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PGD probe 9 vs. 12

saritafair

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saritafair

Hi there,

Funny enough Dr Frederick recommends just 5 probe PGD. She says with the 9 and 12 probe there are too many errors, lots of women have no embryos to transfer, yet some of them may have really been normal embryos after all.

So I will stick to 5 probe again for next time.

sarita 

 

Baby Boy 2003 Baby Boy 2006 Baby Boy 2008


now pregnant with natural triplets Baby BoyBaby BoyBaby Girl!!!!


IVF/MS/PGD May 07- 2 good blasts- BFN


IVF/MS/PGD Sept 07-6 normal girls, 3 transferred-BFN


FET-Nov 07-BFN


and 2 more failed IVFs in 2009.

 

thr3boyzmom

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thr3boyzmom

Has anyone heard that if you donate your eggs you can do MS for practily free? I read an article about it not long ago but it was written by a group against MS.

sorry i'm asking so many questions i'm sure it's getting annoying.

Mom to Baby BoyHunter 7Baby BoyJoseph 6Baby BoyAustin 4Baby Boy Nathaniel 1 Baby Boy Boy #5 coming in Sept.    





High Tech in a few years for a Baby Girl
 

jodi

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jodi

that offer is gone but fyi you had to be under 31.

Jodi, Mom to 4 little boys


3/07 MS/IVF-17 fertilized-RE said NO Transfer due to slow embryo growth


6/07 ivf/pgd, NO transfer, normal female arrested!


decided to go low tech....6/08 TBM "opposite" born, my little sweetheart


2010 here we come, what will we do next??

 

thr3boyzmom

Boy #5

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thr3boyzmom

Jodi- I sent you a PM.
Mom to Baby BoyHunter 7Baby BoyJoseph 6Baby BoyAustin 4Baby Boy Nathaniel 1 Baby Boy Boy #5 coming in Sept.    





High Tech in a few years for a Baby Girl
 

ntj

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Joined 10-19-2006

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ntj

I can only hope that our embryologist works as hard as hola’s. Perhaps more of us will find that we have another good embie in the mix. 

 

Exactly, I wish the same thing. In fact PGD lab is the most crucial thing in the whole process. To be gently honest, in my previous 2 cycles at GIVF, I never got a chance to meet the embryologist. Talking and discussion was the remote thing! This time I have many questions to discuss with the embryologist.

One more thing I want to inquire about PGD…..In some labs, why Day-5 transfer is necessary in each and every case of PGD? Here, on this Forum, read PinkPixieDust’s success story in her first IVF/PGD attempt. She was under Dr. Jamie (James) Grifo’s care in NYU IVF in New York City. It was a Day-4 single embryo transfer instead of Day-5 blastocyst!

Another IVF/PGD success story is also Day-3 transfer (morning PGD testing & same day evening transfer!) .It was also first IVF/PGD attempt with single embryo transfer! Please read Baybee3’s story (BFP!).

Maybe, embryos can survive better in-vivo than in-vitro? That’s maybe one of the several reasons of success but even if; it has a tiny bit part in success then why other REs don’t consider the same? Ok, not in all cases, but when someone has already failed cycles, chances of getting less no. of embryos (like with particular protocol or something else) or any other risk where keeping embryos in lab till day-5 could be critical for them?  If PGD is done at Day-3 then after the result why they don’t transfer it as early as possible? I understand the clinic's protocol, office hour & working staff problem in evening hours or certain days are holidays but nothing can weigh up against positive result!

IVF/MS/PGD cycles(Fresh & FET) in 2006...All embryos PGD normal,No Implantation!
Fresh IVF/PGD cycle in June 2007...All embryos PGD abnormal,No Transfer!
 

ababygirl4me

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ababygirl4me

i'm wondering if its possible to pay the embryologist for a consult?  i know they are probably crazy busy as it is, but i think if you could pay them for even 20 minutes of their time, it would be worth it.  

i wonder the same thing, ntj, about why there is difference in transfer days.  could one reason for a 5 day transfer be because they want to see if the embryo arrests after pgd or continues to grow into a blast?  i've read that many times there is a 3 day transfer when just doing ivf, but allowing it to grow a few more days gives a chance to weed out those embies that wouldnt be fit enough to transfer by day 5, upping the pregnancy rate.  

i got on the reprogenetics website and copied this paragraph from them which states that their lab time is 6 to 12 hours after the sample, or longer if needed.  using reprogenetics as an example, perhaps that explains why some clinics are able to transfer earlier than others.  also remember that there is travel time for some cells too.  at my clinic, the cell is taken out of house to culture.  the embies stay the clinic.  

i also googled the question...why do a 5 day transfer over a 3 day transfer after pgd, but i have a screaming child coming at me so i have to split.  perhaps someone can add to this....

