Now it is my turn to ask advice abt how many to transfer..

[Levana]

We have 7.5 year old twins (transferred two 3 day embies) from our second IVF cycle (but the first cycle that actually made it to transfer.) Last year we transferred two frozen embies and neither took but we knew that they were very poor quality.

So we have to decide what we are going to do tomorrow about how many embryos to transfer. We likely won't know anything about the quality until we are actually in the operating room ready for the procedure. We're trying this time for a singleton pregnancy although we really love having twins and would still be thrilled if that happened. (But not my first choice, know what I mean?)

So my track record is that they both stick BUT I was eight years younger (I'm 33 now, so still on the younger side) and much less heavy last time as well. I know that both age and weight have a lot to do with likelihood of the embryos implanting. I'm worried about transferring one because I feel like if it doesn't take, I'm going to be very upset that we didn't transfer two. But it seems strange to transfer two and hope that only one sticks.

This is such a hard decision...anyone want to weigh in?

Levana

[Tonia1]

No experience with transferring one... (past success ment)

We always transferred two, and out of 3 cycles, I had 2 singleton pgs. (I was also young for my cycles- 28 & 33.) I think you have to weigh your feelings of twins vs. your feelings of having a failed cycle. I know there have been successes with single embryo transfers, but it's scary to put all your hopes on 1 embryo. I think if you are really okay with the possibility of twins again, then transferring 2 is your best option to not have regrets later. If deep down the idea of twins again freaks you out, maybe one is the way to go. Either way, I wish you lots of luck!

[fatcat]

I know you ultimately have to decide for yourself, but given the same situation, I'd put back 2. I'd be way more bummed about none taking than being overwhelmed to find out it was twins again.

On the other hand, see what the quality it. We did icsi due to male factor always put back several, I believe as many a 4, and this is in a relatively conservative medical community area - but the doctors explained it to me that some were considered such poor quality, it didn't put us at much of a risk (gee, thanks, I'll just go home and prepare for another negative.) Ultimately, we needed to use a sperm donor.

[Yvonne]

Well, I would ask myself what would be more upsetting to me - putting back 1 and getting a negative or putting back 2 and having both make it. It really sounds like while you would prefer a singleton, you are ok with twins again. So I would put back 2.

[JulieATL]

I agree with Yvonne....m

In trying to read your true feelings in what you wrote, sounds like you'd be fine with twins, though you're not aiming for that. But xferring just one doesn't make much sense if you do have at least two that look good and twins is an ok prospect for you. I hate making these decisions in the room. My last IVF, we totally decided the max would be 3, but while in the room, she suggested 4 because of quality and I was without my husband and on the phone with him with that full bladder and could hear her tapping her shoes outside the room as the other ladies were waiting. Torture! Definitely have a plan going in for every scenario so you can decide quickly. But two sounds very reasonable.

Well, I would ask myself what would be more upsetting to me - putting back 1 and getting a negative or putting back 2 and having both make it. It really sounds like while you would prefer a singleton, you are ok with twins again. So I would put back 2.

[Annette]

Hi Levana,

I agree with everyone else. I would rather have twins than wish I would have transferred two.

[lshandlefox]

Of course there's no easy answer and no guarantees. (that's the worst part of all this IVF stuff) I think the most important thing is just make a decision and stick by it. Don't ever get mad at yourself. (easy to say) Nobody could possibly be 100% sure of any decision with this. Best of luck!