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Day 5 IVF Results

November 27, 2009 By Carol Leave a Comment

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Embryo transfer on Tuesday went off without a hitch – apart from the fact that I think I unsettled the embryologist. No necessarily a good thing when they are the custodian of your embryos.   The embryologist came in as usual and informed me that they had chosen a mature blastocyst that was just starting to hatch. I saw a lovely picture of it.  I asked the embryologist if there were any more blastocysts suitable for transfer.  I think I may have taken her by surprise.

She asked me if I understood the risks of having two blastocysts transferred and that the one they had chosen was top quality.   I told her I understood the risks but I did not mind if I had a multiple birth.  I told her that I was 40 and I didn’t care.  I told her that every time I came to clinic I had promising blastocysts but by the next day there were never any left apart from the one that got transferred. I said I that given this, I thought it would be better in me!  I wasn’t having a go at the clinic for saying this – it was more the fact that it has been so disappointing not to have any more embryos left.

She said that there were a couple of early blastocysts but that they would have to go back and reassess which one would be suitable for transfer.  I mentioned that I had filled out the relevent paperwork that outlined that we preferred to have the option if having one or two transferred.  I wasn’t sure of the protocol but had wondered when they were going to check with me if I wanted one or two transferred. The end result was that the clinic ended up transferring two.  The whole experience was a little more relaxing than normal – for a start there was soft music playing in the background and for some reason I felt more relaxed than I had in ages.  Maybe it was the acupuncture I had? Maybe it was the fact that I am no longer working for same manager who I used to work for (talk about stress me out).

After the transfer the embryologist reappeared with the paperwork in hand to ensure I had given consent for two.  After looking at the paperwork she realised that we had already nominated this on the form so from her end everything was OK.  I had suspected that I had unsettled her but that fact that she reappeared with paperwork confirmed it.  Believe it or not, after my discussion with her I had to wait for 2 days to find out how many embryos survived to day 5.  I had been expecting that we would get the same results as usual – no embryos left for freezing but I was pleasantly surprised.  We actually had three surviving blastocysts so now have them on ice!  How exciting!  Could it be that extra care was given to my little embies after my discussion. Probably not – but it still makes me wonder.  Doesn’t matter – I have spares. This is the best news – no more drugs for a little while.   So it is now the third day since my transfer and I am in the dreaded two week wait.   Back to breast groping again.

Filed Under: Fertilisation Rates, IVF Embryo Transfer, two week wait Tagged With: Blastocyst, Embryo Transfer

Day 3 Versus Day 5 Embryos

August 16, 2009 By Carol Leave a Comment

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The debate between Day 3 or Day 5 embryos continues. I have always done Day 5 blastocyst transfers. The theory being that scientists can monitor the embryo for longer so that they can assess which ones are most healthy. This allows them to process and screen out those embryos that are unlikely to survive and are the most healthier. Although, it is not that they are screened out – they just don’t survive.

The risk is that you can lose most if not all of them. Certainly this is something we have experienced. From 19 eggs and 15 fertilised, we were left with only 1 Day 5 blastocyst. The implication being that if this failed to implant we would need to go through the whole process again.

We have now had 7 transfers in total (9 blastocysts) and every one of the them has failed to implant. They say that the definition of insanity is doing the same thing over again. Maybe we are insane. It led me to ask the question of my nurse, should we do day 3 transfers instead. Apart from the fact that she suggested I discuss this with my Doctor, her answer was interesting. She said some women have had no luck with Day 5 blastocysts and have tried Day 3 and got successfully pregnant. Others have had had the same result as Day 5. My guess is that there is no easy answer but I am going to give the Day 3 ones a go. Maybe there are better off in my body than some cultured medium.

