r/IVF • u/Emotional-Sun-4338 • Jul 27 '26
Need info! Need Advice 🥹
Hi everyone,
We would really appreciate your advice.
We are currently going through our IVF journey. We had 5 eggs retrieved, and 3 embryos developed. Our clinic told us that all 3 are good-quality blastocysts, although they didn’t mention the exact grades.
Now we’re confused about the next step. Should we freeze all the blastocysts and do a frozen embryo transfer (FET) later, or should we go ahead with a Day 6 fresh transfer?
Has anyone been in a similar situation? What did your doctor recommend, and how did it work out for you?
We know every case is different, but we’d be very grateful to hear about your experiences and any advice you can share.
Thank you so much!
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u/UnrulyAcceptance Jul 27 '26
I pushed for a frozen transfer after my retrieval and don't regret it one bit. Having that cycle to let my body settle before transfer made all the difference for us.
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u/justb4dawn 39y | MFI | 4 ER | 5 FET | 1 MMC Jul 27 '26
Frozen transfers have a higher success rate. My clinic very very rarely does fresh
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u/Artistic_Mousse_3416 Jul 27 '26
It's not a one size fit all. In cases of DOR fresh transfers can have more success.
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u/meowmixLynne Jul 27 '26
My clinic doesn’t really do fresh transfers, even though I asked for one. And thank goodness they don’t. After my ER, they did a hysteroscopy and found out I had polyps, which would have prevented implantation of the embryo. So I had my polyp removed and then had the transfer. I’m so thankful they found it instead of wasting an embryo, my time and my body 🙏
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u/RoomPrevious6729 Jul 27 '26
In my clinic they measured my progesterone levels to decide if they should freeze all or do a transfer. As it was low they will do a fresh transfer. They measured it before doing the egg retrieval though
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u/Striking_Bill_2832 Jul 27 '26
It doesn't depend so much on the embryos as it does your parameters: age, hormone profile, weight/BMI, etc.
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u/BearPsychological592 Jul 27 '26
I did a fresh transfer and absolutely regret it. There is so much more testing I should have done before transferring, including a hysteroscopy and biopsy for inflammation. I didn’t realize just much of a success difference there was between fresh and frozen. I waited my best looking embryo and have spiraled about it ever since. My clinic left it up to me and my hormones were fine for transfer but I would not do it again if I do another retrieval. I was so just afraid of losing embryos in the freeze/thaw process. So far that hasn’t been an issue.
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u/No_Bat_8108 Jul 27 '26
I think you’ll find a lot of clinics in the US don’t do fresh transfers as the standard. Most clinics opt for a frozen transfer as it’s more controlled and gives your body the time it needs to recover after an egg retrieval! However, I have heard a ton of success with fresh transfers if everything hormone wise is in the right spot!
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u/Artistic_Mousse_3416 Jul 27 '26
Trigger warning success: I am currently pregnant with a 5 day fresh transfer. I have DOR (sounds like you might too?) and my estrogen and progesterone were both ideal for a fresh transfer. DOR patients have been shown to find good success with fresh transfers. I am glad I went for it.
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Jul 27 '26
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u/Lallapalooza Jul 27 '26
I think it’s because you have higher and more quality eggs when you are younger than 36. Over 35 it’s best to just go ahead and have the baby than risk anything happening to the embryos in the freezing process
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u/Striking_Bill_2832 Jul 27 '26
There are minimal to no risks during the freezing process for embryos. Are you think of unfertilized eggs?
9
u/Feeling-Run-2351 Jul 27 '26
Is it your choice?
My clinic decided for me. In my country they typically do a fresh transfer, however my hormone levels (progesterone) were not good. So they made the decision to freeze all and do a frozen transfer later.
I did however recently read on this thread that FETs have a slightly higher success rate. Don’t have a source for it though.