Two embryo transfer question

[Yellowbellow1212]

Can I transfer two embryos that are not of same quality? Will the poorer quality one affect the other or success chances ?

One is B2 and other one is B4AA

[Millbanks]

Hi lovely, I had read somewhere that this might be the case so I asked my embryologist - and he thought I was mad. He said that there is no research anywhere that shows this would happen. We've always opted to go with 2 as the chances are slightly higher of one taking. xx

[Yellowbellow1212 in reply to Millbanks]

thank you for your help and insight. I have had two failed transfers and I am hesitating transfering 2 this time. My doctor was against it so far because I am young and it is a risk pregnancy... I am pretty lost

[Millbanks in reply to Yellowbellow1212]

It's so hard to know what to do for the best. What's making you hesitant to transfer 2? x

[Yellowbellow1212 in reply to Millbanks]

Because I only have those two left. Because my doctor seemed sure about putting one at the time because I am young and twin pregnancies are more of a risk. And also he told me this theory of one wrongly affecting the other. But at this point so far he was very sure the two first transfers would work and they haven't so I am looking at other people advice. And the two embryo transfer seems something that works. The two left are different grading B2 and B4AA...

[Millbanks in reply to Yellowbellow1212]

Got it. It's a tough decision for sure. Is there anything else that has been tested since your last transfer? Are they doing anything differently this time? x

[Yellowbellow1212 in reply to Millbanks]

No i don't think so, I am still waiting for my period so haven't done the bloodtest and meeting yet. However on the second transfer which was a FET 5 day embryo (the first was fresh 2 day), they found my progesterone was low so they added injections of progesterone to the pessaries. But this third round for the moment i don't know if they are planning to do anything different.

[Millbanks in reply to Yellowbellow1212]

I think to some extent it is just a numbers game - number 3 might just be the one. Clinics often try a few transfers before suggesting any further investigation because its likely that 30 - 40% of your embryos created are chromosomally normal (depending on your age) so out of 4 you would expect at least 1 to be "normal".

[Yellowbellow1212 in reply to Millbanks]

no I understand, I think I will listen to what my doctor thinks is right this time and it is a matter of numbers but often we seem to forget this part when the transfer date is close haha

[Millbanks in reply to Yellowbellow1212]

I completely agree! You just want it to happen now but we have to remember that it can take time... wishing you lots of luck x

[Yellowbellow1212 in reply to Millbanks]

thanks for your help btw

[Millbanks in reply to Yellowbellow1212]

❤️

[Ivfgotadream]

My twins were a 5BA and a day 6 4BB.We were originally going to transfer different ones but after reviewing the time lapse footage the clinic said these 2 complemented each other “best” and it worked for us!

They said it’s not so much the grading itself which is more for freezing purposes but they look at their development over the whole 5 days

[Yellowbellow1212 in reply to Ivfgotadream]

How could they see they "complimented" each other best and what exactly consists the time lapse footage ? thanks

[Ivfgotadream in reply to Yellowbellow1212]

They just said that whilst the day 6 was the lowest graded out of my 4 the way it developed over the 5 days and it’s cell structure best matched that of the 5BA

The time lapse or embryoscope is where a computer takes a photo of the developing embryo every few seconds/minutes over the 5 days so they can more closely see how the cells are dividing and forming