BFN again. What next?: Transfer of our... - Fertility Network UK

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BFN again. What next?

Endofitall profile image
11 Replies

Transfer of our hatching 5AA blastocyst has failed. I am sad to think it could be because my lining was too thin. It only got to 6mm though clinic insistent was healthy and trilaminar.

We have one 5AB in cryo from our latest 5th cycle now.

Because of our disastrous 4th cycle in September with no blasts, these two were not PGTA tested. Our other blasts from the first 3 cycles were also not PGTA tested but given age at the time and number of good quality blastocysts made, the odds they were all aneuploid would be very very bad luck though I guess not impossible.

Only had one biochemical in 6 transfers (after being prescribed pred 25mg, clexane 40mg, Lubion and utrogestan for my transfers following various tests. Lower doses of pred and clexane did not help ). I’ve had all the recurrent implantation failure tests now. DH has had DNA frag and semen culture etc.

I turn 38 early next year. I’m not sure if I should transfer that remaining untested embryo in January and see what happens. Or decide now to do a 6th cycle while I’m still 37 or only just turned 38 and bank some embryos, likely abroad, with PGTA testing where more affordable given our small numbers of eggs/blasts. I have low AMH and when I stimmed to get more eggs we got no blasts but when I’m stimmed to get 3-4 eggs we get 100% fertilisation and a very good quality blastocyst rate.

Any thoughts welcome.

I am just really tired of it all today and hard to see the light. But I know we are not ready to stop. Thanks for reading this far xx

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Endofitall
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11 Replies
Millbanks profile image
Millbanks

Hello lovely,

I'm so sorry it's another BFN - I know the feeling well. My journey sounds quite similar to yours.

My clinic have always said that even if your lining is on the thin side, as long as it's even and trilaminar then it should be ok.

We opted for PGT-A testing as we had a fair few embryos in storage from 3 different rounds - and didn't want to keep putting back embryos that stood no chance.

Have you had an ERA test done? It looks at the timing of transfer and for me it was 24 hours out - so this could be worth looking in to?

I honestly don't think between 37 / 38 there will be much difference in your egg quality. If it were me I would be tempted to use the remaining embryo first, rather than do a whole other cycle only to find that the original embryo stuck. But then if you would be happy with other embryos in storage then maybe it is the right move. It's a really tough call.

I was 38 when ours finally worked on our 6th transfer with: new ERA timing, PGT-A tested embryo, steroids and intralipids. But then tried for a sibling last year with exactly the same protocol and the first 2 failed and the 3rd was an mmc.

So I think a bit of luck is involved too.

Lots of luck with your decision xxx

Endofitall profile image
Endofitall in reply toMillbanks

Thank you 🙏🏼 I have had ERA (and EMMA/ALICE) done after our first two transfers failed. I think we just have to keep going. DH is keen to try this embryo first I think. I think he worries about the effect of the stims on flaring my endo back up. Finances are a struggle now though as we’ve had to self fund due to my AMH at 34, all the investigations and my endo excision adding to that cost - if I had more money I’d probably bank embryos, do PGTA and see a proper RI. But we’ve already had to spend tens of thousands to get to this point with nothing to show for it. Thank you for sharing your story, it gives me hope ❤️

DianeArnold profile image
DianeArnoldPartnerNurseFertility Network UK

Hi. I’m so sorry to hear that your cycle failed and hope you have plenty of support just now. My thought was perhaps your lining was a little small, but I guess we have to trust the specialist. I did wonder whether you have had your Fallopian tubes checked for scarring or blockage, which in turn could cause excess lubrication to leak into your womb, where it is often believed to prevent implantation . A hysteroscopy could look inside the womb and biopsy the lining too. Apologies if already done. Some women do have acupuncture to help with lining thickness. As you suggest it could be an idea to have a fresh cycle and store some embryos. Lots to think about, plus the one you already have stored. Maybe take a little time for yourselves. I wish you both well with whatever you decide. Diane

Endofitall profile image
Endofitall in reply toDianeArnold

Thanks Diane 🙏🏼I have had hysteroscopy, lap and dye and HSG. DH and I have always said we need to feel we’ve done everything we possibly can and leave no stone unturned (within limits of finances) so I’m always happy to hear suggestions in case it’s one we haven’t done yet. I love my acupuncturist! She’s great and while it hasn’t boosted my lining thickness maybe it does mean it’s nice and healthy. Thanks again ❤️

Lana89 profile image
Lana89

Hi lovely I’m really sorry to read this if I was you I would put the one back you have you never no lovely and while you are doing that you can get your little plan together of what to do next .

I was going to say go abroad next time maybe you could both do with the break and in my opinion it’s a lot better in other countries the care the treatment the response time to your questions I was doing ivf from 2013 and only got my bfp in 2022 when I found the right clinic for me I’ve always done a double transfer but you can transfer more or less up to in other countries

You are still young lovely I know it’s bullshit what we have to go trough and believe me I was drained for years but you will get there in the end your on all the right meds it’s just your clinic I would change and make it in to a bit of a holiday aswell

Sending you a big hug lovely xxxx

Endofitall profile image
Endofitall in reply toLana89

Thank you ❤️. I think you’re right. I might DM if you don’t mind about your experience moving to clinic abroad? Thanks so much ❤️

Lana89 profile image
Lana89

yes that’s fine lovely xx❤️

Hopewhite profile image
Hopewhite

hi lovely I'm very sorry for your BFN, i just wanted to send you a big hug, i know how tough this all is. I'd also be tempted to transfer the embryo first, sometimes you do get 1 lucky one, and see where that takes you. If the worst happens it may only be a 3 month difference which might not impact much the results of a new fresh cycle. Regarding PGTA we paid for this on our last fresh cycle, but we only managed to get 1 good quality 5 day blastocyst so we ended up transferring that instead. I'm waiting for a new fresh cycle and we have paid again, but we'd only do it if we get 3 blastocysts at least. Maybe have a chat to your clinic and see if they are flexible like ours?

Also, I know another lady in this forum has got thin lining and had her little boy despite of that xx so it can also work. But you can try to do things from next transfer like beetroot , exercise etc

Allow yourself sometime to grieve and recover from this , is very normal to feel the way you're feeling right now after another failed cycle, try to do nice things and pamper yourself to help you recover quicker, once you're over this you'll see things in clearer perspective. Wishing you all the best of luck xx

Endofitall profile image
Endofitall in reply toHopewhite

Thank you xx

WanderingWonder profile image
WanderingWonder

I’m so sorry you’re having to go through this again!

I haven’t much experience to offer as my first ever transfer (FET) was cancelled today as they weren’t happy with my lining.

My lining is very thick and they found it to be irregular and have asked me to get a hysteroscopy- though I’m convinced my natural lining is just very thick and irregular so I don’t know where that will leave me after the procedure (I had a hysteroscopy a year ago and it was the same then but there were no issues and I conceived naturally 5 years ago with my irregular thick lining).

The consultant told me they would prefer it be thinner and regular, which I thought you might find helpful to know xxx

Endofitall profile image
Endofitall in reply toWanderingWonder

Thank you. I’m so sorry your FET was cancelled today. I’ve been there (for thin lining issue back in 2022) and I know it’s so hard. I hope hysteroscopy is helpful. Welcome to DM me if you want to know more about my hysteroscopy experience (which was positive no stress. )xxx

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