Why is it that many clinics are only transferring....

Why is it that many clinics are only transferring....

Anonymous
Anonymous

November 9th, 2010, 8:45 pm #1



two embryos on a 3 day transfer and one blast on a 5 day transfer??? I been looking into many different clinics with about the same success rates and all of them now say No more transfers of 3 or 4 embryos...WTH, I did a couple of transfers a few of years ago and transferred three embryos on a 3 day transfer without a problem.

Have a missed something, why the change???
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Joined: July 3rd, 2004, 10:12 pm

November 9th, 2010, 9:52 pm #2

potential for multiples?
Daisy
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Joined: June 2nd, 2007, 7:45 am

November 9th, 2010, 9:54 pm #3


two embryos on a 3 day transfer and one blast on a 5 day transfer??? I been looking into many different clinics with about the same success rates and all of them now say No more transfers of 3 or 4 embryos...WTH, I did a couple of transfers a few of years ago and transferred three embryos on a 3 day transfer without a problem.

Have a missed something, why the change???
they only transfer one, period, if the donor is under 35. There were too many multiples being born with long-term attendant drain of our meagre health resources related to preemies and NICU and ongoing educational help.
I suspect the insurance-driven US health system may be starting to notice how much high-risk multiple pgs cost them too....
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Joined: April 14th, 2003, 10:59 pm

November 9th, 2010, 9:58 pm #4


two embryos on a 3 day transfer and one blast on a 5 day transfer??? I been looking into many different clinics with about the same success rates and all of them now say No more transfers of 3 or 4 embryos...WTH, I did a couple of transfers a few of years ago and transferred three embryos on a 3 day transfer without a problem.

Have a missed something, why the change???
to reflect what you are currently hearing. And the whole field of infertility medicine is moving towards SET (single embryo transfers) Several things are guiding this:

There is much more scrutiny of this field than there was even several years ago. And the bottom line is that there are far, far too many multiple births due to IVF. We are fortunate that HOM (high order multiples are rare (and there is talk of penalties for clinics that have too high of a triplet rate- which is considered a failure) Many HOMs are the result of badly prescribed infertility medicines and have nothing to do with ARTs but the biggest problem is the twin rate. The rate of twins from IVF are way, way too high. And twins cost the medical system a fortune- they are much more likely to be born pre-term. And after the results of a long-term study released a few years ago we learned something we did not expect- that even a few weeks pre-term (36, 37 38 weeks) makes a big difference in the amount of care needed the first year.

Other countries (mostly Scandanavian) have cut their twin rate to less than 10% by aggressively implementing SET with IVF. Of course this is where we get to the other conundrum- most of those countries also pay for IVF, while in the US, only about 20% of people have any insurance coverage for the diagnosis and treatment of infertility (and many are about to lose that)

In a well-run SET program, the success rates between one and two embryos should only differ by a few percentage points (less than five) and are actually higher over the course of two transfers.

This is actually a good thing. Now we need to work on two other things:
insurance coverage for the bulk of people with infertility.

allowing the research that will help us to better identify the embryo which will make a baby as opposed to all of the embryos that will not- with the new makeup of congress, this is highly unlikely because this is very political and it involves overturning something called Dickey-Wicker.
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Joined: March 25th, 2008, 8:46 pm

November 9th, 2010, 10:17 pm #5

since they arrived at 26 weeks. I wish there were not such a feeling of "all your eggs in one basket" (especially with donor embryo where you may well be "leasing" for a single cycle's duration). I love them and am forever grateful that their 4 month NICU stays has ended up in happily ever after, but it was a bitter pill to swallow that in transferring one, I more than likely would have had a singleton far closer to term. My babies suffered because I wanted my cycle to succeed.

