March 21, 2010

How About a Fertilization/Transfer All-In-One?

I realize I never blogged about an egg retrieval. There's a reason for it. They hurt like a motherless goat, and i'm really not myself for a few days after. Maybe one day I will... but typically by the time I feel like getting back online after an egg retrieval, i have more news to share...

Enter the fertilization (fert) report.

Or actually this time... don't.

The only phone call I got this time was that fertilization had occurred. I didn't get any details, despite numerous requests. I was really upset. I cried a lot. I pictured a lot of worst case scenarios. But then I thought about last time... when Dr Z called us himself to tell us about the abysmality of our fert report.

But, I guessed that hearing from Nurse F and not Dr Z had to be a good sign.
Even though I REALLY wanted to know. I mean, this time we had 13 (!!!!!) eggs. As an example, last time we had 6 shitty eggs. Only 5 were mature and only 3 fertilized. We took those 3 (which turned into less than sub par embryos) to transfer- and we all know what happened next.

But 13.... i could picture it in my head. 10 were going to be mature. 8 were going to fertilize and we might actually get embryos to freeze!!!

I had to wait until my transfer to find out for sure.

And, I was wrong.

And once I found out i was wrong, i realized I would have been upset not knowing those three days, anyway.

Of 13 eggs, only 7 were mature and of those 7 only 4 fertilized. we lost one of those on day 2.

So, 3 embryos. Again.

But the news this time is not as abysmal. This time we have GOOD embryos. REALLY good.

Quick review of Dr Z's grading system; goes on a scale of 1-5 (1 being the best and "no one gets a 1") and at this stage, you want 8 cells in each embryo.

Also a refresher, for comparison, of embryos from IVF #1:

  • 6 cell grade 3
  • 6 cell grade 4
  • 5 cell grade 4
At the transfer, Dr Z sits us down and tells about our embryos. What we find out is, in his lab, what we have is just about as good as it gets for a 3 day transfer.

He tells us about our first 2 embryos first.

We have an 8 cell grade 2 (pictured right) and a compacted 8 cell grade 2 (pictured left). Compacted means the embryo is heading for blast, which means our embryo is at LEAST 1/2 -1 day ahead in growth!
The other news from Dr Z is like he told us last time: grades 1, 2 and 3 all have the same rate of implantation.

Then he tells us about embryo #3.... it is also 8 cell (holy crap!) but a grade 4, so just lots of fragmentation. He left it up to us to decide what to do with it, but we deferred to his judgment, and transferred it also. I couldn't see disposing of an embryo that was better than anything we transferred last time. Besides, he said with my diagnosis and the failed last cycle, he thinks we can definitely justify transferring 3.

So, 3 embryos transferred. 2 pretty much perfect (pictured) and the one slightly less than perfect (not pictured, b/c it was a last minute decision).

Thanks for all of your well wishes. Please keep them coming.

photo credit

Please be snuggling in for the next 9 months, babies...

Back to bedrest. Welcome to the 2ww.


Sooz said...

Yay! I know how disappointing it is to have only a few eggs fertilize, especially when you've retrieved so many, but the fact that you have 2 really good ones and one almost good is such a great thing!

The two week wait is so hard, but I'm right there with you. We can do this together!

Dandelion Bud said...

thanks sooz....i really appreciate it!!

Ms. Understood said...

Good luck DB. Hoping the best for you and your little passengers.

Jen J. said...

Oh, that's awesome news! I had been checking the blog all weekend for your update! GL in the 2ww...praying this is it for you guys!!


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