To do another egg retrievals first or transfer the balance embryos

[kattie22]

hi friends ! I had 2 failed FETs recently. The 2nd was a chemical. My dr advised me to do another round of retrievals first asap due to my age as she didn’t think the balance embryos would work also.

my balance 2 embryos - graded 4BB and 4BC. I was told to transfer both together at the same time to increase my chances if I wish to do transfer first or later after retrievals.

i have a few queries which I hope friends here can share with me your opinions or experiences .

1. I was thinking if the balance 2 is perceived to be not viable - how does transferring both together increase the chances?

2. Has anyone transferred 2 embryos of such similar grades before ?

3. Would you do another round of retrievals first or finished up the balance embryos ?

4. Does frozen embryos quality deteriorate after extensive time of freeze?

Thank you in advance to share your views and experiences.

[Beclp]

hey there 💕 my specialist told me that when you transfer two at once they somehow communicate through secreting some kind of hormone which increases implantation

I didn’t want to take that risk though.

It was my worst graded embryo that ended up working so I personally don’t believe grades make a difference to it becoming a viable embryo

For my last transfer that worked I took specific probiotics as I read higher levels of specific bacteria in the womb leads to much higher rates of implantation

I would personally try the embryos you have first.

How old are you ?

[Learningdaybyday in reply to Beclp]

Hi Beclp I’m curious to know if these were any particular type of probiotics as I hadn’t heard this before? And how long did you take it for?

[Beclp in reply to Learningdaybyday]

Hi

Yes it’s called optibac or over here we have the black mores brand called flora for women that has the same stains. I’ll find the info I read and send it to you

I used them for 3 months before my transfer

[Learningdaybyday in reply to Beclp]

Amazing I’ll look into it, thank you 🙏 x

[Twiglet2]

I’ve done double and single transfers and all my doubles have resulted in chemicals my consultant has told me about some emerging research that if one embryo is abnormal it can affect implantation of a healthy embryo (especially if one grades better than the other) so I went back to single transfers (as this worked with my son who was a 4BC FET) I’m now 10 weeks pregnant with a single embryo. So I would probably transfer them separately although my reason for doubles was also to speed things up. I would never do another egg collectio. whilst I had perfectly viable embryos, it only takes a couple of months to transfer them and saves a lot of money and stress from another EC of they work! Ps I don’t know what ‘balance’ embryos term means and if this means they aren’t as viable but your gradings are totally fine to make a baby! Xx

[LittleSmall]

Hello!

We had a similar(ish) scenario regarding the suggestion to transfer both of our low quality Day 5 frozen blastocysts together. The reason was due to the grading AND my age (39). The nurse said that when they froze them it was with the idea that having 2 frozen (even if lower quality) there's a boost of chance if transferred together. It's still our choice but with my age as a factor I too am thinking that if the FET/s aren't successful then the sooner the better for my next Egg Collection for egg quality purposes.

I also realise that lots of things I've read seem to show people WANTING to transfer more than one embryo and embryologists advising against it or of the risks etc when the person is younger / chances of success are already higher. Because the embryologist advised us to transfer 2 I have come to trust in their reasoning for that

[DianeArnold Partner Nurse Fertility Network UK]

Hi. Your stored embryos are safe and happy,and will not age if your age is elevated, or your AMH is very low, then perhaps add to your collection while you can, my thoughts perhaps read the HFEAs information on single embryo transfers. I’ve seen 1,2 & 3 transferred with happy and sad results. Go with your gut ang good luck. Diane

[Learningdaybyday]

I was advised against a double transfer and told there was no increase in outcome, but perhaps this advice is different for each situation. If you’re older/with low AMH then might be better to try to make more embryos- that’s what the path has been for me, as age doesn’t matter for transfer but more how old you are at the time of egg collection. No downside of frozen embryos and in fact I was told by my specialist better outcomes with frozen rather than fresh transfer (but again depends on OHSS risk, uterine lining etc).

All the decision making in IVF is so hard, overwhelming and exhausting, good luck and trust that whatever decision you make is the right one for you x