This is the big question that so many of us in the IVF world have to ask ourselves. How many embryos should we transfer? It’s not always a simple answer, and as my FET is approaching I need to hurry up and decide.
With our first transfer the decision was out of our hands as only one embryo was ready to be biopsied for CCS testing. It was up to that one embryo to lead us to the pregnancy that we desired, but unfortunately it didn’t work out that way.
Everyone around me seems to have an opinion as to what the right answer is. Some friends are adamant that we should transfer two, because they want to see us with twins. While, others have strong feelings that everyone should only transfer one as multiple pregnancies can be challenging. I really didn’t realize that so many people were so invested into how many embryos we should transfer and honestly, I wish I never brought it up with friends. This decision is such a personal one and sometimes it is better to keep the white noise out of my head.
There are so many factors to take into consideration when making such a large decision. There are age, embryo quality, clinic stats, and the ASRM guidelines to take into deliberation. In the end it is really up to the doctor rather or not he is comfortable transferring more than one embryo. I have spoken in-depth with my doctor about what the ultimate goal is for us and how he thinks we can get there. I know that some clinics will only transfer 1 if you are under the age of 35. And, as fertility practices become more common and updated that single embryo transferred are more commonly practiced among many clinics.
The other day I was browsing through articles and blogs trying to see what the opinion on the web is regarding single or multiple transfers for women in my situation. And, I was offended by some of the stuff I read. One article claimed that we just want a two for the price of one deal and that is why so many women are transferring more than one embryo. Say what…..I took offense to what was written as that has never crossed my mind. Yes, I have thought at times that twins would be great as I have worked for so long and hard to expand my family, but I don’t view them as a BOGO shopping deal at the local payless.
Another article that I stumbled across hit a the nail on the head, at least for me. It said that “we fear failing not to be pregnant more than we fear a twin pregnancy.” I can relate to this as I do fear not being able to keep another pregnancy more than I fear the hardships of what a twin pregnancy could bring.
I know that there are numerous risks when transferring two embryos as twin pregnancies are high risk and they can lead to various issues during the pregnancy. But, I also know that a singleton pregnancy can lead to just as many complications and can even lead to a premature birth just as a multiple pregnancy. I have a girlfriend who delivered her son at 34 weeks and he has been in the NICU for a while now; just as I know a few women who have had relatively easy twin pregnancies. Nothing is guaranteed in life. If I do decide to transfer two it can still lead to a singleton pregnancy. There are no guarantees or definite answers with infertility.
No matter what we decide to transfer tomorrow the outcome that I want is the same. I want to beat infertility and finally have the healthy pregnancy that I have dreamed of for almost three years.