A frozen embryo transfer (FET) is when a frozen embryo from a previous cycle of in vitro fertilization (IVF) is placed in a woman's uterus. Embryos are frozen as during a cycle of IVF, multiple eggs are fertilized, but only one is transferred to the uterus and rest are frozen as the chances of a multiple pregnancy is high.
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In frozen embryo procedure, are shots necessary or will suppositories do?
Query: Hello doctor, When doing a frozen embryo transfer cycle, is it absolutely necessary to use progesterone in oil shots or will the suppositories work the same? Read Full »
Answer: Hello, Welcome to icliniq.com. How are you doing? I am sure it is the painful pricks that is making you ask this query. It is the belief of the treating doctor, that a particular type of Progesterone is more effective. So, based on the doctor's experience, the different routes of Progesterone are p... Read Full »
Does reduced end-diastolic flow with fetoplacental insufficiency indicate problem in baby's growth?
Query: Hello doctor, I am at 31 weeks of pregnancy, post IVF FET pregnancy with GDM. I am on tablet Metformin SR 1 gm HS, and my BP is 136/90 mmHg. I underwent a growth scan with Doppler on 29 August, and the report shows reduced end diastolic flow with fetoplacental insufficiency. I consulted a gynecolo... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the report you attached (attachment removed to protect patient identity), and understand your concern. As per the report, the growth of your baby is fine. So please do not worry much. However, the blood flow to the baby is somewhat reduced but not... Read Full »
Query: Hello doctor, I have done a FET transfer cycle before ten 10 days. My hCG pregnancy test is tomorrow. Are nine days too early to test? My other real concern is that on the day of transfer, my estrogen levels were 223, and progesterone was >40.0. Before four days my estrogen levels were 106 and pr... Read Full »
Answer: Hello, Welcome to icliniq.com. Usually, the levels of estrogen and progesterone will increase from early pregnancy to the third trimester. But often there will be some range of the hormones according to the gestational age. Though the levels of hormones little decreased in your case, they are stil... Read Full »
I am suggested to have Aspirin after seeing my uterine arterial PI in ultrasound. Why?
Query: Hello doctor, I am a 30-year-old. I had IVF frozen embryo transfer due to my husband having a reciprocal balanced translocation. The embryo was tested genetically to ensure it was not unbalanced before transfer. I had a 13 weeks and one-day ultrasound that showed uterine arterial PI in the right art... Read Full »
Answer: Hello, Welcome to icliniq.com. As your uterine artery is showing some changes, Aspirin is started prophylactically, and there is nothing to worry about. Usually, it will settle down as the baby grows. Often ultrasound is accurate up to 80 to 90 %. Fetal growth restriction is quite unlikely, as you... Read Full »
Can cortisone help if taken before transferring an embryo?
Query: Hello doctor, I would like to know, can Cortisone help if taken before transferring an embryo? And if it can help so, in which way? Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, Cortisone can increase the chance of getting pregnant. It decreases ACTH production (adrenocorticotropic hormone) and increases pituitary gonadotropin release, thereby increasing the chance of pregnancy. If you have a doubt then get back to me. Read Full »
Can Gestone injection cause any problem after embryo transfer?
Query: Hi doctor, My frozen embryo day five transfer was on 16th at 1 PM, which was my day six of Gestone 100 injection. Post FET, I was advised to take Gestone injection on 19th, 22th, 25th, 28th of this month. The due date for blood test being 27th. By mistake, I took the injection today which is 18th, ... Read Full »
Answer: Hi, Welcome to icliniq.com. From your query, it is understood that you have gone through the IVF cycle and Progesterone injection are just to maintain the pregnancy. So it does not matter much if you have taken one day before the scheduled dose. Now, subsequently, you take these weekly, meaning, a... Read Full »
Is doing embryo transfer on day 55 with 7.7 mm lining fine?
Query: Hello doctor, I am undergoing an IVF FET cycle. My eggs were retrieved in cycle three months back and this cycle the doctor has planned an embryo transfer. I am on 5 Progynova tablets three times a day plus Estrogel in the evening. I also had a GSCF. Is this high dose okay? My lining is 7.7 mm and t... Read Full »
Answer: Hi, Welcome to icliniq.com. Progynova or Estradiol valerate of up to 8 mg per day is fine. Dose is high, but may be needed to improve endometrium to a minimum of 7 mm. Any thickness of 7 to 14 mm is normal. I could not get what day 55 is. We can transfer in just normal periods or after down regula... Read Full »
Can I get an opinion about my wife's ICSI?
Query: Hello doctor, My wife has undergone ICSI three-day embryo transfer. One cell is compact grade and others are grade-B. She got pregnant successfully and the values were at DPT 14, HCG 577 and progesterone level 23 and DPT 16, HCG 1577 and progesterone level 23. Also, she had undergone TVS, and spotte... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history and reports (attachment removed to protect patient identity) and understand your concerns. As you are only 5 weeks and 6 days pregnant, you should repeat your TVS (transvaginal scan) after one week for fetal cardiac activity becaus... Read Full »
After embryo transfer, how to confirm pregnancy?
Query: Hi doctor, I had my (frozen) embryo transfer 15 days ago. I have gone through ICSI and having PCOD. I am using Progesterone six tablets orally and two Gestone tablets vaginally. My doctor advised me to take a complete bed rest for a few days. But, my situation cannot support me to have rest. I am ta... Read Full »
Answer: Hello, Welcome to icliniq.com. First, let me say do not get so tensed about the result. We always hope to be within that 40% to 45 % positive cases, but always be ready for the remaining 55% to 60% negative too. After embryo transfer, the best method to confirm is serum beta-hCG on day 13 or 14... Read Full »
Does elevated hCG levels of my wife signify a healthy pregnancy?
Query: Hello doctor, My wife is 25 years old and she has PCOD. We are trying to conceive for 2 years. We had done an IUI which failed. We did IVF, but it ended with a chemical pregnancy. Last month, our doctor did Frozen Embryo Transfer (FET). He transferred 2 embryos on that day. We got a positive result... Read Full »
Answer: Hello, Welcome to icliniq.com. The normal hCG levels in a singleton pregnancy as follows: At 4-5 weeks the HCG level ranges between 200-7000. At 5-6 weeks the HCG level ranges between 200-32,000. At 6-8 weeks the HCG level ranges between 4,000-150,000. In a twin pregnancy, the levels are 30% hi... Read Full »