PGD of aneuploidy:
Reprogenetics tests chromosomes X, Y, 13, 15, 16, 17, 18, 21 and 22. This is based on trisomies arriving to term (XY,13,18,21), common in spontaneous abortions (16,22,15,21) and most common aneuploidies found in day 3 embryos (22,16,21,15,17) (Munné et al, Reprod Biomed Online, 2004: 8:81-90).

In addition, for those cells with questionable results, we reanalyze with telomeric probes, which bind to a different locus, and therefore may discriminate probe overlaps or split signals (Colls et al. 2004, Prenat Diagn 24:741-744), thus reducing our error rate to very low levels.

Laboratory time is 6-12 hours after sample arrival; perhaps longer if a third round of telomeric probes is needed.


 

minime

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minime

wanting pink:

Hi TJ,

 Do you know which probe was used on the cycle you did PGD?

Dear wanting pink:

I did what GIVF calls the "mini aneuploidy" panel with gender selection which checks for chromosomes 13, 18, 21 as well as X & Y for gender.    I actually found talking with the genetics counselor who had extensive knowledge about PGD lab techniques and issues very helpful.  Usually the genetics counselors that work at IVF clinics have a masters degree in genetic counseling and the one I dealt with at GIVF seemed to be very up to speed on current issues with PGD.    Also, it was after a lengthy meeting with the genetic counselor for almost an hour that we determined I was a good canidate for the "mini aneuploidy" given my lack of miscarriage issues, genetic abnomalites, etc... So, with her input and the discussion we were able to decide with confidence to do the mini panel rather than at wider panel like the 12 panel screening.  Also, I was given at my ET a copy of the official PGD biopsy report.  TJ

 

 Quote from ababygirl4me:

"i've read that many times there is a 3 day transfer when just doing ivf, but allowing it to grow a few more days gives a chance to weed out those embies that wouldnt be fit enough to transfer by day 5, upping the pregnancy rate."  

Ababygirl4me:    Actually, one of the other contributing reasons why I did not do PGD on the 2nd cycle is because a lot of what I was reading and researching was showing LOWER pregnancy rates with PGD not necessarily higher.  I just wanted to add that for some people PGD may increase chance for pregnacy and for others the embryo may be weakened after PGD even though it survives the biopsy and goes to transfer.   In my opinion, the embryo may be "compromised" in some way which reduce the likelihood of pregnancy especially if the RE experience or skills are not excellent or the embryo simply did not like being manipulated.  Just my thoughts. TJ

Below is link that mentions lower pregnancy rates with PGD not higher:  This link discusses two studies one small and one larger that showed lower pregnancy rates for pgd cycles. 

http://www.advancedfertility.com/preimplantation%20genetic%20diagnosis.htm

IUI/MSClomid 9/06 BFN


IUI/MS Injectible Repronex 10/06 Cancelled


IVF/PGD/MS Converted cycle 10/06 BFN


FET 12/06 BFN


 IVF/MS 2/07 +BFP TWIN GIRLS           


 * All Cycles done at GIVF*



Baby BoyBaby Boy Baby GirlBaby Girl


 

 

Luvmyboys

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Luvmyboys

My head is literally spinning with new information!! Ahhhh save me!

KD

KD , Mommy to 2 amazing Baby Boy Baby Boy and precious twin Baby GirlBaby Girl, thanks to Dr. Potter!

 

thr3boyzmom

Boy #5

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thr3boyzmom

couldn't sleep thinking about MS Happy I am a little worried to not do PGD just because I don't want to pay all that money for another boy but at the same time if it keeps me from geting PG do I really need it that bad if I get approved for microsort. so many questions.
Mom to Baby BoyHunter 7Baby BoyJoseph 6Baby BoyAustin 4Baby Boy Nathaniel 1 Baby Boy Boy #5 coming in Sept.    





