blastocyst transfer and miscarriage
1 Replies
egd - December 18

Hello,
My wife has had 2 previous miscarriages and 2 ectopic pregnancies which led us down the route to IVF.

The first cycle was unsuccessful due to a problem with the hcg shot, but on the second we had 13 eggs, 6 fertilised normally and 5 made it to blastocyst on day 5.

The clinic delayed transfer to day 6 to determine which were the best and transferred two, one of which was hatching (grade 5AA ) and one was defined only as 'good quality'. The rest apparently were not good enough to freeze.

Happily we tested pregnant following the transfer and have been told there is a reasonably high chance it is twins. However, it is hard to get excited due to being terrified of another miscarriage. Previous miscarriages have both been early 'missed miscarriages' with only a fetal pole found and no baby.

Can we be more confident because of the good quality of the blastocysts that this shouldn't happen to us again ? Or are there embryo quality issues that cannot be seen during IVF and could still be present in a 5AA blastocyst

I'd really appreciate any reassurance or help you can give us. It's been a long and heartbreaking journey this far !

many thanks ...

 

B. Jacobs, M. D. - December 18

We cannot tell by looking at embryos if they will produce successful pregancy. I check a second hCG level 48 hours after the first positive one. If it at least doubles, it is very reassuring that the pregnancy is good.
Congratulations!

 

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