What next?: Hi All, I am currently... - Fertility Network UK

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What next?

Anonymou5 profile image
20 Replies

Hi All,

I am currently 7dp5dt fresh double transfer. I did a cheeky little test and although I know it’s early, it is a bfn. Looking forward… I have one frostie (my first ever one). What I am asking is, which route should I take - medicated or natural?

Thanks xx

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Anonymou5 profile image
Anonymou5
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20 Replies
Cahoots profile image
Cahoots

Hiya, I would suggest asking your consultant what they'd recommend, but I was advised to do modified natural FET (I just had to do a trigger shot and take progesterone), because I'm over 40 and there is more risk of pre-eclampsia if you do the medicated route (with estrogen).

Anonymou5 profile image
Anonymou5 in reply toCahoots

Ah thank you! Never been in this position before, so it’s nice to know especially as I hit 42.

Cahoots profile image
Cahoots in reply toAnonymou5

Good luck! 🍀 X

RedFox23 profile image
RedFox23

fingers crossed you still get your BFP.

I did a medicated FET my clinic prefer this route as they have control over your cycle. They said that there’s a risk of natural FETs being cancelled - for example if you ovulate on a Sunday when the clinic is closed.

They’ll explain all your options to you when you have a debrief with them x

Anonymou5 profile image
Anonymou5 in reply toRedFox23

Ah thank you, OTD is Friday.

Good point my clinic are closed Sundays, never thought of that.

Il speak to the consultant before hand x

Cutecolliedog profile image
Cutecolliedog

I’ve done both medicated and natural transfers. Personally I preferred natural as their was less medication, less appointments, no side effects, and it also doesn’t take up two cycles like medicated does when you have to downregulate starting month before which means it doesn’t manipulate/make your cycle go crazy.

In all aspects for me I preferred it however I would understand if your clinic would only do transfers on certain days maybe this wouldn’t be ideal!

Anonymou5 profile image
Anonymou5 in reply toCutecolliedog

I could probably do the natural as I have regular cycles, but my lining measured like 7.1mm before this last transfer, I think I may need to take progesterone/viagra to thicken the endometrial lining. Thanks for replying x

Cutecolliedog profile image
Cutecolliedog in reply toAnonymou5

On my natural my lining measured 7.5mm too and my clinic were happy with that x

Anonymou5 profile image
Anonymou5 in reply toCutecolliedog

Yes I think 7mm is the threshold, mine was measured TA, they couldn’t measure it TV due to my full bladder. So it was not measured accurately x

Cutecolliedog profile image
Cutecolliedog in reply toAnonymou5

think it can also be variable depending on angle and person scanning! When you think about between 7-7.5mm that a really tiny amount!! I’m really sorry that this transfer didn’t work for you but I hope your next frosty will be it xx

BearPanda profile image
BearPanda

Research shows no difference in outcomes, just easier to deal with logistics on a medicated cycle. Here is a quote: "These findings suggest that although both FET protocols are equally effective in terms of pregnancy outcomes in women with regular menstrual cycles, NC-FET is more favorable because it requires no medication, has no adverse events, and has a significant cost reduction". I prefer a NC as its less meds and you get to ovulate which in my head is that one extra go at increasing your chances. I feel like at this point any egg that can ge out of my ovaries naturally should be given a fair chance in the process😆 My clinic however is abroad, so I did 2 out of 3 medicated for logistical issues to plan things when I was working to tight schedules at work.

Here is a full paper: ncbi.nlm.nih.gov/pmc/articl....

Anonymou5 profile image
Anonymou5 in reply toBearPanda

Thank you, I do normally follow the science. I just have one frostie so I want to be sure it’s the right decision we make x

BearPanda profile image
BearPanda in reply toAnonymou5

It is tricky, isn't it, with all the options that are out there. Your clinic might be able to advise on a preferred route too that's best to suite your case/ lifestyle. Best of luck 🤞🤞🤞ps. I still have some hope for your current transfer 😊, but it's great news you have one more frostie in the game.

PicklePar profile image
PicklePar

Hi Anonymou5 stay positive - 7 days is early. My fingers are crossed for you!

I chose a medicated route. For me I wanted the process to be managed and controlled, the natural route gave me anxiety (with endo, PCOS and an irregular cycle) - I just didn’t want to take a chance that something goes wrong.

Anonymou5 profile image
Anonymou5 in reply toPicklePar

Thank you and congratulations on your BFP how exciting!

I think I’m heading the medicated FET route x

Wishinandahopin profile image
Wishinandahopin

I did mildly stimulated/modified natural - medicated had never worked for me and the oestrogen pills had always made my blood pressure high. And fully medicated has a higher risk of preeclampsia and other pregnancy issues and a slightly higher risk of miscarriage.

I couldn’t do fully natural as my cycles aren’t regular enough.

So they stimulated me a little bit just to get one leading follicle and then when I had one they gave me a trigger to ovulate and then progesterone and then did the transfer. And it worked luckily.

You could also do the other type of modified natural where they go with your natural cycle but trigger you to make you ovulate and then supplement progesterone- this route is probably best of both worlds.

Wishing you luck and so sorry about your transfer ❤️

Anonymou5 profile image
Anonymou5 in reply toWishinandahopin

Thank you! Wow I didn’t think it was a possible, a ‘hybrid FET’ I think il look into this option and see what the consultant has to say x

Nakijo profile image
Nakijo in reply toWishinandahopin

Your experience is inspiring. Just one folicle and one egg.? Was it a 3 or five day embryo?

Wishinandahopin profile image
Wishinandahopin in reply toNakijo

It was actually a frozen transfer so the follicle and egg was ‘wasted’ essentially and then after the trigger I was put on progesterone for 5 days and on the 5th day they put in my frozen 5 day embryo.

Nakijo profile image
Nakijo

Wish you the best.

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