Last minute decision before egg collection tomorrow

[My_Miracle_Is_Here]

I have my collection booked for tomorrow. I have good follicle sizes and expect to get around 10 eggs, which is the same as my previous two cycles.

Yesterday one of the embryologists called me to say that she’s been looking at my previous cycles and she needed to share some information with me. Using embryogen in my last cycle may have been the reason my embryos developed slower and was the only time on day 5 I had a morula and early blastocyst put back instead of fully expanded blastocysts. However, my embryogen cycle got me further along, all the way to my 6 week scan when it was discovered to be ectopic. Was this just a coincidence or did embryogen help?

From my first collection back in 2017, when I was 34 I produced five embryos. Embryo 1 - chemical. Embryo 2 - BFN.

I used all remaining in my next Frozen cycle. And also did an endometrial scratch before it. Embryo 3 - didn’t look good after thawing. Embryo 4 didn’t survive thaw. Embryo 5 and 3 were put back and one is now my daughter and the other miscarried at 7 weeks.

The embryologist doesn’t think the scratch made a difference according to the data, but I’m really concerned that my body is killing off embryos that don’t have intervention of some kind.

I have to make a decision;

1 - use embryogen again

2 - don’t use embryogen

3 - Embryologist just spoke to senior consultant and came up with this option, Check for scarring during egg collection (concern of scarring due to my surgery to remove ectopic in April which is why I haven’t had an endometrial scratch so far). Don’t use embryogen and freeze all. Then have an endometrial scratch before a frozen cycle of no scarring (although I’m concerned as I’ve had an embryo not thaw before)

I don’t feel talking to my friends or family will help me make a decision as they don’t know enough about IVF as they’ve never been through it. So ladies, what would you do?

[JA-fnuk Partner Nurse Fertility Network UK]

Hard decisions you have in front of you - would just like to send you good luck wishes with whatever decision you make . Keep talking to your OH .Take care of yourself

Janet

[MollyRobs]

I’ve not come across EmbryoGen before so don’t have any experience to share. My consultants (yes two) always persist that if there are no known lining issues then the reasons for embryo failure is chromosome abnormalities (5 in 6 eggs for those over 37!) so if I were you I would go with what you want to do and be decisive that it’s a no regret’s decision. If it fails likelihood is that it wasn’t the embryogen or lack of embryogen. I really hope your collection goes well - make sure you’re at peace with your decision and go kick ass tomorrow. All the best x

[Twiglet2]

I think if it were me I would go with the way it worked for your daughter (which I think is no embryogen?) as that looks like a pretty successful round that resulted in a good number of embryos, 3 of which Implanted and one resulting in live birth (which I think is considered a pretty successful round at my clinic). Ive looked into the scratch previously and the evidence is anecdotal so it’s hard to tell if it was coincidence or not 🤔

I would probably try putting one back fresh from this round and if you have some frozen and they say no scarring during egg collection then you could consider the scratch before that (if you needed to go again after fresh transfer which hopefully you wouldn’t)

I can see benefits in all the options though so that’s just my thought process I guess you just need to do the one that makes you feel most comfortable

xx