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Filed Under: Day 3 Versus Day 5 Embryos, Success Rate Tagged With: Blastocyst, Doctor, Embryo, IVF success rates, Reproductive Health

Embryo Transfer Moments

August 5, 2009 By Carol Leave a Comment

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Wow. What a day. One expanding blastocyst transferred. One early blastocyst in the making. And drumroll please …. hopefully at least one more blastocyst to come.

The transfer itself went smoothly. The only hiccup was when I went to go to the toilet to empty my bladder and found that someone was already in the toilet.

That’s right. The occupant forgot to lock the door. I don’t know who was more surprised, the occupant for being sprung or me for finding this woman standing up over the toilet facing the door. The mind boggles. Not how I would use the toilet anyway.

Now my only perplexing thing is that the embryologist told me that there were still 13 embryos going along. You may recall that yesterday my nurse told me that there was 11 with 3 not looking so good. I sure hope they get their stories straight when I ring up tomorrow afternoon to find out the final outcome.

Some other random thoughts about the day and why you know you have done IVF too many times:

– When the admission nurses all greet you by your first name without looking at your file.
– When the Doctor asks you if you would mind if a student watches your transfer and you ungratefully say that’s ok but with an attitude that sounds like an imposition.
– You vow to say no to the student next time because news flash! It is an imposition. You don’t want any more people looking at your girlie bits even if it means annoying the doctor who is helping put the embryo inside you.
– You start becoming less amazed with the science of it all and more impatient for a result
– You start telling people not to ask you any more questions about how your IVF is going because you know if there is a failed result this time, you will be devastated and “tear up” at the drop of the hat

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Filed Under: Emotional Impact, Fertilisation Rates, IVF Embryo Transfer Tagged With: Assisted Reproductive Technologies, Blastocyst, Embryo, In vitro fertilisation

Day 4 – IVF Fertilization Success Rates

August 4, 2009 By Carol Leave a Comment

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There are now 11 surviving embryos. Of these, 8 look good and 3 don’t look so good. If we get 8 blastocysts tomorrow that would be fantastic but maybe it’s a touch unrealistic.

Today is the first day since egg collection that I feel remotely normal. My tummy is still a bit bloated but the pain has gone. I can walk normally instead of being bent over like an old woman.

In any case, I am booked into admission at the clinic for 7.45am. Bugger – no sleep in. The big transfer happens at 8.30am and then I am off to work. Lucky work is only 15 minutes away from the clinic so I reckon I will only be half an hour late.

I’ve told my manager and she has been pretty good about it, even offering for me to work from home if I want to. I am not sure if it will help, I work in an office so nothing I do at work is ever strenuous on my body (maybe my mind but that is another story).

It is hard to know what to do. Believe it or not, there is a meeting at work I want to go to. Besides, I’ve tried taking time off to rest and I have also tried working after a transfer. Neither options have worked. I guess there is no right or wrong thing to do. I think it can happen either way – just depends on the quality of the embryo.

A lady at work got pregnant at 43 on IVF and she had her transfer when she was in the middle of some high level negotiations with a leading retailer. So it just goes to show that it doesn’t necessarily matter.

Anyway, the woman in question has now gone on maternity leave and I arrived at work today to find out that she had a little baby boy. I am very happy for her.

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Filed Under: Age and IVF, Fertilisation Rates, IVF side effects Tagged With: Blastocyst, Embryo, Fertilisation, In vitro fertilisation

Fertilization Post Egg Collection

August 1, 2009 By Carol Leave a Comment

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Of the 19 eggs collected, 18 were suitable to be fertilised. If those 18 eggs, 15 fertilised. I think that is a good result but last time something like this happened we only had 1 egg left for a Day 5 transfer. Still we were lucky to have 1.

This means I will need to start crinone gel on Monday night before I go to bed. The transfer will at some stage on Wednesday – I will get the phone call the day prior so I know my admission time. Fingers crossed more than 1 embryo will make it to day 5.

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Filed Under: Fertilisation Rates Tagged With: Blastocyst, Fertilisation, In vitro fertilisation

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