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Infertility Support and Discussion
Reply to "Implantation issues - treatments, causes?"
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[quote=Anonymous][quote=Anonymous]Also was a patient of Dr. Sacks and he also did not recommend PGS testing. I was in my early 40s. Always had plenty of eggs, but usually ended up with out 3-4 embyros at the and, and never any embryos to freeze. So each cycle was starting a fresh. I have become a convert to PGS testing. Also a former Sacks patient, and I liked him a lot, but I should have started with PGS testing. I would have at least been working with embryos of known quantity and we likely would have a baby by now. My interpretation of how Sacks works is from the point of view that if nothing is else is wrong, if you keep transferring embryos, eventually one will work. That's fine if you have 1) unlimited financial resources or excellent insurance, 2) unlimited capacity for the uncertainty each month, and 3) and are okay with transferring 2+ embryos at a time and multiples. Oh, and high possibility of miscarriage, because, I my case I was transferring untested embryos at 40+ (And did miscarry, the time we transferred three embryos. I still can't believe I transferred three!) I so so so wish more than anything that I had done PGS testing from the start. I ended up going to an out-of-state clinic with aggressive PGS testing and single embryos transfer policies for a fourth and final IVF cycle, where I ended up with three Day 5 embryos (from 10 eggs retrieved) and only one tested normal. It did not work, alas. No knowing why. I guess there could be implantation issues, but it's probably just luck, getting the right egg at the right time. (Which is how Dr. Sacks approaches it.) If I'd had the insurance coverage to do another cycle out of state, I would have. I just couldn't justify spending $15-17,000 out of pocket on something that only had 20 percent odds of success, even with PGS testing. On to DE now, where odds are higher and results are guaranteed by SG... [/quote] OP here. Thank you for sharing your story. I didn't realize this was a recommendation Sacks made across the board - I know one couple who also worked with him and did PGS testing, but now I'm thinking they must have pushed for it. I wish you the best of luck with DE. I think I would feel better if we conducted PGS testing on our frozen embryos before moving on to FETs, and this is a conversation my partner and I have been actively having - but that opens up a whole new round of questions. Can they do testing "after the fact," since we didn't choose to do it initially when they were fresh/first frozen? Would we run the risk of losing some just to the process itself, not just discarding them because of abnormal results? I'll admit I don't know anything about PGS because we've put it aside for the last year at the doctor's recommendation. Any information you guys could provide would be helpful, and I'll start researching on my own this afternoon.[/quote]
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