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Archive for the ‘Single Embryo Transfers’ tag

The Dilemma of Excess Embryos

By Tracey Minella

January 25th, 2014 at 9:32 am

credit: wiki commons public domain

 

There is so much to focus on when beginning IVF. Insurance and financing issues. Learning about all the medications, as well as how to inject many of them. Understanding the processes of daily monitoring and blood work, of retrievals and transfers. Deciding how many embryos to transfer back and whether to cryopreserve the others.

Most people do cryopreserve the embryos which are not transferred back on a fresh IVF cycle. These frozen embryos are often thawed and used in a later cycle, either years later after a successful fresh cycle or sooner if the fresh cycle was unsuccessful.

Sometimes, especially in cases where patients only transfer back one embryo, like patients in Long Island IVF’s Single Embryo Transfer Program http://bit.ly/1jjvr3y patients may obtain enough embryos from their first fresh IVF cycle to satisfy all of their family-building needs through subsequent frozen embryo transfers. They may have one baby, then another a few years later, and then yet another…all from one retrieval. Yes, they are the lucky ones.

I remember… almost casually… signing off on the cryo consent, my primary focus being on all the matters that had an immediate effect on my first fresh cycle. I wanted to be pregnant now. I’d worry about what to do with any leftover frozen embryos… after I had all the children I wanted … later. It took a few cycles before I finally had any embryos left over to freeze, but the moment I did, I set in motion a decision more complicated and emotional than I initially imagined.

What to do with excess embryos is about as personal a decision as there is. If you don’t have too many, do you keep transferring them until they are gone? Do you donate them…full genetic siblings to your other children…to another couple? Do you donate them to research if your state allows? Do you just keep them in storage and pay the fees? Do you discard them?

I was reminded of the difficulty of this decision when I read about New Zealand’s law limiting the amount of time that embryos can remain in storage to ten years. http://bit.ly/1f7uypm . Fortunately, there is no such law in New York. It is stressful enough for patients to decide what to do with excess embryos without the government imposing an arbitrary time limit on them.

There is no single right answer. Just a right answer for you.

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If you cryopreserved embryos, are you comfortable with your initial decision on how they should be handled? Or are you undecided?

 

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Infertility Podcast Series: Journey to the Crib: Chapter 30: The Gift of Life and Its Price

By David Kreiner MD

November 9th, 2013 at 11:56 am

 

Welcome to the Journey to the Crib Podcast.  We will have a blog discussion each week with each chapter.  This podcast covers Chapter Thirty: The Gift of Life and Its Price. You, the listener, are invited to ask questions and make comments.  You can access the podcast here: http://podcast.longislandivf.com/?p=141

The Gift of Life and Its Price

 

IVF has been responsible for over 1 million babies born worldwide who otherwise without the benefit of IVF may never have been.  This gift of life comes with a steep price tag that according to a newspaper article in the New York Times in 2009 was $1 Billion per year for the cost of premature IVF babies.

 

According to the CDC reported in the same NY Times issue, thousands of premature babies would be prevented resulting in a $1.1 Billion savings if elective single embryo transfer (SET) was performed on good prognosis patients. 

 

The argument often given by a patient who wants to transfer multiple embryos is that to do SET would lessen their chances and to go for additional frozen embryo transfers is costly.

 

In fact, if one considers the combined success rate of the fresh and frozen embryo transfers that are available from a single stimulation and retrieval, the success rate is at least as high if not higher in the cases of fresh single embryo transfers. 

 

At Long Island IVF, in an effort to eliminate the financial motivation for multiple embryo transfers, we offer free cryopreservation and embryo storage for a year to our single embryo transfer patients.  In addition, we offer them three (3) frozen embryo transfers for the price of one for up to a year after their retrieval.

 

IVF offered with single embryo transfer is safer, less costly and probably the most effective fertility treatment available for good prognosis patients.                     

 

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Was this helpful in answering your questions about single embryo transfers?

Please share your thoughts about this podcast here. And ask any questions and Dr. Kreiner will answer them.

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