The lab updated me this morning : 9 eggs retrieved , 8 eggs can be used for icsi,on,y 3 fertilized ...
I hope at least there is one to two embryo for transfer
I finally have my embryo transfer this morning( day 3). 9 eggs retrived 8 of use , 3 fertised. Dr this morning updated me only one fertised eggs can progress to 6 cells today ,other two stop growing , and they find another 7 cells one which they did not notice or pickup the fertilization movement . Is this a rare case ? Is the 7 cells one still a Normal embryo ? Dr had transfer the two embryo :6 and 7 cells. I had no frozen reserve . Dr told me he did not expect my egg quality is poorer than those of same age ,less eggs retrieved less eggs can be fertised irrespective if male factor which is corrected by icsi. After hearing this ,I can sense his meaning if lower successful rate, my tears come out automatically.
I bed rest for 30 mins after ET because I cant hold urine . Nurse said bed rest for 10-15 mins is enough so I just home after bed rest 30 mins and vv.
I heard that some people said bed rest 1 hr and don't empty bladder immediately after the procedure .is this really the case? I start to worry 30 mins rest and I empty my bladder too soon will further Lower my successful rate.
Sorry for being too neurotic, but now really try to calm myself down and leave all these to God .
Dear biglemon,
Quite rare, and can never be sure if the 7 cell is a normal embryo unless it implants. But because you only have the 2 embryos, it is sensible to transfer them both.
Don't worry about the bed rest; it is not true and there is absolutely no scientific basis to it. You have got 30 minutes and that is good enough. If an embryo won't implant, it won't even you bed rest for 2 weeks; and if an embryo will implant, it will unless you do something crazy to stop it from implanting.
As for emptying the bladder, some doctors will use a catheter to help emptying the bladder right after the embryo transfer. There is again no effect from when you should empty your bladder AFTER an embryo transfer procedure. The full bladder is only there to assist the ultrasound view DURING the embryo transfer procedure; it has nothing to do with embryo implantation.
Hope you can feel relieved. Good luck!
cutecutetown
Thanks cutecutetown for your reply.
I don't care about the outcome now.
But really want to get myself clear about the 7 cells embryo. U mean it is rare to miss the fertisation stage ,or rare to find an abnormally fertilized oocytes(when eggs undergo development without fertilization )? I supposed if it is the later case,the so called embryo is genetically abnormal . Why dr still transfer it to me? Is it it will lose automatically and can't develop into a abnormal fetus ... . .? I dont want to have false hope and find out later the baby is abnormL.
Dear biglemon,
As we only check fertilization at one time point and the duration of the checking process has to be limited in order to minimize the eggs/embryos being outside of an incubator, there will be times when the fertilized stage is missed. And in your case, the fertilized stage was probably missed, we could never be certain if the embryo is normal or not.
To complicate life a little further, even normally fertilized oocytes can be genetically abnormal. Keeping in mind that we are all very used to looking at the appearance of the embryos and giving grades to this appearance only. And most of the time, we are "lucky" because most embryos with genetic abnormality will not implant; and if they implant, they will miscarry early. Very limited number will make it to live birth, especially nowadays prenatal diagnosis is readily available.
I don't think anyone can guarantee a bingo will always lead to a "normal" baby, not even in natural conception.
I just did the FET on Mon (29 Apr), I was a bit confused about the grading of the embryo, it is a Day 5 blastocyst and my doctor said it is a good one, he called it 5Aa, however, when the embryologist came in to explain the embryo details, she said the grading is 2+…so silly me that I didnt ask at that time as I was too nervous, may I know if there is any sub grading for the blastocyst?
Hello ClemenceW,
I am not sure why there are 2 different gradings for the same blastocyst. I believe your doctor is giving you a very objective description (5Aa), which is understood by embryologists and people in the field. For general purpose, the embryologist described the same blastocyst to you as a grade 2+, which you may generalize it to a good or above-average grade based on appearance. Note that the lab may hardly give any grade 1 so that a grade 2+ is indeed quite a good embryo/blastocyst.
To explain 5Aa in embryologist's terms: 5 = a fully expanded or hatching blastocyst; A = inner cell mass with many compacted cells; a = trophectoderm with many compacted cells.
Dear cutecutetown,
This is my 1st time IVF and I am age 4x already. I just see my doctor and I will have my frozen embryos transfer this month with natural cycle. I have no idea about the grading of my embryos but my doctor didn't explain too much for it. These are read from the report: S1: 1x8c/3/3 G2, S2: 1x 7c/3/4, 1 x 8C/4/3 G1-, S3: 1x6c/2/2 (G2), 1 x9C/3/3 G2+.....
I just got five frozen embryos. My doctor said I could have 3 embryos transfer for this time. What do you think the grading stands for? Are they good enough for a chance of bingo? A bit worrying.
hello sktse88,
For a more general interpretation, look at the Gx designation.
e.g. S1 (straw 1): 1x8c/3/3 G2
G2 is the grade. This grading ranges from 1-4, with 1 being the best and 4 being worst, although I have never seen jm's reporting a G4. Very rarely an embryo can get a G1.
This is an 8-cell embryo; the 3/3 is a score to describe the evenness of cells and also the degree of fragmentation. As this is a more detailed description mainly for embryologists, I won't go into the details.
Did you do a fresh transfer when you had your 1st IVF; if so, how many embryos were transferred? Based on the report you mentioned, S2 (straw 2) should be your best shot. If the 2 embryos will thaw out ok, save S1 and S3 for later use.
so while waiting for FET now, i also seek 2nd opinion from another IVF doctor. He suggested trying different things each time. He can't justify either why i keep getting biochemical pregnancy. so here are his suggestions:
- a day prior to FET, start blood thinner injectable called Lovenox to prevent blood clot. is this commonly used in fertility treatment?
- no ICSI (this seems to align with my thinking that nature selection is better than manual selection!)
- try day 2 transfer. fyi. i tried day 3 already. i thought day 2 is rarely used, no?
- try different ivf clinics.
Dear jlin123,
1 Not familiar with Lovenox, not common;
2. Try half of the eggs with ivf, yet still do a few eggs with icsi, just in case nothing fertilized in the ivf batch (highly unlikely);
I mentioned before that your icsi was probably for PGS, not for poor sperm.
3. D2ET won\'t hurt, except probably harder to choose the right embryos when you have plenty of them.
4. If you find a Dr you are comfortable with, nothing wrong to go for a change!
While planning ahead is understandable, don\'t stress yourself yet; see how this FET may give you.
Good luck!
thanks cutecutetown again!!!
發表於 
返回列表
