9/24/09 - What to do, what to do???

Our dilema...I have four day 6 blasts in the lab (4BB, 4BB, 4BB-, 3BB-). My transfer is tomorrow and my RE is waiting on my decision to put in the lab order:

Your name is written on my hand as I remembered last night when I was in a meeting that I hadn’t circled back to you. (Luckily I didn’t shower it off this morning!)

I heard back, and Dr Ivani, the lab director, did not feel it would be good to thaw and biopsy and rethaw your 4th embryo. It could be done, but not great if it was in fact a healthy embryo to impact it in such a way. Therefore she recommended either 4 or just 3 and save the 4th. Several of the docs were OK with 4 embryos to transfer given your situation. I am still uncomfortable with that as I have seen triplets in folks like you. However, If you want all 4, I will do that.

Please email me back with the number you want as I need to put the lab orders in today. Cant wait!

Here is the deal though, if we have to do IVF again, we're doing PGD testing, so this fourth blastocyst, if we don't transfer it now, may never get transferred. BUT, I do not want to carry more than two babies. I'm not sure my body can handle it at this age and I don't want the risk to the babies.

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I think I'm leaning towards three, just because I do not want to carry trips and I absolutely will NOT reduce. But ugh...then I lean back to four because of the chromosomal issues. I guess I'm still very much mulling it over. LOL! I told her I'd have an answer by 11:00 AM. One more hour.

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Okay, done deal! I'm very much at peace with this decision.

My message:

After racking my brain of every scenario vs. outcome, I’ve decided that I would like to thaw and transfer three. If there is any quality degradation, I would like to thaw the fourth and transfer it as well. I figured that is the closest way of putting this decision into God’s hands – we’ll let the embryos decide.

RE's immediate response:

I think that is a great decision, and as I said before, if the 1st 3 don’t make it despite looking good, I doubt the 4th would have been the solution. If there is any question about the quality upon thaw, I will have the lab thaw the 4th.