1 Embryo Transfer Vs. 2 Embryos


#1

Okay, I need your advice. Dh and I are planning IVF sometime next year and doing some research. Our problem is MF there is nothing wrong with me, and under 35. So I am thinking we should do only 1 embryo transfer but we are POP $10 - $12 thousand and really want IVF to work the first time. I am only 5’3 and on my worst days weigh 105Lbs so really do not want twins. What are your opinions? and what has been your experiences?


#2

Im 115 lbs and 5’3. We put 2 blasts in. you could decide once you see quality. Like if u have not great day 3 embies, transfer two. Or if u have great day 5 blasts, transfer one :slight_smile: we only have male factor, but first cycle was awful so we almost put 3 in the second time!!


#3

As PP mentioned, you can make a decision based on quality and other factors.
In reality one good quality embryo on day 5 has an almost equal chance of pregnancy of transferring 2 in a woman under 35, in fact my clinic will only allow one if you don’t have previous failures or bad embryos.

My IVF experiences are in my siggy, transferred 2 each time. My experience has been that, at 5’3" and heavier than you- twins tore up my body and I experienced dangerous complications as compared to my first pregnancy with a singleton that I escaped with no problems at all. That being said, many women of all sizes carry twins without issue, but there ARE risks and most are born premature.


#4

I just had this conversation with my RE today. For us, I am the one with serious prior health problems with lingering factors that might affect pregnancy. So, he said in my case if I have an embryo that makes it to 5 days, there is a 60% chance of pregnancy with my clinic. (This is also due to my age, 30). If we transfered 2 5 day embryos, the chance of pregnancy only goes up 5% at my clinic, but the chance of twins (or more) is much higher.

So, I think like the other posters said, it will really come down to the quality of embryos you have and if they make it to 3 or 5 days. Hopefully you will have some embryos to freeze and can do a frozen transfer if the IVF does not work - FETs are cheaper.

Also, do some research on twin births. A lot of women are successful, but if you have complicating factors (like me, and your height may be) your DH might go from a determined 2 embryo transferer to a determined single embryo transfer. That is what happened to me today!


#5

Thanks ladies, not having experienced an IVf cycle I can’t really know what to expect and the thought of carrying twins and then caring for twins with complications is SCARY! I hadn’t really thought about the quality of Embryos being a factor either so you have been a big help. I am researching like mad right now and have been an obsessive post stalker for some time. There is so much to know and for what ever reason I never ask enough questions when I have appointments with my RE.


#6

I would follow SART/ASRM guidelines for your age group. 1 blast if the quality is good. Up to 2 otherwise.


#7

Hi! When I started IVF I was 106lbs & am 5’3.5". I transferred 2 blast. I really think it is a personal decision. You have to weigh the pros & cons… which is good to take everything into consideration beforehand. My RE as well as most of the nurses commented many times on how small I was, but I still transferred 2. If you are not comfortable with twins & you have good quality embies then I would only transfer 1. In my case I was willing to take the chance at having twins. However, my cycle failed. I will say though… I did gain some weight during my cycle from all the stims. Which is not common for me… I had been the same weight for a long time. I hope you have success!!! :babydust:


#8

I agree with others. I live in Quebec where IVF is funded for 3 cycles but we are only allowed to transfer 1 embryo. I think if you have a good looking 5 day blast to just tranfer 1. My first cycle we transferred 1 embryo on day 3 and it was :bfn: This cycle we transferred one great looking blast on day 5 and I am currently almost 9 weeks pregnant. If you strongly dont want to carry twins I would just transfer 1 blast. Those of us carrying singletons are actually the minority on our due date thread!


#9

Question

Hello, i got my transfer yesterday and i feel so sad. out of 4 fertilized eggs, only one was good to be transfer and this only one was grade D. I don’t feel there is hope for me. do you know of someone wo got the same quality eggs and still got pregnant? i need support.:grr: [quote=buckeyegirl918]Im 115 lbs and 5’3. We put 2 blasts in. you could decide once you see quality. Like if u have not great day 3 embies, transfer two. Or if u have great day 5 blasts, transfer one :slight_smile: we only have male factor, but first cycle was awful so we almost put 3 in the second time!![/quote]


#10

Many, many woman get pregnant with grade D embryos! I purposely did not ask about the grade of my embroys because I didn’t want something else to worry about (i’m a worrier). BUT during my fresh cycle, they transfered 2 of the best embroys and I got a BFN. Then for my frozen cycle, they transfered two ‘average’ embryos and I am now pregnant with twins.

Please don’t be concerned with quality - I have seen many woman get pregnant with poor quality and many not get pregnant with good quality. It 's a crap shoot.


#11

Thanks Ladies, keep them coming I love reading about your experiences, I actually don’t want more than two kids and getting it done and over with in one go seems nice in theory but in reality not so much.

I am thinking this will be a personal choice when the time comes.

mdown - you are so lucky I am in British Columbia and they don’t cover anything Infertility :frowning:


#12

I didnt get pregnant with my slow growing day 3 embies BUT theres hope cause the second cycle I had 10 blasts and a bfp! I couldn’t believe how diff one cycle to another could be.

Ps…i think the worse the embryo, the cuter the baby!!!


#13

Welcome to the forum. We were male factor as well and paid out of pocket as well. Because of that we always transferred two to three embryos at a time. But we were comfortable with having twins. If you are really sure you do not want twins, then transferring one is your best option. I guess it also depends on your financial situation, if you can afford two or three self pay cycles, then I would go for one at a time for sure. Us on the other hand, had to take out a loan for first go around and paid for the consecutive cycles (RE gave us a discounted rate, since we were having to try so many times). So, I would have not considered just transferring one. In all of cycles total, we transferred 16 embryos, and had four (singleton) pregnancies, with one healthy baby born. Good luck to you, I hope you are a lucky first timer!!! If you would like more IVF info, I have tons of it on my blog.


#14

Unfortunately it varies so much from person to person.

I transferred 1 blast and 1 morula on day 5 because I could only afford to do this once and I have two beautiful baby boys now.

However, my friend transferred 2 great blasts and has one beautiful baby boy.

My advice is to discuss with your RE and your DH and decide what feels right for you. If you transfer 1 and end up with a BFN will you be upset that you didn’t chance twins with putting 2 in?


#15

[QUOTE=luvhim]Thanks Ladies, keep them coming I love reading about your experiences, I actually don’t want more than two kids and getting it done and over with in one go seems nice in theory but in reality not so much.

I am thinking this will be a personal choice when the time comes.

mdown - you are so lucky I am in British Columbia and they don’t cover anything Infertility :([/QUOTE]

I am very grateful. Quebec is the only province to fund it, and it just started last year.