FAQ - Embryo Transfer (Fresh Vs. Frozen and more)

For Recipients, our Frozen Embryo Transfer protocol is typically as follows:

 DO NOT START ANY MEDICATIONS UNTIL YOU ARE INSTRUCTED!

Estrace 2mg Qty 90

Prednisone 5mg Qty:60

ZPak 250mg Qty:1

Endometrin 100 mg Qty: 63 (Prometrium is the generic)

Progesterone in Oil 50mg/mL Qty: 2

3cc syringe w/ 18g 1.5in needle Qty: 20

Low Dose Naltrexone (LDN) 4.5 mg Qty: 30

Tacrolimus (Prograf) 0.5mg Qty 32

Sharp’s container

Once pregnant, you will need refills of : Endometrin/Prometrium, Progesterone in Oil, Estrace, Prednisone, LDN and needles/syringes.

You will also need an over-the-counter prenatal vitamin with 1mg of folic acid.

Frozen Embryo Transfer Protocol:

*We can start planning your frozen embryo transfer once you have embryos frozen and no sooner.

*Make sure you fill your prescriptions and have completed your testing.

*Contact the travel client team on day 1 of your period (if you do not get a regular period, they will plan this date based on your availability).  You can message them directly through the portal at : Global Travel – Questions.  These nurses will plan your entire transfer, tell you exactly when you need to go for monitoring (bloodwork and ultrasounds) and tell you what medications to take and when to take them.

*You will be instructed to schedule a day 3 ultrasound and bloodwork.

*Once we receive those results you will be given specific medication instructions and instructions to repeat your ultrasound and bloodwork.

7-10 days later:

*If your hormone levels and uterine lining are appropriate your transfer will be scheduled for the following week.

*From period (or baseline) to transfer is about 3 weeks

Both a fresh embryo transfer and a frozen embryo transfer will give you 50-60% chance at success.

Fresh Embryo Transfer:

• 6 fresh eggs with a fresh embryo transfer is $12,000.
• Each additional egg is $2,000 per egg.

This would include 1 fresh embryo transfer, whereas if you have any additional embryos to be frozen, the remaining transfers will be frozen embryo transfers.

A fresh embryo transfer requires a mock cycle to be completed.

If you wish to have a fresh transfer, you must first complete a mock cycle prior to matching with an egg donor.  The mock cycle will ensure your body responds to estrogen appropriately, which you will call on day 1 of your menses to schedule.  Once you are matched with an egg donor, we will prepare your lining while your donor is getting ready for her egg retrieval.

**You cannot do PGT testing if you choose a fresh embryo transfer.

Frozen Embryo Transfer:

• 6 fresh eggs to create and freeze embryos is $9,000.
• Each additional egg is $1,500 per egg.

This means you will have a frozen embryo transfer. This does not require a mock cycle.

While a trilaminar lining is preferred, sometimes there are cases where we will recommend transferring without it being trilaminar.

The number of embryos to be transferred will be determined by you, the physician and the embryologist prior to the embryo transfer so as to maximize the possibility of pregnancy and minimize the risk of multiple gestations.  Patient age, infertility factor(s), embryo quality, previous failed cycles, and other factors are taken into account.  Multiple pregnancies can be devastating to the health of both mother and children.  In an effort to curtail the problem, national guidelines published by the Practice Committee of the Society in Assisted  Reproductive  Technologies (SART) of the American Society for Reproductive Medicine (ASRM) recommend limits on the number of embryos to transfer of which we adhere to.