No advice on this, but I'm curious if there was anything special that allowed you to achieve 4 PGS normals at age 41. And it sounds like you had more than one PGS normal recently with CFA. To get even one PGS normal at 41 is extremely fortunate. What was your protocol at both places?

1! If you have money to do FET's out of pocket for 4 if needed.

One! It means you have time to tweak your protocol if it doesn't work.

Anonymous wrote:

Anonymous wrote:I'd do whichever CCRM recommends.

OP here - I wish they had a recommendation. They said it is completely up to us, and they are comfortable with either. I can talk myself out of either option! The PP brought up the twin issues that terrify me. They didn't end up doing icsi.

What kind of useless doctor wouldn't make a recommendation? What are you paying them for?

One, for PGS tested. You are only incrementally increasing your chances with 2 in this case, the risk of twins is higher and you'll have more left over for the next tries if this does not work.

1. Definitely only 1. Having cycled with him, I'm surprised Dr S isn't saying the same thing.

Look up some other threads about how many to transfer. The usual responses are 1. And the loudest people are the parents of multiples.

You hear about all the happy, healthy twins. You don't hear about the MC, stillbirths, early death and developmental delays and other health problems. Having multiples, especially at your advanced age is no joke.

Only transfer 1

Ps-have they been PGS tested?

Anonymous wrote:I'd do whichever CCRM recommends.

OP here - I wish they had a recommendation. They said it is completely up to us, and they are comfortable with either. I can talk myself out of either option! The PP brought up the twin issues that terrify me. They didn't end up doing icsi.

I'd do whichever CCRM recommends.

I'd say 1. you have no idea if you have receptivity window issues, immune issues, or anything else that might affect implantation-- why burn two chance at one time?

One. The risk of complications that come with multiples (both to babies and mom) are not worth whatever infinitesimal edge transferring two versus one gives you. Bear in mind as well that if you did ICSI, there is a small but real chance the embryos could split anyway, and then you're talking about four babies versus possibly two. It's a personal decision, and like a PP said, you have to go with your gut. My view on it is skewed because I've had two friends go through ART and end up pregnant with multiples -- one had a triplet pregnancy where all three babies almost died because they were born prematurely, the other had twins who were born at 26 weeks and one died four hours after delivery. I've been through IVF myself and struggled with the same 1-vs-2 dilemma. It's not easy.

2.

I would do 2.

I would do 2, but you should go with your gut.

I have 4 PGS normal frozen embryos at CCRM. This is my first cycle there, and I'm uncertain if I should transfer 1 or 2. We'd love a singleton but is it idiotic to go through everything to do a FET there from D.C. & just transfer one? On the flip side, if I transferred two and it failed, I'd only have two left. Everything is OOP, so we can't do another fresh cycle after this. I had a successful fresh cycle at CFA but then the FETs all failed. Thanks