Transfer after long 15-day stimulation?

[DJ202]

Hi all,

I hope you’re keeping well! I am currently undergoing round 2 of IVF and have just talked to my doctor – have to extend stimulations to cycle day 16 due to lower response in comparison to last time. I’m currently on 2x150IU menopur + cetrotide a day. Now we’re faced with the question of whether or not to do a fresh transfer after the egg collection on cycle day 19. The doctor said that the endometrium may be impacted by the extended stimulation duration, but there is no scientific evidence for this. During my previous cycle (normal cycle with EC on CD15), we couldn’t do a fresh transfer because my endometrium had changed from triple-line to homogenous and a polyp had developed. My endometrium today is good, triple-line, 9.6mm. We want to increase our chances as much as possible. We’re abroad for treatment, which in the case of a FET would mean another trip (with all the extra time, hassle, cost...). But more importantly we want to make sure we have good chances!

If any of you could share your experiences and thoughts, this would be greatly appreciated!!

I’ll have my progesterone levels checked Wednesday, which is the only thing we can do to check anything at this point.

Thank you for sharing your thoughts/experiences! Really don’t know what to do now… x

[DianeArnold Partner Nurse Fertility Network UK]

Hi DJ. That was a long down reg, but it happens! Just wanted to wish you well with transfer. drink plenty of water and just have a little rest, then keep busy if you can. Good luck! Diane

[itsworks17]

Hi. Less stress for sure. I heard what fet is better then fresh one. I personally did my fet 3 months after and success. Good luck

[Beatrix_K]

Hia on our second round I did a fresh transfer after long protocol and got a BFP. I didn’t have an issue with stimulation though so lining was in-sync. Surely they’re going to scan you again before retrieval? That should give you the information you need to make a decision - as you say you want to give yourself the best chances. Good luck and if you’re somewhere warm try and soak up some rays x

[DJ202 in reply to Beatrix_K]

Thanks Beatrix! How long did you stim for? I'm on a short protocol but will be on 16 days of stimulation meds. Yes there'll be another scan on retrieval day. I've done some research and it seems that although the general opinion seems to be that FET has better results than a fresh transfer, this doesn't seem to hold for low responders, for whom the reverse appears to be true. I've got some time to do some more research and will try and relax at the same time! X

[singleswimmer]

How are you going? Decision-making like this is so 🤯

[DJ202 in reply to singleswimmer]

Thanks for asking hun! We've got 4 eggs retrieved, endometrium is good, triple line and 10mm, so have decided to go for fresh transfer next week if we're lucky enough to get an embryo! Will get an update from the clinic tomorrow and hoping for positive development! Keep your fingers crossed!! xx

[singleswimmer]

Excellent - hang in there! Is tomorrow day 3 post retrieval?

[DJ202 in reply to singleswimmer]

Thank you! Yes, tomorrow will be day 3! Really hoping for the best here and will try to distract myself today from it as much as possible!! xx