I'm thinking if my lining is not at least 7 by Thursday I will cancel and have them freeze my embryos. But I have read where some people got pregnant w/ a lining of 6.5 or 6. What will be "too low" if I have to make the decision to cancel? And would it be better to have them freeze everything so I can try again w/ a better lining?

Dee,

I'm so sorry that you are going through this. Personally, I think I would cancel too if my lining were not at 7 or better. I will say that I have heard of people having success with smaller linings. In fact I used to post with a woman that had twins with a lining of six so you never know. I guess my thought is that because so much is at stake, I would want to have the optimum environment in which to put my embryos back. If you were to put them back at a less than 7 lining would you second guess your choice if your cycle was not successful? If so, I would not do it. I would also consider the FET success rates of your clinic. If they are very low, than perhaps you might do better to have a fresh transfer with a less than optimal lining. It's just so hard to know what to do sometimes. Whatever you decide, good luck.

I really don't know my clinic's success rates with FET, but if they are say, lower than 25% I would probably do better to do the fresh transfer.

Hi Dee,
I would cancel if lower than 8. That is just me. If you have the option of a freeze all and you are the least bit concerned then cancel. In my opinion a freeze all is a good option so you can tweak your lining next time. Again, just my humble opinion, thinking of you, THK

6 or better. You can still increase you lining with an extra dose of estradoil valerate (injection) and adding estrace vaginally. I have seen an increase of almost 2 in 2 days.

I went from 7 to 10 in about 3.5 days -- discovered lining was too low on ER day, a Thursday, and was at 10 on Tuesday for ET. The doctor gave me a shot of estradiol to boost my lining. Maggie (in VA)

I wonder if they could give me shot tomorrow. Clinic is in Czech Republic. I emailed the doctor to ask her if I could take the estradiol vaginally instead of orally, like I have been. She replied no, to keep taking it oral. I've read some people had success with taking it vaginally, though.

Do(( both)) a bit of self medicating. I would do fresh since it is quite a travel plus maybe a few will be frozen..

Yes, I believe in doing some self-medicating.

I leave today. So far, they have nine embryos. I don't know how many of those will "last" though. It always seems like a couple don't make it through the next days. I am keeping my fingers crossed that all of them will make it.

I was at CRM Zlin. I've heard some doctors are reluctant to give the "fluffy shot," because it can make women bleed. But for an overseas cycle? I would think it would be worth the risk, especially if your clinic doesn't vitrify embryos. GL! Maggie (in VA)

ETA: You got nine embies from a Czech cycle? That's outstanding! Or are they just on day 2-3 now?

so far.

Ask them about a shot; all they can do is say no, and CRM has told some women no. But also try not to stress. Hang in there! Maggie (in VA)

give you an uterine wash of G-CSF. I had a lining of only 5mm at ER and got the uterine wash....and had a 8-9mm lining by mid-LP. On another cycle, I had the G-CSF on trigger day when my lining was again 5-6mm and on ER - 36 hours later - lining was 6-7mm, and probably kept growing a bit.

Most RE's may not be familiar with using it but my new RE used it for me and "tried" it...he said this stuff really works! Supposed to get you to a 7mm minimum lining, but it may not work for everyone. It's experimental but I'd give it a go if you can convince your RE. Tell him/her that if it cannot hurt, will he or she try it.

Have not heard of a uterine wash before, but it may be what I need. I wonder if it would help with the brown spotting, which is like "old blood" that my body needs to get rid of. Did your doctor say it would help with that as well?

Not sure about old blood, which the brown blood sounds like it is. This is what I was told about G-CSF - "G-CSF simply helps to remodel the lining by recruiting in "good" natural killer cells and causing proliferation of endometrial cells".

use castor oil therapy

like the castor oil packs that you place on your abdomen? I have heard about that forever, but never tried it. I may try that if I have the same problem again. Thanks!

I would feel conflicted about a 6, but there was a research study done last year in 2011 that indicated there was not much difference between DE transfers with low lining, and DE transfers with thicker lining.

http://www.advancedfertility.com/lining-thickness-egg-donation.htm