeed have developed a slight curve in my cervix (which I think gets worse with progesterone). So now the consultant knows to angle the catheter in a in a certain direction etc to pass the catheter through the canal into my uterus. For most embryo transfers are fairly easy and painless but I guess a small majority of us have issues.....would I have paid £550 for it without knowing I had issues....no way. By the way mine was £250 when I did eventually have it done. I posted about my mock if you want a nosey.xx

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