For me the first IVF was somehow the easiest. I had full trust in high-tech baby making and was positive it would definitely work. Instead of asking myself questions, checking online, asking around, I just trusted the (idiot) doctor who performed my first disastrous attempt at in-vitro baby making.
Three rounds of IVF later I find myself spending weeks in trying to decide what to do for this fourth IVF round: stay with my doctor or change? Stay in the same clinic or change? Frozen or fresh? IMSI or ICSI? Day 3 or day 5? Or half and half? Long, short or antagonist protocol?
Why on earth do I – person with no medical training whatsoever – need to take this type of decision!?!??!
Good news first
After a consultation with two different infertility doctors, an embryologist and a new acupuncturist, there is full (or almost full) agreement on a few points:
- antagonist protocol
- do only frozen cycles, i.e. freeze everything and transfer months later (by the way, this confirms that I will not have a baby in 2014, but I said I’d try to be positive so I will shut up)
- IMSI (my gynaecologist prefers ICSI but I trust the embryologist on this)
Bad news now
There is one question I can’t get a straight answer to: shall we push to blastocysts or transfer at day 3? This is a key question because it will determine whether I will change doctor and clinic.
What do I understand/know about this:
- Getting a blastocyst makes it possible to select the best embryos: if they don’t survive in vitro for 5 days then they are not good enough so you avoid multiple transfers of potentially useless embryos.
- For a transfer at day 5 it is easier to replicate the state of the uterine lining in a natural pregnancy (something a do with the time it takes to the embies to get through the tubes going from the ovaries to the uterus when you are a normally lucky fertile person)
- Day 3 transfer can help the development of the embryos, since they better develop in uterus than in vitro (mum is better!).
- The only time I had a minuscule positive result was on a 3-day frozen transfer (never had 5-day frozen though).
Does anyone have any information on this? Could you let me know whatever information you have on transfer/freezing day? Or on your experience so far? How many of you transferred at day 5?
THANK YOU SO MUCH!!!
Leaving you with my song of the day (little treat for the men reading, if there are any..)