One Embryo or Two?

A few days ago DH and I went through the IVF process with my RE.  Afterwards, we read a ton of stuff online.  But we are still undecided about one thing.  If we are able to get a good number of embryos, should we transfer one or two of them?  It would seem to make sense that you transfer two embryos, given how frustrating the whole fertility process is, and the uncertainty of getting pregnant again a few years from now.  BUt then I read more articles stating that having multiples also increases complications during pregnancy and that for anyone under 35, one embryo should be enough.


Would you want to transfer two embryos, knowing that there's a greater chance of conceiving twins (and with it greater pregnancy complications) or would you transfer only one embryo, hoping that this one will be a success?

Posted on May 24, 2012 at 2:38 am
dorkmeetsnerd
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dorkmeetsnerd

dorkmeetsnerd

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_MNM
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Posted on May 24, 2012 at 4:01 am
October9_2010Bride
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October9_2010Bride

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October9_2010Bride

I would do two...I don't know about three.  When you did the IUI's how many large follicles did you have?  Did you ever cancel a cycle due to the chance of multiples?  Last month I had 4...3 larger than 20mm so I was a little worried and my Dr. said there was definitely a chance of multiples.  But it didn't work anyway.


We will do a total of 6 IUI's so we won't be going the IVF route til at least October so I haven't really done a whole lot of research on it.


 


UPDATED:  So I had my visit with my RE to talk about what to do next because of the two failed IUI's.  He gave me four options: 1) another clomid/ovidrel 2)clomid/bravelle/ovidrel 3)all FSH 4) skip to IVF


He said he didn't want to push me to IVF but the success rates speak for themselves.  55% compared to 15% with the IUI's we are doing now.  He said with someone my age (34) he would most likely transfer just one embryo.  So after talking to him about this I think I changed my mind and would do one embryo and if that didn't work for IVF#2 I would do two embryos.


We came to the decision to do two more IUI's instead of four more.  My Dr. feels as though if the next two IUI's with FSH don't work there won't be any benefit for doing anymore IUI's and IVF will be our best option. 


 


 


  

Posted on May 24, 2012 at 2:08 pm
dorkmeetsnerd
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dorkmeetsnerd

when I was doing the IUI, I actually didnt have too many follicles.  I was prescribed 150 IUs of Gonal F and I averaged maybe one or two on each side.  But I do have only one tube so the risk of multiples wasn't so bad. 


I definitely do not want triplets and I'm a little hesitant about twins.  The RE says they generally transfer two anyway and transfers one at the patients request.  I will be 33 this year so he said I can transfer only one if I wanted to.  But DH wants to try for two anyway.  He's says we should be financially able to handle but I'm worried about the mental aspect of it.  I'm also worried about the health risks associated with it.  


@October9- In all my four IUIs I was using FSH (Gonal F), which of course didn't work for me, but I think it may work for you.  There is also a cheaper version called Follitism.   I think the RE just needs to find the right dosage for you.  I agree and say go for one or two more IUIs.  Three is usually the max before exploring other options.  GL!

Posted on June 3, 2012 at 5:26 am

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