Clinic procedures around PGT-A

[Bluekitten9]

Hi everyone, hope you are all surviving this horrible journey of IVF.

We are about to start a second round of ICSI (self-funded in UK). We got 4 good quality embryos from our first cycle in 2023 but had 3 failed transfers and 1 missed miscarriage at 8 weeks. Due to my age (42) we've been advised to go for PGT-A and can see the benefits of this so had planned for a freeze-all cycle. However, if we only get 1/2 embryos we think that we should just transfer these without testing as there doesn't seem much to lose by that and we don't think we can do another round (emotionally or financially).

Our clinic seems to find this request very difficult to understand and wants us to decide upfront about PGT-A testing. I feel like we are being forced into making a decision about something without having all the information (i.e. how many embryos we will get..if any...). I got a message today saying that because of our uncertainty about the testing, they have decided to change our protocol to a fresh transfer with testing of any extra embryos and that wasn't really what we were asking for.

We just wanted to know if anyone else has been in a similar experience and if they had low numbers of embryos and went ahead with PGT-A or just transferred?

Thanks

[Kitkat10]

hi, I was a similar age and only had 1 embryo per cycle (3 cycles) so just transferred each time. In hindsight, would have been good to know if first two failures were embryo or implantation related but the third worked so I’ll never know.

I didn’t PGT test due to money as my package didn’t include it but they did include unlimited transfers so it was cheaper to transfer and see.

Good luck xx

[Twiglet2]

our clinic was the same, we just went ahead with transfers instead of PGTA. They needed to book the slot for PGTA and charge for that and change trigger to frozen protocol ahead of starting or go with fresh transfer and freeze of any others we couldn’t decide after egg collection as they had to book PGTA in advance. First round on nhs with our son we made 6 blasts but all the rest only 1 or 2 blasts and I wasn’t 100% in PGTA anyways. I’m also 42 currently 24 weeks pregnant after 5 more rounds no PGTA x

[Memacha]

We’re likely to do pgta for the first time with our 6th collection. We’d like to know if the reason for our failed transfers is embryo related or something else even if we only get 1/2 blasts. It’s really tricky knowing what to do for the best though!

[Hopewhite]

hi I hope you’re well and keeping strong xx we are in similar position, we had 1 MMC, I asked straight after the MMC for PGTA and they advised to transfer the remaining embryos first , which resulted in 2 BFN. We had another fresh cycle in June and they advised to do pgta , so we paid in advance and did consents for everything but we said to them only if we got at least 3 embryos (like first cycle ) we would test, so we prepared for transfer (progesterone) and at the end it was a write off of a cycle ( if I can call it that 😂), we only got 1 embryo which was transferred and I bled 9 days after before OTD, so we got a refund. We have done the same for next cycle already paid , which unfortunately we haven’t been able to start yet , but we have told them 1 or 2 embryos will transfer , 3 and above we’d test. Your clinic should be more supportive and flexible around this at the end if you normally get only a few embryos like us is right that you can make a decision after you know ! Maybe ask them again for the refund policy and just be straight with them on what you’re feeling. It’s a lot of pressure !