Natural cycle transfer for FET

[Doodlebug23]

Looking for experiences/advice.

After 6 failed transfers, 2nd of which was natural, I am trying natural cycle again, but using ovulation tests rather than scans to determine transfer timing.

Unexplained implantation failure. No other known issues.

[Daisy-Delilah]

Hi lovely,

I hope you are ok.

I always do a ‘modified natural’ where I use medication to stimulate one/two follicles and then use a trigger.

Last time I had a scan on a Thursday that showed the follicles were not quite ready and the another scan on the Saturday. I had to do ovulation sticks in between. By this time I had ovulated naturally but for some reason wasn’t picked up on the sticks! So we had an idea but couldn’t tell exactly when ovulation occurred and just had to guess a bit and it was discussed whether to cancel the transfer.

It could be because I have PcOS but not really sure.

If you just do ovulation sticks how will they know that your lining is ok and whether you have a follicle developing?

Good luck! 🤞🏻💕Xxx

[Doodlebug23 in reply to Daisy-Delilah]

Sorry have amended post. It’s a FET not egg collection.

I’ve had 6 failed transfers and my lining has always been “optimal” so Dr said he’s not worried about that. I’ll just have Otrivelle.

[Daisy-Delilah in reply to Doodlebug23]

Hey, yeah this is what I do for FET as my body doesn’t respond to the oestrogen 🙁

Just wanted to make the point that my sticks didn’t pick up the ovulation. Not sure if this is a common problem but thought I’d let you know.

[Doodlebug23 in reply to Daisy-Delilah]

Oh ok sorry I understand now. I haven’t had my plan yet so not 💯 sure it’s no scans but that’s what I thought 🙈

[Fruitandflowers]

This is what my clinic suggested for me for my next FET even though a medicated FET had worked before - meant just using ovulation test sticks and no extra scans. They said it was suitable if you ovulated regularly and the lining and progesterone was naturally fine (so if you've not done already, may be worth having a 21 day progesterone test the month before). I actually asked to have progesterone support after transfer too just to be on the safe side. I didn't get as far as to try it but I would definitely go down that route in future for various reasons (including having bad reactions to synthetic oestrogen, and not really absorbing synthetic progesterone...)

[Doodlebug23 in reply to Fruitandflowers]

I tried natural 2nd transfer and same result as 1st which was medicated, so stuck to medicated since due to the less scans for medicated - clinic abroad so have to pay for all scans.

My lining and progesterone have always been “optimal” though I’m pretty sure I had progesterone pessaries still when I tried natural.

I think after 6 transfers and adding steroids, clexane, embryo glue, HCG wash, they are at the point of what to do next.

They explained the NK cells etc and I am happy with their reasons not to test.

[Darcy1996 in reply to Doodlebug23]

Have you considered or been to the Coventry clinic? I found them amazing & found I’ve got a highly resistant endometrial lining, easily fixed with steroids…hopefully 🤞🏻

[Doodlebug23 in reply to Darcy1996]

I’m with a clinic on a refund guarantee program, who do also have people referred to them with RIF. They also added steroids to my last transfer.

[Tnthketnf]

ovitrelle is used then it's not purely natural transfer protocol. Ovitrell is used to time ovulation. Once ovitrelle is administered there is a known window of when ovulation should happen and that is used when deciding the transfer day.

For my old clinic natural meant purely natural transfer. Only testing LH surge(home test sticks and once positive a blood test to confirm)and then calculate the transfer day. No scan in advance. No option to use ovitrelle and because I was very reluctant to do things in blind I was offered one scan.

My new clinic offers the ovitrelle too which I would be keen because it's more reassuring about transfer timing.

I would rather natural (modified or not) over HRT because I hate estrogen pills and prostap. My new clinic isn't as keen on Natural transfers in general because of wanting to schedule things.

[Tnthketnf in reply to Tnthketnf]

the different types of transfer protocols. Modified means using a trigger like ovitrelle. Luteal support means progesterone pessaries or injections. HRT your standard medicated.

The last one, I haven't tried and neither of the two clinics I dealt with offer it as often as the others.

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[Nes1005]

Hello

Good to see that you are planning for your next cycle 😊

I did a completely natural cycle last month with my transfer taking place in Cyprus. I avoid estrogen because I have reoccurring fibroids, also just think all the drugs aren’t good for me personally.

I had a couple of blood tests for estrogen and LH and that caught my surge which happened much earlier on day 9. On top of those two blood tests I had one scan in between which showed a follicle at 22. Although this caused me to have to fly out literally the next day because everything had happened early, it was all caught because of the blood test showing the surge! Ps if you are in London Randox blood test comes back the same day if you have it done at the Great Portland Street Location - they have a lab on site.

I found the transfer much more relaxed without the drugs and I was much less stressed mentally, had more belief somehow.

Wishing you a smooth and relaxed cycle when it comes.

We are off to IB for a first consultation on the 5th, will probably be our last OE cycle, will be requesting only natural transfers if we are lucky enough to make any embryos xxx

[Doodlebug23 in reply to Nes1005]

My plan is to just use ovulation tests this cycle I believe, which does make me a bit nervous. I’m nowhere near London, but very fortunate the NHS clinic where I had my NHS round a few years ago will do me a private blood test and are very quick with the results.

I have to say I’m a very big advocate for IB. I have found them nothing but amazing. Apart obviously from the negative results which isn’t down to them.

I am lucky also that I can hopefully fly out last minute should I need to 🤞🏼

I’ve never had an issue with medicated but I’m so 🙏🏼 that natural modified is my answer.

I’m using DE X

[Nes1005 in reply to Doodlebug23]

Wishing you so much peace and good wishes for your transfer…you deserve a happy ending and hopefully this is it 🙏❤️

[Doodlebug23 in reply to Nes1005]

Thankyou 🥰