High Tech in a few years for a Baby Girl
 

Hola

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Joined 05-02-2007

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Hola

The link to that board is www.ivfconnections.com

 you need to go to IVF and then special procedures - PGD is at the bottom I think

 

ababygirl4me

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ababygirl4me

thanks for the info tj-  

i agree with kd right now.....SO MUCH INFORMATION?!?  I just cant process it all.


 

minime

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minime

I just wanted to add that IF my PGD cycle had resulted in a BFP I imagine that I would of been the biggest fan ever for PGD and even though my PGD cycle did not end up successful I still think the technology and the 100% gender results is the way to go IF you cannot accept the possibility of having an opposite gender.   My DD journey started with IUI/MS so I was definitely willing to accept an opposite.  However, for me there was this GRAY area where I evolved after the 3 BFNs and being pregnant as well as getting my DD started to equal out after I started to feel like I was infertile or a failure.  So my emotions really started to control my decision making at times and I just really felt that after the PGD BFN that a different approach had to be taken.  Of course, my DH kept reminding me that I was willing to do IUI with just MS so WHY would I not take the same gamble with IVF and do just MS.   My best advice is give yourself the flexibility to change your mind.  I am a very intuitive person and go with my gut a lot thankfully to my benefit.  However, each person comes to these decisions in complex ways and alot will depend on how the cycle goes and your success.  In my mind I was dead set on PGD and admire the technology but in my heart after the failure I just had to try a different approach.  I wished that PGD cycle was successful for me given I paid $5,000 to do it. It is healthy to keep an OPEN MIND and ultimately do what you will be at peace with whether you get a BFP or BFN.  I do not regret doing PGD and had my IVF/MS cycle not worked my plan C was to do just IVF/PGD and forget MS because then I would of been thinking "oh it was the darn MS that was messing with my embryos" for the last cycle.   AND had that not worked I was going back to give IUI/MS two more attempts.     TJ

IUI/MSClomid 9/06 BFN


IUI/MS Injectible Repronex 10/06 Cancelled


IVF/PGD/MS Converted cycle 10/06 BFN


FET 12/06 BFN


 IVF/MS 2/07 +BFP TWIN GIRLS           


 * All Cycles done at GIVF*



Baby BoyBaby Boy Baby GirlBaby Girl


 

 

ababygirl4me

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ababygirl4me

this whole thing is really a learning experience, for us and our RE's.  as mine has said, we learn alot from your cycle, especially if it fails.  so i guess its the same for pgd-  we wont know what will happen to the embryos until we try it. 

its good that we are going thru the motions with each other, which helps us get our heads around all of this.  again, it boils down to the moment, and what makes sense to do at that particular time.  we just have to trust our decisions and see where things go.

 like tj, i would be skeptical if pgd didnt work for me and would want to try other routes.  but if i dont get accepted into microsort, there really are no other options for me, its just ivf/pgd or trying naturally.   for those who dont want to travel to microsort for a fresh sort and dont want to use frozen sperm, than its ivf/pgd.  if you cant handle an opposite, than pgd is the way to go.  i think the process will always be evolving, until that bfp comes!

even though i'm still confused,  i do think i am only going to do a 5 probe for now.  as the time gets closer, i'll ask all of the questions...how many to biopsy, mosaicism, etc.  and perhaps i'll change my mind.

one day at a time...i havent even gotten my AF  for june yet so that i can start my bcp's!


 

jodi

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jodi

yes, you must trust your Doc. I was all set on doing MS/IVf and my Doc said they have better fresh IVF/PGD successes but he would support me in whatever I chose. Well I chose the MS/IVF and it did not work for me (I did frozen at a collaborator) and now I am moving onto IVF/PGD. My RE feels this will work. we shall see.

Jodi, Mom to 4 little boys


3/07 MS/IVF-17 fertilized-RE said NO Transfer due to slow embryo growth


6/07 ivf/pgd, NO transfer, normal female arrested!


decided to go low tech....6/08 TBM "opposite" born, my little sweetheart


2010 here we come, what will we do next??

 

Luvmyboys

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Luvmyboys

Jodi,

 I will be following your cycle closely! I am hoping for the best for you!! I'll be in your shoes come Oct. with the PGD/IVF!

KD

KD , Mommy to 2 amazing Baby Boy Baby Boy and precious twin Baby GirlBaby Girl, thanks to Dr. Potter!

 
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