When is it beneficial to transfer multiples in women under 38?

[CycleGirl20]

I wondered if anyone knew about this? I'm having my first cycle next month. I have a high AMH but also suffer from fibroids. I've had 2 lots of surgery for fibroids and been informed one fibroid is growing back and might require more surgery. So how I've been researching multiple transfers. We want 2 kids and it seems like I'll need more surgery before we can go ahead with a second IVF round assuming this one is successful. I also assume a double transfer would increase our odds of having one sooner.

I've seen multiples are more risky though

It really depends on the individual clinic - lots have a policy of no double transfers for women under 37 or if it's your first transfer or depends on the number and quality of them at day 3 or 5, many also refused to do doubles due to covid

I transferred 2 on my 4th transfer and had twins....it's amazing and I love it but i was medically fit and healthy before pregnancy - but I found the pregnancy itself brutal and was on bed rest from 20 weeks. We all nearly died during the birth. Don't do it if you are in any doubt about whether you can emotionally physically medically or financially cope with multiples - I know just as many mums who had triplets from a double transfer as I do twin mums

I've been surprised to read here about clinics offering multiples without there being factors such as multiple previous failed cycles, older age, poor quality embryos etc. My clinic are very strict about it, and I assumed that it was a regulation thing because a doctor once referred to it as "the wild west days of transferring multiple embryos" when saying how things had changed over the years. Have you discussed it with your clinic?

I'd love twins despite the hard work (which I can only imagine!) It's the additional risks I'd really struggle with. I was so anxious during my first IVF pregnancy (hoping for a 2nd soon!), so increased risks would leave me a nervous wreck (though, I'm sure the increase in risk would be overstated in my mind).

@CycleGirl20 We have male factor infertility and have trouble getting to blast. After 3 rounds of disappointments, we opted to transfer 3 day 3 embryos and 1 stuck. I was 35 and being recommended donor eggs. We knew the risks of multiples but went ahead as the possibility of any sticking were low. We have a 2 year old daughter. We are doing the same method shortly to get a sibling. Hoping for a lucky embryo.

Thanks all. I've not spoken to my clinic about it. They recommend I tick the "single transfer" box so maybe they'd speak to us about it if I ticked the double option. I probably wouldn't do it unless we had multiple failures and we've not tried at all yet IVF wise. Just keen to understand when I might want to tick that box as I do have implantation problems (3 chemicals)

Right before my successful cycle, I had a hystercopy and d&c to remove a polyp. Totally cleared out the lining of my womb. I believe this helped and consultant said more and more people are doing it. I did a cycle in June and had a chemical. I did a hystercopy again last month in the hope it will help with upcoming cycle. Would you consider doing that before IVF? It’s a very short procedure. It sounds like you don’t have a problem getting a BFP but just getting it to stick?

Having a chemical isn't actually indicative of implantation issues - you'd not be getting a BFP at all if that was the case - chemicals are more likely caused by chromosomal issues.

Only you know really when/if you are ready for a double transfer - I wouldn't have done it as my first transfer unless it was a choice between throwing one away (because they couldn't freeze it) or putting more than one back in

I did not know chemicals weren't a sign of implantation issues. I have one small submucosal fibroid that's caused my lining not to grow on a patch of my womb so I figured it was that. I'll look up the hycosy. Thanks

Good luck with hycosy. Also ask your clinic (just to have the info) if they do double transfers if needed. Because so many dont.