What to ask ahead of FET?

[Bluecheeseplz]

Hi everyone,

I've just had PGT-A results and am really relieved to have four normal (of 12 sent, with a lot of attrition from 28 mature retrieved and 22 fertilised). I did not enjoy that TWW at all!

I have a consultant appointment on Friday to talk next steps before FET and tbh I have found it hard to get much from the Dr we're assigned to, so want to go armed with questions.

I know a lot of you are more experienced than me (first cycle), so anything you can suggest would be super appreciated.

All I have so far is:

Confirming order we will try embryos in

Next scan I think is day two or three of period - what will it look for?

No meds before then?

What meds will I be on and why?

How many days on those, what scan checks?

When transfer, and depending on what?

I know there will be a lot I'm not thinking of.

Thanks so much 🩷

[Poop84]

hi I'd ask about if there are invetsigations needed before a transfer? Ie emma, alice and era test? Any previous implantation issues what is their view on that?

[Bluecheeseplz in reply to Poop84]

Thank you so much. I've read about those, but not heard anything from the Clinic on them. I will ask!

[DianeArnold Partner Nurse Fertility Network UK]

Hi. Do I need my Fallopian tubes checked, if not already done, prior to transfer, in case of lubrication leak into the womb, possibly preventing implantation. Have you had a hysteroscopy to check womb. Do you need any blood thinner. All the best and hope all goes well. Diane

[Bluecheeseplz in reply to DianeArnold]

Thanks so much, Diane! Really appreciate 🩷

[Sharbertn]

Hi,

Congratulations on the 4, I know it feels like a lot to lose considering your numbers but that's a great result out of 12!

Have you spoken about EMMA/ALICE/ERA, also nk cell testing and blood clotting tests?

I'm currently waiting for PGT-A results and if we get any normal embryos from it will be doing all of the above first before just trying transfers again (we've had 4 failed transfers). My consultant has suggested other tests too which I can't remember right now!

They might just want you to try a transfer before doing any testing so you want to weigh up the options of spending a lot of money on tests vs having testing done for yourself.

I don't know your age but have you discussed transferring multiple embryos?

Can't think of anything else. Also as a bit of reassurance a frozen transfer is lot easier than what you've been through for your egg collection in terms of drugs/time. Good luck!

[Bluecheeseplz]

Thanks so much, this is really helpful and kind! I've had blood clotting tests, but not the others, so will definitely ask. I'm 39, and I think the clinic policy is to transfer one only, but I will double check on that. I think possibly if younger and with a lot of embryos to spare, two is considered then? Thank you so much for the reassurance too! I found the egg collection so scary in the lead up. All of these unknowns and anticipation, such a drain isn't it. I am really sorry to hear about your transfers so far, you must feel absolutely exhausted. Sending you lots of luck and love for your results, and thanks again 🩷

[Hidden]

that is such a good number with one cycle congratulations!

Do you mind me asking what was your AMH and count?

I am going starting my first cycle soon too

[Bluecheeseplz in reply to Hidden]

Sorry for the delay! Thank you 🙏. I don't mind at all. My AMH was 17.2 pmol/l. My baseline follicle count was 12 on one side and 15 the other. 31 were retrieved, 28 mature, 22 fertilised, 12 got to blast, and 4 of those came back as euploid, 7 aneuploid and 1 no result (am retrying that one, result in around a week). Is that all you need? I'm also 39y/o.