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[quote=Anonymous][quote=Anonymous]Twin IVF mom here. I think it’s very easy for us to say oh no don’t do 2. Twins are hard and riskier etc.

However I remember being in your spot. 10 years of fertility issues here and 4 rounds of IVF. 3 single embryo transfers and 1 PGS tested - nothing.

Running out of insurance coverage and just a gut feeling lead me to insist on doing a 3 day fresh transfer. My RE said 2-3 transferred. I went with 3. Have twins. While I’m very glad I didn’t have triplets ( I’d never transfer 3 or even 2 again ) I’m glad I did it.

I’d try 2. ...but not 3. [/quote]

NP, I am 40+ I have done many cycles of transferring more than 1, all untested.

First cycle only 3 fertilized, they transferred 2 on day-3, I got pregnant with 1 but miscarried. The last one didnt make it to blast. 
Second and Third retrievals I got a total of 9 blasts..  They transferred 2 blasts at a time over 2 fresh transfers and 1 FET. Not preg. on all.  
Then an ERA showed the window was off. 
My last FET they transferred all 3 to spare me the time/$$ of a second FET. I got pregnant with 1, again miscarriage.

Here is an article in fertility and sterility; the table on page 2 details guidelines by age and outcome favorability: https://www.fertstert.org/article/S0015-0282(17)30227-3/pdf
If its a known PGS normal they will not transfer more than 1. 
For older folks, even favorable, they are okay with transferring higher numbers.  
Once you have had miscarriage or failed cycles at any age they may do more than 1. https://www.fertstert.org/article/S0015-0282(17)30227-3/pdf[/quote]

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