When an embyro splits it will result in identical twins. Identical twins are higher risk than non identical twins because they often share a placenta. Non identical twins will have 2 placenta providing nutrition to the baby vs both babies have to compete for them same resources. The chances of an embyro splitting after a frozen embyro transfer is 1%. The chances of an embyro splitting when conceiving naturally is only .3% which is alot less likely. Most twins that are conceived naturally are not identical which makes them lower risk (1/3 are identical vs 2/3 are not).
I’m doing IVF and I want to have twins. This is due to my age, and a number of other considerations. I would prefer to hear the risk % of those bad outcomes as I would expect them not to be very high.
Did you test your embryos? I didn’t test mine and I can’t decide if I should do 1 or 2 embryos for my next transfer. Our first one failed and was a chemical.
@@marthamorales80 No, I had a fresh transfer so we didn’t test the embryos. They were both 5 day blastocysts & my fertility Dr said the quality was great.
@@marthamorales80 This is my second pregnancy, my daughter was spontaneous but my partner has low sperm morphology so we just went for IVF. My Dr said It’s always best to transfer 2, so if i were you I’d do 2 for sure! You have a better chance of having a live birth ❤
Thank you Dr. Anu for the info regarding risks of transferring 2 embryos for twins with IVF. A follow up question: given that a woman is 40, and she definitely wants 2 kids. Is it more risky to have twins with IVF or to have one baby first with a single embryo transfer and then wait until a later time to do a second frozen embryo transfer? How good might the 2nd frozen embryo be for future transfer and what are the additional costs? Thanks again.
Thank you but if you put in 2 embryos doesn’t it raise the success rate of pregnancy from that 70% success rate you were speaking about with one embryo?
Thank you for the video! It's a question we're facing now. After two years of trying, having had an tubic pregnancy we just found out that my other tube is also not functional. On one hand I'd love to have twins so I'm finally done with the getting pregnant part. But on the other hand I want the best chances for baby and me. For me the psychological part weights in too.
I am doing my 3rd transfer in a few days ( second FET), I am fed up with miscarriages (I had two:7th and 11th week). I have six embryos in the freezer and thinking of getting two back. PGD here is not available unless you have chromosomes abnormalities. I would love to become a mom of one or two healthy babies next year. Do you think two would be better?
There are other tests you can take to narrow down the issue you might be experiencing. I hope you’ve made progress in the last year since writing this.
I’m curious where the 50% statistic for twins you mentioned came from. I’ve been researching and finding varying results in the studies but 20-30% seems to be the most common. Also, a lot of the complications you mentioned are for identical twins which only has a 1% occurrence of getting from IVF with two embryos.
Did you ask your doctor if 2 embryos could be transfer or the doctor suggested 2 to be transfer? I ask because I would like to do 2 embryo transfer but I have a feeling my doctor would say no.
Hi Anu, I have 2 questions. 1) if the ovulation shows strong positive in OPk (day - 9) does it mean that the egg will be released for sure only in 24 to 48 hours? Or can the egg release vary to different days like day example - day 15 or 16 or day 6 or 7- others days than LH peak? 2)short period cycle (like 23days) are difficult to conceive? Every month it happens correctly on day 23. Trying for 10 months no success. Can you also do a video on foods to eat - men and women while TTC
Hi Anu, can you tell me the definition of a morula? Can it also be called an M1 and M2? I’ve seen the term used before. Can you tell me whether an M1 and M2 embryo has a good chance of implanting?
I haven’t tested my embryos. I’m 26 years old and my IVF process is going great, I only have 6 embryos. I’m so confused if I should transfer 1 or 2? I don’t want a negative pregnancy test but also scared about the risk. Please help
But not everyone is able to PGT and most insurances don’t approve this testing. It would be helpful if you included numbers based on IVF without testing and how the numbers/chances change with age
Though insurance doesn't always cover it, I still strongly recommend PGT. If patients are unsuccessful after first transfer, we will discuss option for PGT, which after embryos have been frozen is more procedures to put the embryo through and less ideal. For more information on number of embryos to transfer with and without PGT, please see ASRM guidelines: www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/guidance_on_the_limits_to_the_number_of_embryos_to_transfer.pdf
I would also consider another perspective: not doing PGT can also result in more attempts at transfer, whereas doing PGT could be fewer transfer attempts ultimately. From this perspective, PGT can be considered more cost effective (because of less investment in time and cost with transfers). Again, best of luck!
@@AnuKathiresanMD when transfers are covered by insurance spending that 5k is harder when you’re already paying for sperm. I also know a number of people who have had failed cycles or miscarriages with PGT embryos. It’s all very hard on whomever is going through it and I know doctors are doing as much as they and science can. It’s just so hard to know what the best choices are - although hopefully with more accessible info and a good team of doctors one has a solid plan.
I’ve had 4 failed IUIs, 1 failed IVF cycle (doc only accessed 1 ovary as fibroid blocking other ovary so had 1 day 3 embryo that failed), 2nd IVF (other doc got to both ovaries) where 1 blast lead to etopic pregnancy, 1 blast in me now pretty sure it’s a failed one, 2 4CB frozen. As 4CB is considered poor graded, I’m thinking of transferring both next time, it feels like a waste of time putting 1 by 1, would save money if they both aren’t going to implant anyway and at least I can do another fresh sooner after all I am 40 years old, started this at 38, any one got any thoughts on if I should implant both as I’m not sure? Is implanting 2 more likely going to stop 1 potentially good embryo from implanting? All I see mostly is only transfer 1.
Sir I have one baby already and I am going through IVF process i don't want twin pregnancy. But if I opt single ambrion transfer den possibility will be less as compared to twin ambrion transfer. Please suggest me wat sud i opt single ambrion tranfer or twin? Also i want to know if both ambrion survived den is there any treatment available so that out of two, one can be abored.
Thank you for the video. my doctor transferred 3 Blastocyst 2 days back 4aa, 4 aa, 3aa. Lining was 8.2mm on 12th day from periods. Done laparoscopy and hysteroscopy, prp, lipid, ivig and tb treatment also. What will be the chances of conception. I'm 37. First ivf
