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Fertility / Infertility  (Expert Forum)
 | 
FET PROTOCAL AND SUCCESS
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG Billings - MT
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.

FET PROTOCAL AND SUCCESS

by Paloma25, Nov 06, 2009 11:01AM
I have had several good advice and information from you, so i decided to share my calendar with you below and see if this looks like a good protocal for my FET. Of course like everyone else I am terrified, becaue this will be my last attempt because of money. I have 6 frozen embies wich my RE said they are "B" and "C" GRADES, (which dont know what that means), i am going back and forth as to how many he should put in, one main reason besides infertility for me doing ivf and now fet is to be able to have a chance to have twin pregnancy. The first time he implanted 2 and i swear i felt that his protocal was not very good i never once for a min felt prgnant, i feel that the embies didnt have a chance fore some reason, it might be in my head. I am going to be 32 next month and i dont know if i should have him put in 3 or 4, of course depending how they thaw out. I know you have triplets, how many embies did you have put in? i know it has to do with the quality, but i felt that with my age and my husband (29) he was fine according to the RE, we would have better success,,, PLEASE HELP!!

Here is my calandar,,,
took BC till 10/24,,
10/21 lupron 6 pm and Dexamethosone 2 per day
10/31 lupron 6pm Dexamethosone 2 per dayand estrace 6 pm
11/3   estrace 8 am and 3 pm and lupron 6 pm Dexamethosone 2 per day
11/8  the same as 11/3, but add estrace at 6 pm
11/11 the same as 11/8, but add estrace vaginal at bedtime
11/12 the same as 11/11, but add medrol (4days), doxycycline and progesterone shot and STOP lupron
11/17 ET!!!!!!! estrace 8 am and 6 pm and vaginal, doxy and prog. shot
11/30 blood work!!!!

by Elaine Brown, MD, Nov 07, 2009 05:55PM
To: Paloma25
HI!
If I was going for the last try, I would transfer all of the embryos that survive the thaw.
I believe that close to 50% of frozen embryos do not survive, so that would mean transferring two.  ( I transferred 3, but I am older than you are).  Also, it is fairly common for identical twinning to occur with IVF cycles--much more common than in natural cycles (no one knows why).
Do you have the option of transferring blastocysts?  I don't think I would transfer more than two blastocysts these are more likely to implant.  Higher order multiple pregnancies are not worth the risk, twins are only very slightly more risky than singletons.
I wish you all the best!
Dr B
Member Comments (2)

by Paloma25, Nov 07, 2009 06:17PM
To: dr.b
They were 5 day blast before frozen. So if I have 6 frozen 50% CHANCE 3 will make it. You wouldn't suggest to put in all 3? Yes this will be my last attempt. Financially and emotionally I can't do it again.
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