Would you transfer or cancel? - Fertility Network UK

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Would you transfer or cancel?

TTC0011 profile image
11 Replies

Would you transfer with a 6.6mm lining (triple layer)? I was kept on the highest patches (300mcg twice a week) for medicated FET for an extra week to see if any improvement, and not improved at all. Clinic have left it up to me to decide whether to transfer or cancel and try again.

My linings are usually between 7.5-9.6mm over my last transfers and I've been taking all the usual supplements etc since the start of FET and hasn't made a difference this time.

Just need other opinions?

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TTC0011 profile image
TTC0011
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11 Replies
JA-fnuk profile image
JA-fnukPartnerNurseFertility Network UK

Difficult decision to make - be sure to discuss it fully with your partner and your consultant Make sure have people around you for support

Thinking of you

Janet -Partner

Skittles11 profile image
Skittles11

Hi Sorry to hear this

I can give an opinion based on a similar but different thing I am facing myself.

I am on a Medicated FET cycle myself currently and have had some spotting whilst on estrogen but before starting progesterone. Consultant thinks fine to continue as this is old blood but has left decision to me. However like with you knowing your lining is usually thicker, I know my lining doesn't usually bleed at this stage in FET plus my lining was not yet triple layered where the previous two times on the corresponding day it was!

I explained to my consultant I am 80% towards cancelling due to my own gut feeling not feeling this is optimal conditions based on knowing things were better before.

Personal decision as so much goes into this each time, the planning and emotional fatigue etc, but I tend to opt for what I think will be the least regrets. Lots of luck with what you decide xx

Skittles11 profile image
Skittles11 in reply to Skittles11

Having said this, our situations are different as lining thickness and bleeding are two very different things! Plus it depends what day you are on as it may still catch up, could they try a different type of estrogen as well as patches? Xx

TTC0011 profile image
TTC0011 in reply to Skittles11

Thanks so much. I'm on day 22 of 300mcg of patches (the highest dose they can give me) and no improve in the last week - still sitting at 6.6mm. They don't think it'll improve beyond what it is now which is frustrating as my natural cycle is around 8.5mm (I can't do a natural FET due to sedation needed and I don't ovulate often).

Millbanks profile image
Millbanks

When are you due to transfer? I just looked back over my notes and for my last transfer I was at 6.8mm on the Monday and by Wednesday it was 8.3mm. So it can change quickly.

I would definitely give it a bit more time if it was me xx

TTC0011 profile image
TTC0011 in reply to Millbanks

No transfer booked yet, I need to think today on when/if I want transfer. I'm on day 22 of 300mcg of patches (the highest dose they can give me) and no improve in the last week - still sitting at 6.6mm. They don't think it'll improve beyond what it is now which is frustrating as my natural cycle is around 8.5mm (I can't do a natural FET due to sedation needed and I don't ovulate often). Just need to decide whether to transfer or cancel and start again -t his is our last embryo. x

Millbanks profile image
Millbanks in reply to TTC0011

Argh such a difficult decision....

If you don't think it will improve then I would be inclined to cancel - as it's your last embryo you want to give it the best possible shot.

But I know how frustrating that is - have had cycles cancelled due to progesterone being too high and an ovarian cyst...

xx

TTC0011 profile image
TTC0011 in reply to Millbanks

Oh interesting on the progesterone too high - can you recall your levels? My progesterone is always very high, and was told not to worry :/

Millbanks profile image
Millbanks in reply to TTC0011

Ah sorry to make you worry unnecessarily - it was relating to a fresh transfer.

My progesterone levels were too high too soon after my egg collection so it meant that by the time the embryos had developed to blastocyst, we'd have missed my window of implantation... so rather than it being too high in general, it was too high too soon...

In terms of a frozen transfer, your progesterone levels can't be too high :)

xx

Babyhope8 profile image
Babyhope8

it’s a difficult decision . But appreciate your doctors honesty in letting you make a decision . In my last transfer 7 th fet , my lining was not yet ready and they put me on additional estradiol for a week . I did double transfer and one implanted and was slow since the first scan and eventually stopped growing . I felt it could be becos of my extended estradiol just my gut feeling . I nvr had a problem with lining in any of the previous transfers atleast not that it required for a good one week . Having said that my doctor nvr gave me a choice to cancel the cycle . After my last miscarriage I read some blogs which did raise concerns on superficial levels of estradiol causing increased blood clotting . So I thought that could be the reason for my miscarriage again as u none of these were diagnosed just my research . I would rethink becos u nvr had problem with. Lining before AO could be this month is off . Worth te trying but decision is yours

Meliana profile image
Meliana

I would discuss this concern with my doctor because I know most clinics want lining to be at least 8 mm to transfer and if you were able to get to 7.5 mm to 9 mm then I would think that the doctor should be able to help you with the right med protocol to get a thicker lining again. I was in a similar situation this past September and was told I had a "beautiful trilaminar lining"that was 6.2 mm but ultimately with my doctor we decided to cancel the transfer because in the past we were able to get me to 8 mm. In my case, my doctor also made a mistake with my medication protocol last cycle which led to the thinner lining and ultimately cancelled cycle. Another consideration for you is how many embryos you have to transfer. If you have several good quality embryos you may want to proceed with transfer. I only have one embryo so chose to cancel. Good luck!! Wishing you the best .

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