Today I had an embryo replaced, which was 3 days old. It’s been a rollercoaster of emotions once again.
On the way to my acupuncture appointment the embryologist called. She didn’t sound overly happy on the phone, although when she told me that all 5 embryos have survived for 3 days so far, I thought that was a small miracle. Happy about that fact as I expected at least two to have dropped off, but as the embryologist explained unfortunately we don’t have any high-grade embryos, which reduces our chance of getting pregnant.
We had 3 embryos which were 8 cells but weren’t high-grade embryos because they all had significant fragmentation (20-30%). Fragmentation means part of the embryo has some damage – areas where there has been an uneven division of cells leaving “bits” which have no chromosomes.
The other two embryos were apparently in worse shape. One of them is a 12 cell embryo which sounds great, and it has no fragmentation at all, but we are told historically they know that embryos that divide too quickly have a lesser chance of surviving. I thought being 12 cell at this stage would be a good sign, but apparently not. Both me and Roger like the sound of the 12 cell, but I guess we need to trust the experts. And the 5th embryo has only 4 cells, so at the opposite end of the spectrum… unlikely to survive much longer because it is so slow to divide.
It was a bit of a blow to get the news that our little embryos aren’t in such good shape as the embryos in the last round. But as with everything in the IVF journey you just have to roll with whatever happens… no control over these things.
I had acupuncture both before and after the embryo replacement as it is meant to help. Even the fertility clinic (who opposes any alternative treatments) recommends it.
We went straight to the clinic after my morning acupuncture session and were there nice and early so we had plenty of time to discuss things with the embryologist and our Dr. Since they are not very good quality embryos I asked if they would consider placing two in, but my Dr was strongly opposed the this idea due to my previous medical history. He said since I had gone into premature labour with our last baby, he would consider it an absolute disaster if I did end up being pregnant with twins. He said in anyone else he would recommend transferring two embryos to increase the chance of pregnancy, since the quality of the embryos aren’t great. But because I went into premature labour and subsequently lost our last baby because of this, he wouldn’t be willing to take the risk of me having twins, as the probability of going into premature labour again is huge. Especially since no one has an answer as to why I went into premature labour (at 26 weeks) with our first baby we lost. The chances he guessed, factoring in my age, could be 10-15% of getting pregnant with twins. Twins are a high risk factor for mother and babies, and there is a greatly increased chance of going into premature labour for even the healthiest of pregnancies.
That was hard to hear in a way as I used to dream of having twins, and wouldn’t it be lovely. I’m sure it would be hugely difficult being a first time mum with twins, but we’d adapt and cope. Once we’d talked it through though I realised I had to just let go that dream, and listen to the experts.
I was all for transferring two, since I figured the chances of both embryos surviving were slim. I was ready to argue my case, but after talking it through with the embryologist and Dr I felt more comfortable with going with their recommendations.
So, we went with the single embryo transfer, although we know the chances of me getting pregnant with this isn’t great. The other 4 embryos will be placed back into the incubator and checked again on Sunday to see if any are still dividing, and if they are, they will either freeze them or leave them for another day and then freeze them.
I just think by the time they check them there will probably be none that have survived. Our Dr said about 20-30% will go on to blastocyst stage normally, but I don’t believe that. I know getting to blastocyst stage is quite a major milestone and aren’t holding out too much hope (but hoping to be proven wrong I guess).
Anyway, at least we have one in now so here is hoping it will stay in there.