Every sister who comes to do test tubes hopes that she can get enough eggs at a time, match them with many high-grade embryos of high value, and then get pregnant with a transplant, so that she can leave the reproductive center quickly, go to the obstetric report early, get pregnant in October, give birth, and start a new life with a baby.
But such lucky people are not all, after all, in the actual work, will encounter a variety of less comfortable situations.
What we are going to talk about today is the situation of only one embryo, is it to transfer first, or not to transfer, to freeze the embryo, and to continue the new ovulation induction cycle to save the embryo?
I believe that this is a real problem that many sisters who do test tubes often encounter, the answer is not simply yes or no, we should develop transplantation strategies according to the specific situation.
(1) For the number of embryos that are not expected, it is generally recommended
For patients with normal ovarian reserves and a large number of follicles, the number of embryos will be objectively small due to the unexpected low egg acquisition rate, low fertilization rate, low egg cleavage rate, low high-quality embryo formation rate, etc., or even only one available embryo, which is obvious to the psychological impact of this situation.
No cases where fresh embryos are not suitable for transfer:
If the thickness of the lining is normal and the hormone levels are normal, there are no endopathies (especially adenomyosis), uterine fibroids, no tubal effusions, no uterine adhesions, and no endometrial polyps that need to be treated.
That is recommended for embryo transfer, cherishing this hard-won embryo or has a 35%-50% chance of conception.
Especially for unexplained primary infertility patients, various reasons lead to low rate of high-quality embryo formation, many of these factors are unknown and uncontrollable, so it is difficult to get pregnant naturally in the natural state, then the only embryo that has experienced a lot of breakthroughs and finally succeeded may really be the baby you hit, don't be discouraged.
If there are cases where fresh embryo transplantation is not suitable:
Of course, if there is a situation that is not suitable for fresh embryo transfer, then this embryo can be frozen first, the first transfer cycle can only transfer one embryo, since there is an available embryo, in most cases, there is no need to take the egg again, you can thaw this embryo after transfer, after all, as soon as possible, comfortable and safe pregnancy, is the main purpose of our test tube.
(2) For the expected number of embryos is small, it is generally recommended
Patients over the age of 40 or with low ovarian reserve, especially those with very few sinus follicles and low AMH, are only a few tenths of a year, and their number of embryos per time is expected.
For this part of the low ovarian reserve population, we can accumulate embryos within a certain range, and according to the specific situation of the patient, accumulate the number of embryos that can be transferred 2-3 times before transferring.
In particular, people with low ovarian reserve who have huge uterine fibroids, ovarian lining cysts, and adenomyomas that need to be treated surgically before transplantation, because after reproductive surgery, patients need to wait 1 year before they can be transferred, so it is also reasonable to carry out a certain number of "embryos" before surgical treatment.
We also have to learn to transfer precious embryos at the right time to become cute babies. Finally, I wish the sisters a good pregnancy soon!