Such tough decisions....
**Any success rates I discuss below are strictly from CCRM's CCS Study stats...they are different than their conventional IVF and Donor Egg programs**
Both A and I are pretty strong in our beliefs to do an e-SET (elective Single Embryo Transfer) on our upcoming FET. That was until I called CCRM's business office to get an idea of the cost of another FET if our first one is a BFN. It's so unfair to treat your upcoming FET as a business transaction amongst other concerns.
Our chance for success are identical if we did two separate transfers compared to one transfer with two embryos. Okay maybe not identical as no FET is identical with respect to the uterine environment and no embryo is identical - but stats are close. But the advantage to do two separate transfers, we slice the twin rate which is currently close to 50% for the CCS study. Ugh...this is tough.
Here are CCRM's FET costs:
CCRM and FLC Lab Fees = $4,470 USD
*Medications = $850 to $2000 USD/CDN
**Travel = $1800 CDN
*my current FET meds cost $950...so lets say minimum charge...but if I have lining issues the costs skyrocket as I'll need more meds.
**3 nights hotel, rental car, flights for both A and I. I could just fly down on my own so then subtract $600.
So that means it will cost another $7120 to do another FET!! USD to CDN conversion fee not included – so more like $7300 CDN.
Oh...this decision is so so so tough. This number ticks me off because at Calgary, the cost of an FET is like $1500 and that includes meds.
Hook line and sinker...
We’re already into this $53,000 this year alone. The only fees left to pay this year are our travel costs back to CCRM at the end of October, so another $1800.
This sucks...what to do...what to do...
The current CCS success rate is a 61% live birth rate with a single embryo transfer. But this rate is calculated on women using their OWN eggs and an average age of 37.5 years of age. The twin rate is close to 50%. Very, very few donor egg patients elect to do the genetic screening and thus there are no stats.
It is MY belief (EDIT: formerly "WIDELY believed") that our specific success rate will be well over 61% if we did an e-SET because we used donor eggs (who has championship fertility), A’s numbers are also “championship” and the donor’s age is 33 years old.
On the flip side...I'll list MY concerns about carrying twins (no flames please):
1. Main concern is that carrying twins increases defects and potential problems 4-6 times higher than carrying a singleton as per my OB.
2. Pre-mature birth is apparently the leading issue with twins (according to my OB).
3. Just an overall higher risk pregnancy as many more things can go wrong.
4. Potentially jeopardizing our child's health risk to save $7,120 USD.
5. Guilt in trying to increase the pregnancy rate to spare our ever so limited emotional reserve to be lucky on our first transfer.
6. Okay...and I'm gonna throw this out there...but raising twins will be exhausting! It will be hard enough to life raising one baby let alone two. It's just been the two of us living alone for the last 10 years!
7. What if one of the embies splits? Then we have a high order pregnancy on our hands and a whole different set of worries and problems.
In no way do I infere an IFer to "playing God", but I can see why God makes the majority of the decisions when it comes to pregnancies and births. Another kick in the face to an IFer...feeling that God has largely left us in the dark when it comes to such decisions. I mean, it is my belief that he gave humans the intellect to create reproductive technology for our advantage, but this "gift" came with major strings attached.
What to do...what to do...
Since I had interest from a couple of my commenters about our CCRM fees to date from yesterday's post, I'll post the total CCRM fees in tomorrow's post.
I hope I don't stir up a whole hornets nest of nasty comments. But please respect these considerations as my own. I hold zero malice and judgement to any one of you who transfers one, two, three or more embies at a time. We all have our very unique reasons and rationale why we come to the decision on how many to transfer. And I can only say that I have nothing but respect for ALL of you because this.is.a.tough.decision!!!