ghost/ nurse-FET ?'s please help

[cquag]

I will be doing a FET on Aug 25 and I have some questions. My insurance doesn't cover so my dr. said that I don't have to get an ultrasound to check my lining before the transfer b/c of the way I've responded to drugs in the past has been fine every time. I've been on 2mg of estrace 2 times a day and will be for 15 days before the transfer. . . does this sound like enough to have a good lining? I am 30 years old and I am unexplained infertility. Should I just go with the FET or should I pay for the ultrasound out of pocket just to be sure of my lining.
my other question is whether I should transfer 1 or 2 embryos. I lost my twins at 20 weeks b/c of IC but I will be having a transabdominal cerclage (TAC) this time. The drs who do the TAC say that it will hold twins no problem. I want to have the best chance of success with the FET but I also don't want to risk anything. My IVF dr. thinks I should transfer just 1.
thanks for any input

[Ghost]

I will be doing a FET on Aug 25 and I have some questions. My insurance doesn't cover so my dr. said that I don't have to get an ultrasound to check my lining before the transfer b/c of the way I've responded to drugs in the past has been fine every time. I've been on 2mg of estrace 2 times a day and will be for 15 days before the transfer. . . does this sound like enough to have a good lining? I am 30 years old and I am unexplained infertility. Should I just go with the FET or should I pay for the ultrasound out of pocket just to be sure of my lining.
my other question is whether I should transfer 1 or 2 embryos. I lost my twins at 20 weeks b/c of IC but I will be having a transabdominal cerclage (TAC) this time. The drs who do the TAC say that it will hold twins no problem. I want to have the best chance of success with the FET but I also don't want to risk anything. My IVF dr. thinks I should transfer just 1.
thanks for any input

Many clinics use that much Estrace. Mine uses more, but I don't know if the difference matters. Your doc knows his protocol, I assume.

How many to transfer is always a big question.

How would you feel if you had twins? They have a little more risk. Is that acceptable to you? How would you feel raising twins? I don't need to know, you just need to ask yourself these questions. Also, consider your clinics implantation rate in your age group. How likely is live birth with just one transferred? How much does it improve with two? How many twins do they get with two transferred?

If their implantation rate with FET is high, say over 30 or 40%, then I'd transfer just one. Otherwise maybe two. Just my opinion, based on how I'd feel about having twins.

[kimmysq]

Hi :
Just wanted to let you know that my Re thinks that the lining check is very important, b/c if the lining isnt were they want it to be they will extend your Estrace.
I was out of town during the time of the lining check, and my RE had me have the u/s out of town, which cost me $400..but what can you do?
GL,
Kim

[cquag]

thanks for your input. I did decide to get the US to check the lining. should it be a vaginal or belly ultrasound?
thanks again
carrie

[teamvuch]

Vaginal for sure. Good luck!

P.S. I will always transfer 2. I am a twin and would welcome twins. More and more women are having healthy multiples. I realize we aren't cats though.

[Ghost]

P.S. I will always transfer 2. I am a twin and would welcome twins. More and more women are having healthy multiples. I realize we aren't cats though.

Twins have an increased chance of problems, but still not bad. Triplets frequently have problems. If it was up to me, I would not transfer more than two. One is a good idea sometimes.