One yolk sac, two fetuses. Help please. Anyone has experienced this before?

[BabyCalin]

Hi all, I had my first 5 day frozen embryo transfer on 28/1. Hcg has been sky high and my pregnancy symptoms have been wild. And as expected I’m having twins. But unfortunately there is only one yolk sac seen on the scan at 6/40+2. They are concerned it could be MCMA (best case scenario MCDA twins) both are high risk to babies and myself. Is it bad if I want to terminate? I am stuck. I’m 41. Got two more frozen embryos left. I’m doing ivf with my beloved husband who sadly RIP in 2020 from leukaemia. And having twins pregnancy with potentially significant risk is gonna be too hard for me mentally and physically as a single mom. Please help. Any advice is welcome 🙏

[Ivfgotadream]

Gosh what a tough one - I guess you’d need to ask yourself how you’d feel if you terminated and then you didn’t have a successful cycle with your remaining 2 frozen? Would you always regret your decision? Could you even make more embryos with your husband sperm?

I have twins and it’s bloody amazing and I would do it all again tomorrow if i could but medically wouldn’t be allowed (DCDA twins but still nearly lost all 3 of us)

There is also the option of selective reduction - I believe it’s offered routinely with MCMA twins due to the risk but again you could end up losing both or if you didn’t how could you explain your decision to the surviving twin you “chose”

At 28 weeks I was told I may have to choose between my twins - I decided to carry on - I know the guilt would have eaten away at me had I let one go

Twins from a single embryo transfer is so rare - is there no way even if they are MCDA that you could keep both with extra support from family?

[BabyCalin in reply to Ivfgotadream]

Thanks a lot. I don’t think I would regret if the remaining two embryos are not successful. What’s meant to be will be. From googling (not the best thing to do) I read even with mcda twins, 1 in 3 will have complication, and the risk of neuro development delay is 30x singleton. MCMA will be even worse. I would be sad if I cannot make any more embryos with my husband’s sperms but I would be able to live with not having any children compared to living with potentially two children with disabilities. I don’t wanna sound harsh, but I don’t think I can do it both mentally and physically.

[Rainbowbaby22]

How high was your hcg level hun xx

[BabyCalin in reply to Rainbowbaby22]

My pregnancy test was positive from 5dp5dt. On 10dp5dt hcg was 402 then on 12dp5dt was 1255 then on 17dp5dt was 12363

[XOXO13]

Hello,

I’m so sorry for the loss of your husband 💔

I can’t tell from reading your post if it has been confirmed you’re definitely expecting twins sharing one sac, or if it’s just expected due to your high HCG? Reading the above post, my HCG was much higher than 402 at 10dp5dt, it was about 730+ and continued to be incredibly high. I’m expecting (DCDA) twins also… I’ve actually been fortunate and haven’t experienced any serious complications and have carried them to almost full term (I’m scheduled to have them Saturday at 37 weeks).

Carrying MCDA or MCMA twins of course is a different experience but it doesn’t have to mean the worst. There’s been positive stories out there, and I actually follow a few on Instagram who have had positive outcomes. What has your doctor said as an outcome?

It’s totally your decision, and it sounds like you’re at peace with any decision you need to make that is right for you and I respect that completely. Personally, if it were me, I’d need to know the best outcome vs the worst outcome and the statistics and evidence before I could make an informed decision.

Whatever decision you make, I’m sure will be right for you.

Wishing you lots of luck and strength, no matter what direction you decide 💛 xx

[BabyCalin in reply to XOXO13]

Thanks xoxo13. It’s confirmed twins with only one gestational sac. Best case scenario MCDA but they only saw one yolk sac today so it could be MCMA. Hence rescan in one week. These are just too high risk, I just can’t deal with all the stress and will not be able to cope if they do turn out to have problems. But equally i would feel really bad for terminating potentially health twins. Just so stuck. I guess I will need to see next week.

[XOXO13 in reply to BabyCalin]

Ah okay… such a tough decision. Hopefully the comment below is useful. Wishing you lots of luck with whatever decision you choose to make xx

[Ola_]

I’m so sorry for your loss and difficult crossroad you are now at.

I would suggest getting a consultation from professor kypros nicolaides at the foetal medical centre in Harley street. My obstetrician trained and worked closely with him and he is well respected with complicated pregnancies. My obstetrician also dealt with a lot of twin pregnancies and works at the foetal medical unit at Chelsea and Westminster hospital. She helped me through an incredibly difficult pregnancy and gave me all the right information to be able to make the best and informed decisions for me and my family.

Best of luck and prayers during this difficult time

[BabyCalin in reply to Ola_]

Thanks a lot Ola. Will definitely check him out. It’s extremely difficult situation