Friday, November 21, 2014

The Friday Before, Implanting Two or One?

Tomorrow is the big transfer date...

The doctor called to tell me that the embryos are high quality and look so good that based on my age the recommendation of the ASRM is to only transfer one.  He said they would recommend two if I were older, if they were lower quality, or if I only had two.  Hmmm.

Then, without missing a beat, he said only 5% opt for one transfer in my age range.  And it's my decision.  Nice.  He said my odds would be about 40% with one transfer, 60% with two.

I'm kind of pissed he didn't tell me this earlier.  I feel like I would have done some research on why this is the recommendation.  I mean, I get that the ASRM is probably just covering its ass after Octomom and twins are risky, I get that.  Twins are also expensive and a drain on the system, blah blah.  I hear NHS only transfers one in this situation, probably because they would rather pay for a cheap FET than twins.  (Or make the patient pay for the FET!)  Makes sense to me financially in a country with reasonable healthcare.

I'm also kind of pissed he didn't tell me more doctor advice, like how serious risks with twins really are.  Now I'm wishing I had time to go see the OB.  Ugh.  I really wish I had his opinion.  I think I might text him, I guess.

I can buy insurance to cover my twins.  I am 32 and healthy, and there's no reason I shouldn't be able to carry twins as well as anyone else.  I recognize there are risks to twins, obviously.  But my mom with the zinger.  If my grandmother, who was 4'11" (1.5m), carried twins in 1949 to almost full term, then surely I can do it.  We have a lot of natural twins in my family, and other than one miscarriage, they haven't had any problems.

Besides, I have already decided I'm going to have my twins by Christmas, and to do that, I need to implant two.


  1. That's exciting! Good luck tomorrow and we can't wait to see your BFP pictures!

  2. This is a really tough decision and I'm sorry you were left in a bit of a lurch to make the decision and make it in such a rush. Hope you got to talk to your OB for some more peace of mind. As you said, for us with the NHS the decision is taken away (unless you're 40, I think and then they transfer 2). Wishing you much calm, happiness and zen thoughts for your TWW!!x