How many to transfer?

If it is a 3 day transfer, do I transfer 3?

If it is a 5 day transfer, do I transfer 2 blast?

I read that clinics are changing their policy and transferring 1 five day blast & 2 three day embryos.

Any information would be Helpful...Thank you!!!

max 2 five day blasts.

How the embryos look/quality
How old you are
How long you've been trying
If this is a frozen or fresh cycle
Your clinic stats
Proven or unproven donor
How your lining looks
If you can handle 2 or 3 children at once
And if your body can physically handle a multiple pregnancy

I'm sure I'm leaving other factors out, but hopefully this gives you some food for thought. And FWIW, many clinics are pushing a single embryo transfer on day 5.

Audrey

There were a number of circumstances that made me feel as though transferring two 5d blasts was appropriate when I cycled, and I don't regret it -- how can I regret my two beautiful little boys -- but over the months on these boards I've come to understand just how lucky I was that we all came out healthy. Clinics are under a lot of pressure from the insurance industry to stop producing so many twin pregnancies. Now, that's unfair at one level, b/c fertility drugs are responsible for far more of the twin pregnancies than IVF, but there you have it, and the truth is, they're right.

If you have good quality 5d embryos, really consider just transferring one. The added risk of twins throws a shadow over your pregnancy from the second the U/S tech sees two embies growing. And the financial burden of twins is different from having two consecutively, b/c you have to have double of so many things you might pass down from one baby to the next. All that motherhood porn you see in the magazines at your OB's office, the doting mommy gathering up her cooing baby in the bath towel bathed in a golden glow, you can forget about most of those moments with twins. Twins greatly reduce your mobility as a new mom, and when they get sick, there's twice was much baby to take care of, and you'll probably be sick, too. It's not just about the NICU.

They say God looks after fools and little babies, and she was looking after the three of us, for sure, and it's hard to say I would have done differently given that I was 48 and cycling overseas, but I wish it could have been different.

Good luck!

Maggie (in VA)

There are so many factors to consider. Usually your RE have his/her own thoughts and will recommend the number of embryos to transer. There are many opinions out there, the only ones that matter are yours and your RE's.