natural v's medicated FET - advice please

[sarlat]

Hi

Had a failed fresh cycle of IVF last month. Luckily have some frozen blastos to transfer.

Have the choice of natural cycle or medicated cycle FET. I am leaning towards natural as it appears less evasive and as I have slightly swollen tubes, this may help everything to stay more settles (in theory). I am trying to avoid having my tubes removed which can leak fluid in to the uterus.

But I know medicated helps the womb lining. I have a regular cycle with no hormonal problems - just partially blocked tube/s.

Any advice or experinces would be appreciated. Just want to give my self the best chance.

Thanks Sarlat

If you have regular cycles then both ways have similar success rates.
The main advantages of a medicated cycle are that you can pretty much plan exactly when your transfer will be, and delay it if it clashes with something, or you can't get off work etc. There will likely be fewer visits to the clinic. You will know your womb lining is nice and thick.
Natural cycle you will most likely have to go for daily blood tests and only know a couple of days ahead when you are ready for transfer (and this cannot be tweaked as then the embryo will be out of synch with your endometrium).
Have you had you hydrosalpinges clipped or drained? Depending on the size of them it can be better to get them sorted before FET as it is known to reduce implantation rates if they are leaking fluid into the uterus.

Thank you Free

Not had the tube/s clipped or drained. I would be open to the draining technique. I am told that as the tubes are not totally shut I could still conceive naturally. My consultant is clear that the tube/s are swollen and has described the reduced risks but also said she wasn't 'suspicious' of it. I think/hope it is small and likely was caused by my natural management miscarriage 2 years ago.

She says it the last embryo could have failed due to faulty genes etc. So for now we are progressing with FET to see what happens. I am really scared of having my tubes removed.

Do you mind me asking, are you a fertility scientist?

Possibly..........