Our clinic always transfer two for a frozen cycle, 2 for 2/3day fresh transfers and will only transfer 1 blastocyst for a fresh. Every clinic seems different. For me I've had:
1 fresh blast = BFN
1 2day fresh transfer= BFP. Little boy born.
2 frozen blasts = BFP= MC.
Doesn't seem to be any rules with it and every embryo has a chance but if you want 2 you can push for it. All the best.
My clinic refused to transfer 2x aa grade blastocysts. We transferred a day 6 4bb and a day 5 5ba and had twins. Transferring 2 top grade means very likely to have twins so only do it if you can physically and financially cope with multiples
Thanks for the reply. My clinic said they’d like to just transfer the 1 this time and if this one doesn’t work then they will start doing double embryo transfers next time. I don’t see the difference in doing it now or next time, they’ll still be the same grade. I’ve just turned 39 but if I was 40 then they would do double transfers. Our fresh transfer was the best of the bunch and that didn’t implant, so I feel like there is no way of knowing if a top grade will work once transferred. The clinic gave us such positive information with our fresh transfer so we are devastated it didn’t work. Is using frozen better than fresh do you think?
I think I agree with your clinic to try one more only 1 embryo and double if that doesn’t work. Unless financially not possible I would follow their guidance to avoid twins. Specially since you already have a kid. If you have complications during pregnancy, even minor ones that can be managed, may keep you from being able to take care of the other child, work, house etc...
looks like you will be successful at the end, it’s about when!
I’ve had two failed IVF transfers, 1x fresh (5AA hatching blastocyst) and 1x frozen (4AA). I’m now 6dp5dt with 2x 3AB blastocysts - I’m 31. To begin with, my consultant didn’t agree with transferring two but given it was my third transfer, she suggested we try it.
Had my consultant not suggested it, we probably would have transferred one again but I’m glad we’ve gone with two now. We are fully aware of the potential of a twin pregnancy, however given I’ve had two failed transfers already I was more doing this to increase the odds of at least one implanting. That said, I’d also be happy with twins! Xx
I transferred two frozen 5AA embryos and fell pregnant with 1 baby! We also used embryo glue, not sure if it helped but they said it can increase chances by 10 % so thought we may as well.
Thanks for your reply. It does confirm they can’t tell even with a top grade embryo if it’s going to stick. My clinic use the glue as part of the process anyway.
The idea of twins isn’t an issue. I’d just be happy with whatever nature provides me with
I think the best success rates are for multiple single transfers, as if one embryo fails it can cause a good to one to fail, too. I had to decide between double transfer or pgs testing last cycle. We went for pgs testing and two out of three day 5 embryos deteriorated before they were ready for biopsy. The embryologist said it was good we hadn't transferred 2 as it would have deteriorated in the womb and could have caused the good one to fail. I'm 7 weeks pregnant now. My reason for considering double was that I couldn't face multiple failed transfers. I definitely didn't want twins!
Thanks for your reply. Congratulations on your pregnancy.
It’s a really tough decision!
I’ve had a few different outcomes.
1st cycle only one embryo to transfer, miscarriage at 12 weeks.
2nd cycle two transferred and 1 made it to full term baby with no complications (daughter is now 5)
3rd cycle one transferred and didn’t implant.
So now we’re waiting for FET.
I think it’s really hard to tell what’s going to happen once they’ve been transferred.
I don’t think i can go through several failed single transfers. And then I’d think ‘what if I’d transferred more’. Or if I do DET I’d be thinking I should have transferred less.
It's really tough, and every failed transfer takes its toll. I had 3 failed and I was really reaching my limits. I also have a 5 year old, conceived naturally. Good luck whatever you decide. X
my clinic (and 3 others in the uk) said they would only ever transfer 1 as our frozen embryos were always going to be under the age of 40 as I was 35 when they were frozen. the risk with losing twins and or having issues is considered too high and one failed blastocyst could cause the other to fail too - so best chances for a healthy live birth outcome are doing singles each time.
I’m having my first double transfer (which is my fourth) this month. The clinic are only allowing it because both embryos are low grade. My understanding is that the chance of success is very marginally increased if both embryos are of the same quality. However, if one is lower quality than the other, as others have said, it can reduce the chance of success. Good luck! xx
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