Freezing all embryos instead (NHS)

[LadyM2019]

Hi All 👋

I’m having my third round of nhs funded ivf soon..

Round 1: 1 excellent blastocyst but early heavy bleeding 7dp5dt.

Round 2: exactly the same but two embryos frozen. FET 1: chemical. FET 2: late loss.

I’m very hesitant to have a fresh transfer now.. Has anyone having nhs treatment successfully delayed their fresh transfer and frozen their embryos instead for FET?

[Millbanks]

Hi lovely, sorry to hear of your losses.I did IVF with the NHS and as we were getting married - we decided to freeze our embryos and wait until after the wedding to do the FETs.

Personally I prefer an FET as it allows your body to recover and the clinic are able to get your hormone levels right (previously my progesterone was too high to early so we had to cancel the fresh transfer).

xx

[soccerkt6 in reply to Millbanks]

Heya, sorry to jump in here but can I ask what your progesterone levels were when you had your fresh transfer cancelled? I found out after my last fresh transfer that my levels were 391 on transfer day! This seems massively too high so leaning towards doing a freeze-all next time and just curious about others' experiences xx

[Millbanks in reply to soccerkt6]

Hiya! Sorry they never actually told me the levels, but it was that they were too high too soon - so I think FET is much more controlled xx

[soccerkt6 in reply to Millbanks]

Thanks, lovely xx

[Trying00 in reply to soccerkt6]

Hi there! In case it’s helpful my clinic told me recently that they want your progesterone to be as low as possible before egg collection (below 5 - above that can indicate implantation issues ahead) but then as high as possible after, hence all the pessaries and injections! I have had a number of early miscarriages and my consultant wanted it to be above 100 as a minimum as previously it was 40-50. If you’re worried about it being too high, definitely query it with your consultant xx

[soccerkt6 in reply to Trying00]

Ah interesting, thank you. My gynae has always said that she wants it between 60 and 100 on transfer day but I hadn't heard anything about testing prior to egg collection. When did you test prior? The day of your last follicle scan or day of collection?

I'm very sorry to hear about your early losses. 💔 I hope this most recent cycle has gone well so far xx

[Trying00 in reply to soccerkt6]

I'll message you! Hang on

[soccerkt6 in reply to Trying00]

Thank you!

[JA-fnuk Partner Nurse Fertility Network UK]

What does your clinic advice ? Discuss it with them and then decide what your next step will beThinking of you

Janet

[Tnthketnf]

Hi LadyM I had a freeze all cycle with NHS. It was due to a polyp that I had to remove. The treatment wasn't successful but that's due to my bad quality eggs. At the frozen transfer of that cycle I bled early as well which was a progesterone issue.

I am not sure whether this is up to the patient's choice with an NHS clinic especially the one I am with in Scotland. You can definitely ask and see what they say. They will probably need a reason.

Having the experience of both fresh and frozen transfer I personally prefer the fresh due to the huge delay. the frozen one took 5 months from retrieval to transfer because of NHS clinic wanting a proper period before starting a cycle, their lab closing and their standard frozen protocol with prostap etc which is very long

One way to decide is to look at the success rates of your clinics for your age with fresh and frozen transfers. Good luck!