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Fresh & Medicated cycles Whats the difference ?

1K views 4 replies 5 participants last post by  Jess75  
#1 ·
Can someone tell me what the difference is please. I have 2 frozen and no idea on what the process is.
Thanks
Georgia xx
 
#2 ·
Hi Geogia
I think that a natural FET is where they transfer the embryo on the day of your cycle that you would have your surge naturally (ie. to time it in with your normal cycle), with no drugs whatsoever.
Medicated FET is where you take progesterone etc and they dont have to time it with your cycle (for people like myself who have no natural cycle).  When I had medicated FET I took progynova tablets for 3 days, then started cyclogest pessaries as well for the next 4 days, then they did the transfer.

Not sure if that helps, and I am sure someone else will correct me if I am wrong, or explain it better!

Love
Tracy
x
 
#3 ·
Hi Georgia

I am having a natural FET in the ARGC this month. I was not sure what they'd say at first, like you i didn't know the difference, but when I went for my follow up they said they prefer you to go natural as far as possible if your cycles are regular. I have 28 day cycles so can go ahead.

Went for bloods at day 2, then a mid cycle scan and now have to test for surge. They will then check progesterone levels a few days later and as long as everything is ok the ET will be a few days after that which for me should be next week sometime.

I'm not sure what they do for medicated as I haven't gone down that road. The thawing takes place the same day and providing embies progress should be fine, they can thaw one by one or two at a time if you're going for double transfer. I have 3 embie blasts so have been told chances of thawing are 70-80% which I think is really good. Now just have to hope and pray one thaws ok as I am only having SET.  ^reiki^ ^reiki^

PM me if you have any more questions.

Good luck!!

Alli xxxx

 
#4 ·
Hi

I've just had unmedicated, natural FET.

I ovulate naturally on cd14/15 every month although I do have a long luteal phase so cycles are 30/31 days.  Consultant said that cos ovulate fine then I should have unmedicated FET.

I had to have progesterone blood test month before started FET (especially since I'd only just had fresh ivf cycle which resulted in BFN in May) - this showed that I was ovulating fine again.

I then had to have scan as soon after starting AF (period) so I had one done on cd2 which showed my womb lining was already down to 3.45mm (they like to see below 4mm) & I had no cysts on ovaries so all was ok. 

I had regular scans the following week (cd9, cd11 & cd14)...on cd14 I had a dominant follie of 18mm (this is minimum size they like to see) and womb had reached 9.7mm (should be over 8mm) so because everything was at "optimum" point and I was about to ovulate naturally I had to do hcg trigger jab (ovitrelle) to exactly time ovulation...and I would've ovulated around 36hours after this jab. Our embies were 2 days old so they were then put back at the same timing.

I took cyclogest to support my womb lining (as well as extra meds I need for blood clotting and immune diorders).

Some hospitals do have different process in that they may not do scans but get you to use OPKs (ovulation predictor kits) to determine your LH surge prior to ovulation, some may not give you trigger jab, some may not get you to use cyclogest....they all have different procedures so its best to check with your hospital/clinic as may differ from ours.

I've not had medicated fet so unable to help you there....

Good luck ^reiki^ ^reiki^
Natasha
 
#5 ·
Hi

I am pregnant through natural fet/  Basically I phoned them when my ovulation kit turned positive.  I had ET 4 days later (a scan that day showed womb lining was fine) - 4 embryos were then defrosted - 2 survived - 2 replaced - I then had a hcg shot and then a further 2 hcg shots at 3 days intervals.  16 days later a bfp - 2 weeks after that scan showed 1 baby.

It can happen and I pray it works for all of you guys too xxxxxxxxxxxxxxxxxxx