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  1. #1
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    Question Ultrasounds during IVF process

    Hello

    I am new to the bubhub community and 11 days ago I did a frozen embryo transfer. I am eagerly awaiting my pregnancy blood test on Monday.

    However, I have been doing some extra reading on successful embryo transfers and I've just realised that my FS did not do an ultrasound of my uterus lining prior to the transfer. I was having blood tests done to identify ovulation, but once that was pinpointed, the embryo transfer happened 5 days later with no check of my lining.

    Does anyone know if this is unusual? Most of the reading I have done says that this would be standard practise. I'm feeling a bit nervous that this wasn't performed.

    Also, my FS did not use the ultrasound guided transfer technique. Does anyone have any experience with this? Is the latest thinking that this is a more successful approach?

    Thanks for your help!

  2. #2
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    I've done cycles with 2 FS both have done at least 2 scans for a frozen transfer. I always did medicated cycles, maybe it's different for natural.

    All of my transfers have been done without uss. Our current specialist is very highly regarded and forward in his practice. He will throw anything at you if he thinks it will work and he doesn't think it makes a difference.

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    Serendipity78  (03-03-2017)

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    Thanks mummymaybe . Did your two FSs actually measure your lining? If the embryos are a certain age (ie. 5 days) do they not have to put the embryo in 5 days post ovulation regardless? Sorry for asking so many questions!

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    Yes always measured lining. Current FS likes to make sure lining is very thin at start of cycle then he likes it over 8mm before transfer.

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    Hi Serendipity78. It all depends on your clinic and what type of FET cycle you are doing. I have just seen we are in the same state. Which clinic are you with?

    My first clinic was Monash. My FET's were always natural. I had to do opk's and go in for a blood test when the surge was detected. First frozen transfer I didn't think about an ultrasound. Had a MMC picked up at 11 weeks and had a d&c. When I went to use the next embryo, I asked for an ultrasound and didn't get one. They told me one of my blood levels (maybe estrogen?) indicated that the lining would be ok. Had another missed miscarriage and d&c. After that, I insisted on an ultrasound for every transfer and they agreed. They have a minimum of 6mm though so if I cancelled, I would be losing money. They do ultrasounded guided transfers there but I think it is just a bells and whistles thing to justify there expense. I don't think it increases implantation but "may" reduce ectopics.

    I have switched to Melbourne and will be doing a stim cycle soon. They don't do ultrasound guided transfers there and I am unsure about scans for and FET. A friend of mine just did a medicated FET there and had scans. I think I would still prefer a natural FET and will insist on a scan although I think my FS indicated he would do this.

    I hope this cycle is successful for you but if not, bring up a lining scan with your FS. It is after all built in to the cost of a frozen cycle with the 2 expensive Victorian clinics.

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    Serendipity78  (04-03-2017)

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    My only successful transfer was a non ultrasound guided transfer

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    Serendipity78  (04-03-2017)

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    Default Ultrasounds during IVF process

    Hi, I've had two frozen IVF transfers. Both technically successful, however our latest one ended in a miscarriage. We have a 20 month old dd from our first transfer.

    Our doctor always does one scan to measure lining. I can't remember exactly when it is but it usually falls about a week before transfer from memory.

    My doctor has never used ultrasound when transferring the embryo back in.

    Good luck for your test! I hope it all goes well & you get a lovely positive result

    If this cycle doesn't work, maybe ask your doctor about it for the next one? I hope it has worked for you though.
    Last edited by Rocky27; 04-03-2017 at 08:13.

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    Thank you, Wild Rose. I live in Melbourne but I am actually doing my treatment in Brisbane at Queensland Fertility Group. (I'm single and I had more donor options in Queensland). Depending on what happens with my BT on Monday, I'll ask about ultrasounds pre ET for the future. Thanks again.

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    My FS does scans during the cycle until you're ready to trigger ovulation. She likes to make sure the lining is thick enough. But she also refers to blood results.

    My successful ICSI transfer was done without ultrasound guidance. My FS is very experienced and I think many of them prefer to go by feel.

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    Default Ultrasounds during IVF process

    I wouldn't transfer without checking on lining thickness and composition (needs to be tri-laminar). You can waste embryos if it isn't right for implantation. Some clinics don't do it to save cost but getting good embryos is hard and I personally wouldn't want to waste one. We also did ultrasound guided transfer which is a relief to see on the screen that it's being put back in the right place (though this is less important IMO as a very experienced FS can do this by feel)

    All the best hope this cycle is successful for you! Try not to stress too much


 

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