Wilcox Fertility wants you to understand not just your fertility treatment, but all of the options you have available as it relates both to the latest reproductive technology and your family building options. As we learn more and more about infertility, we want to tailor your care so it as personalized to each patient we treat. Below, we explore something known as eSet, which stands for “Elective Single Embryo Transfer”.
Single Embryo Transfer is being recommended more frequently as it’s typically safest for the mother/gestational carrier as well as the child(ren) she is carrying. Mothers of twins are approximately two and a half times more likely than those of singletons to have complications such as pre-eclampsia. In addition, twins or triplets, will often be born prematurely and will need to stay in the Neonatal Intensive Care Unit (NICU).
Therefore, when you’re undergoing in vitro fertilization (IVF), you should discuss with Dr. Wilcox how many embryos to transfer. The Society of Assisted Reproduction (SART) and the American Society of Reproductive Medicine (ASRM) offer suggested guidelines based on a woman’s age but we know every patient is different and unique. At Wilcox Fertility, we will discuss your fertility history, your goals, review your test results and decide together what will be the safest, healthiest and most comfortable for everyone involved.
If it is decided that you will pursue eSET, another option to investigate is genetic testing. This means that while you’re transferring less embryos, you have a greater confidence that the embryo you are transferring has a greater chance of implanting as it’s been screened for any chromosomal abnormalities.
Elective Single Embryo Transfer Overview:
- Dr. Wilcox will prescribe the protocol/treatment he believes will provide you the highest chance of success and your clinical team will be your day-to-day guide.
- You will meet with your nurse who will provide you with an overall schedule for your IVF cycle.
- Medications will be ordered (we recommend you call your insurance company to review what is covered, what is out of pocket and if you require any preauthorization).
- We will teach you how to self-administer your medications.
- You will have baseline blood work and ultrasound on your instructed start date.
- Your nurse will confirm when you are ready to begin your injectable medications. She will advise you to call her on the first day of your period.
- The hormone stimulation process typically takes approximately 8 to 14 days.
- You will visit us at the clinic every few days for monitoring blood tests and trans-vaginal ultrasounds to assess follicle growth.
- Once Dr. Wilcox is confident the follicles have reached a mature state, you will be instructed to take your “trigger shot”, which is also referred to as an hCG.
- Your medical team will advise you of your admission time which is typically 24 or so hours after your trigger shot.
- You will begin progesterone supplementation (through progesterone in oil shots or suppositories) the day after retrieval.
- If you are having preimplantation genetic testing and/or screening (PGD/S), the embryos will be biopsied and cryopreserved until results are obtained.
- One embryo will be transferred back into the uterus and the remaining embryos will be frozen for future use or additional children.
- Following the embryo transfer, and depending on what protocol is prescribed, you will continue hormone supplementation until pregnancy test.
For more information on the numerous fertility treatments and family building options offered at Wilcox Fertility, please continue to review other areas of our site or to inquire about financial information, please don’t hesitate to contact us via our online form or call us at 626.657.9327.