As we approach January, my husband and I have begun to question whether we should transfer one donor embryo or two. Although we definitely increase our chances of implantation by transferring two embryos, we also run a greater risk of developing complications during a possible twin pregnancy. Although he thinks it is ultimately my decision, my husband feels it might be best to just go with the single embryo transfer. If it does not work, we could take a second trip to Reprofit to try again. But cost is certainly a factor for us...just as it is for most who are considering IVF.
I like the idea of having twins. The idea of instant family sounds enticing. However, my husband has a very good point...a healthy pregnancy and baby should be the ultimate goal. Although, we transferred two embryos during our last frozen embryo transfer (FET) and only one survived. By transferring only one we decrease our chances of a successful FET, and increase our costs. It's a difficult decision to make.
The experts agree with my husband that transferring one embryo is safest. The Practice Committee of the American Society of Reproduction, however, published an article indicating that the older the patient the less risk of multiples. They actually recommend transferring more than one embryo in older patients. Since I'm now in my 40's, based on this research I increase my chances of success by transferring two. The Practice Committee also recommends transferring embryos at the Blastocyst (day 5) stage in older patients. The one caveat to this is that we will be using donor embryos from young donors. Thereby, increasing our chances based on the viability of the embryos.
My gut tells me to transfer two. I think I'm going to go with my gut. Should I change my mind, I'll be sure to let you know!
If anyone reading has been faced with the same decision, and have advice or a story to share, please feel free to send me an email at WeTravelledforIVF@gmail.com. I would love to hear from others points of view.