Last edited by Blessed_Thistle on November 9th, 2010, 10:17 pm, edited 1 time in total.
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Joined: October 9th, 2008, 2:53 am

November 9th, 2010, 11:20 pm #6


two embryos on a 3 day transfer and one blast on a 5 day transfer??? I been looking into many different clinics with about the same success rates and all of them now say No more transfers of 3 or 4 embryos...WTH, I did a couple of transfers a few of years ago and transferred three embryos on a 3 day transfer without a problem.

Have a missed something, why the change???
Here they prefer SETs however if you have had multiple failures you can get your RE and clinic to transfer more than one.
I transferred two this last cycle but was in KL at the time.
Transferring more than one is now no longer a personal choice, cheers, TH.
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Joined: April 14th, 2003, 10:59 pm

November 9th, 2010, 11:35 pm #7

since they arrived at 26 weeks. I wish there were not such a feeling of "all your eggs in one basket" (especially with donor embryo where you may well be "leasing" for a single cycle's duration). I love them and am forever grateful that their 4 month NICU stays has ended up in happily ever after, but it was a bitter pill to swallow that in transferring one, I more than likely would have had a singleton far closer to term. My babies suffered because I wanted my cycle to succeed.
And the bottom line is that your treatment was based on the best medical advice from your physician. Given the fact that this was an FET, I would be surprised if you would get different advice now- sometimes, things just happen and we have no control.

So you should try your best to absolve yourself for any guilt- there should not be any! I think the best thing you can do going forward is to be an advocate FOR SETs (and insurance coverage!)

One of the quotes from one of the European campaigns really made sense to me...it said something to the effect that (paraphrasing) "you will make so many decisions for your baby throughout his or her lifetime. You will agonize over many of these decisions- when to start solids, what pre-school etc. But the most important decision you will ever make for your child will take place long before your child is born- even before you are pregnant. It is the decision to give them the very possible best start in life. And the very best health of your child can only be ensured by having your child, being pregnant with your child ONE AT A TIME!"

That put it into terms that I think everyone could understand- but then again, this was a country where IVF was on the NHS.
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Joined: February 6th, 2007, 1:08 am

November 10th, 2010, 12:13 am #8


two embryos on a 3 day transfer and one blast on a 5 day transfer??? I been looking into many different clinics with about the same success rates and all of them now say No more transfers of 3 or 4 embryos...WTH, I did a couple of transfers a few of years ago and transferred three embryos on a 3 day transfer without a problem.

Have a missed something, why the change???
even with donor eggs. I did 3 on day 5 and I must say got worried when I had a + POAS at 4dp5dt but luckily it was only 2. I only grew 3 embryos to blast and the 3rd one wasn't good quality and they wouldn't freeze so I decided to put all back. I'm absolutely sure that the bad quality one is one of my twins as one was always one day behind just like the embryo that was transferred.
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Joined: March 25th, 2008, 8:46 pm

November 10th, 2010, 5:01 am #9

And the bottom line is that your treatment was based on the best medical advice from your physician. Given the fact that this was an FET, I would be surprised if you would get different advice now- sometimes, things just happen and we have no control.

So you should try your best to absolve yourself for any guilt- there should not be any! I think the best thing you can do going forward is to be an advocate FOR SETs (and insurance coverage!)

One of the quotes from one of the European campaigns really made sense to me...it said something to the effect that (paraphrasing) "you will make so many decisions for your baby throughout his or her lifetime. You will agonize over many of these decisions- when to start solids, what pre-school etc. But the most important decision you will ever make for your child will take place long before your child is born- even before you are pregnant. It is the decision to give them the very possible best start in life. And the very best health of your child can only be ensured by having your child, being pregnant with your child ONE AT A TIME!"

That put it into terms that I think everyone could understand- but then again, this was a country where IVF was on the NHS.
I know I am the exception and not the rule but as Captain Hindsight would say "You should have only put back one embryo and reduced the risk of extreme prematurity." What would I do without Captain Hindsight?

Last edited by Blessed_Thistle on November 10th, 2010, 5:01 am, edited 1 time in total.
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