We have one frozen bub left and will probably look at having it transferred in about March/April.
I have been doing a bit of surfing of forums etc and was wondering what the difference between a medicated cycle and a non medicated cycle was. I know its probably pretty obvious.....is there reasons why they will do a medicated as compared to a non medicated and what is involved in a non medicated? Is it just you keep an eye on when you ovulate and they insert the egg. If that is the case then how does that work as I wouldn't think that inserting an embryo would need to worry about when you ovulate.
Sorry I know this sounds like a really dumb question - I have no idea when it comes to all this :-(
the hormone levels are key when doing an FET - they can't transfer too early (before O)as the embryo needs hormonal support from the progesterone released after ovulation
essentially, in a "natural" or non-medicated cycle, they monitor ovulation, and then, depending on the age of the embie (day 3/day 5), they transfer the emby at that point post ovulation as the hormone levels are most appropriate for the embryo at that time
for a medicated cycle, no ovulation occurs - they essentially put you on hormone replacement therapy (like what post menopausal women take) and build up an endometrial lining - when that is sufficient, the clinic create a "dummy" ovulation day, start you on progesterone supplements, and the same number of days later (day 3/day 5) embryo is transferred
in a natural cycle the corpus luteum provides the progesterone support until the placenta takes over - for a medicated cycle, you will continue on meds (both HRT and progesterone) until placenta takes over about 12 weeks.
there are "in between cycles" where they might help to force ovulation, but they are considered a form of a natural cycle as ovulation still occurs...
just thank you for asking this i needed a brain refreher as im doing a NAT FET in march and as always the wonderful BG has answered my questions,thank you
ps..so do you just have daily BT or something bg when it gets close to ovulation ??
I had to start monitoring for ovulation from day 12. I had a scan on day 10 of my cycle to see whether a natural follicle was forming properly to ensure that I was definitely going to ovulate that cycle. From day 12, I used a OPK everyday first thing in the morning to start to watch for when ovulation would be, and I had BT every second day to pick up the surge from day 12 also. I surged on day 14 (so two BT and three days with the OPK), meaning ovulation on day 15, and I had two embryos transfered three days after ovulation (so day 18 of my cycle), as they were day 3 embryos. BT was scheduled for 2 weeks after transfer, but the first HPT to come up positive (quite faint though) the day AF was due, which was day 29.
I've got a follow on question, how long does progesterone support last for after a medicated FET? My FS said to stop the meds at 9 weeks. What have other people done/heard of?
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