Day Three Report

The phone call came at 3:30 when I was seeing one of my clients.  The nurse introduced herself and said that she was calling to give me a transfer time.  It will be Wednesday at 1:45pm.  She gave me the instructions to arrive 15 minutes early, drink water, and take a Val.ium at 12:45pm.  It didn’t seem like she was going to talk about the embryos at all.  So after I told her that I will have an acupuncture session before and after the transfer, I asked her about the embryos.

The nurse really didn’t prepare to give me a report, because she told me to wait for a second while she pulled it up.  I don’t know if it is not the custom to give a day three report, or if a day three report is not necessary because we are growing to day five.  She first explained to me that the embryos are graded from grade one to grade four, one being the best and four being the worst.  All ten of our embryos are still there.  There are no grade one embryos.  We have three grade two embryos: 10-cell, 9-cell, and 4-cell.  There are four grade three embryos: 7-cell, 9-cell, 10-cell, and 10-cell.  There are also three grade four embryos: 9-cell, 9-cell, and 4-cell.  When I heard all of this, my mind froze a little and all I was focusing on was that we didn’t have any grade one embryos.  The nurse did give an assessment to each embryo, from above average, to average, to below average.  However, I didn’t write fast enough to note them all.  I asked her if the grade four embryos mean that they are not good to become blastocysts, she said that you’d never know.  Some blastocysts come from grade four embryos.  I thanked her and hung up.  My client, who is on the autistic spectrum, was waiting for me to be done with the phone call.  I really had to pull myself together so that I could focus and finish up the session with him.  But my visceral reaction was so real.  I had been so at peace and calm with this.  All day I was not nervous.  Up until the moment when I was told there was no grade one embryos, my shoulders tensed up and I felt full of anxiety.  I don’t know why but my mind just focused on the negative.  I even started to panic and wondered if we should transfer two blastocysts instead of one.

I wonder if it might have been better if I didn’t know the grading because the knowledge of it only added to my fear and didn’t give me information about whether or not we’ll have a blastocyst on Wednesday.  It’s sometimes true that ignorance is bliss.

After the session, I updated Bob who was at that time busy with work.  Fortunately, my last client canceled so I had the time and space to process this news.  I guess my expectation was that these young eggs should give us some grade one embryos.  And I was probably expecting a textbook case.  With higher expectation comes disappointment when the expectation is not met.  My mind automatically went to the worst: we don’t have any normal blastocysts to transfer.  I had to stop myself and again focus on God, on His unchanging nature, and on His power and might.  He already knows the outcome of this cycle.  What I need to do is to focus on Him and Him alone.  And who am I to pretend that I know about grading?  I know nothing about grading or whether these embryos will become blastocysts or not based on their day three performance.  God makes the impossible possible.  Anything could happen between now and Wednesday.  Instead of focusing on the numbers, I should focus on my gratitude that these ten embryos are still growing.  My mind vacillated between my faith in God’s plan and my fear of having a very bad outcome this cycle.

One thing I am really sure is that I will not consult with Dr. Googl.e.  I don’t want to read anyone’s stories about their success or failure with these gradings.  Their stories do not translate into my future success or not.  So I promised myself that I will steer clear from doing any online searches.

Lying there with dimmed lights at my acupuncture session, I closed my eyes and concentrated my energy on the word “gratitude”.  God has taken us this far to this point.  I believe that He will carry us through if this is His will.  I am grateful that some embryos are good quality.  I continue to pray for the perfect number of blastocysts to complete our family.  My tensed shoulders started to relax and my breathing became deeper.  Although now I feel that this is not a sure thing, I know that we will be well taken care of.

My heart is a lot calmer than it was this afternoon.  This journey has not been easy.  Even with donor eggs, it is still not easy.  Worry is not going to help with my situation, so I try to replace my worrying thoughts with positive thoughts.  I continue to pray that God sustains me with peace and calmness that only comes from Him.  And we shall see what His plan is and what the future holds.  Our prayer is that the chromosomally normal embryos will make it to day five.

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15 thoughts on “Day Three Report

  1. I can completely relate to the embryo development anxiety. I admire the strength of your faith and am so glad it helps you get grounded again when shots come across the bow like this and rock your world. I have added my prayer to yours. For patients with immune issues several reproductive immunologist now recommend transferring two as one can help the other implant and progress. Obviously the choice is yours but I wanted to share this in case you feel inclined to transfer two again and feel God may be urging you to do so. I’ll be thinking of you on Wednesday.

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  2. I think Day 3 reports are so misleading and anxiety provoking. If I do another IVF cycle I’ll just have them call me Day 5. The embryo drop off is usually shocking when you hear it step by step. I had massive attrition and was a wreck. But now that time has passed it seems so obvious that the 3 I ended up with are probably on par with what nature can produce – even with massive stimulation. You have a young donor so even if you, say, ended with 2-3 they’re overwhelmingly likely to be “normal” and to be able to go the distance. It’s all good. Try to cut out the noise of what’s going on in the lab.

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  3. My doctor says that the status of Day 5 is what matters and that the little embryo that is going to become our baby does not need any certain grading- it just needs to keep growing. Your beautiful baby(ies) is in there growing and getting ready to come home to you guys. Xoxo

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  4. I think you know I had a rough road with DE. It’s not always easy and yes, I think it was actually harder for me to get bad news with DE because it is “supposed” to be easy with young eggs etc. I was not thrilled with our day 3 report from the eggs used for my twins.. But we had a very nice blast on day 5 to transfer. Your report is just fine..I’m not very religious but I don believe in miracles. I know you aren’t googling for success or failure with certain grades of embryos but one of my girls was a “C” (d being the worst) 4 cell on day 3. I never would have given that embryos much hope yet she held on to become a blast on day 6 when she was frozen. She’s now a perfectly healthy 1 year old! Don’t count ANY of those embryos out!!!! Best wishes for your ET.

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  5. What’s amazing to me, and what I just now realized despite my own experience with worries and fears over embryos, is that God knows their days. He knows which of those embryos will grow for three days, four days, five days, and beyond. He knows which of them will turn into a child, an adult. And he knows exactly how long that person will live. It boggles my mind like it always does when I try to think so deeply. God knew the exact path M and V would take, from sperm and egg to the rambunctious toddlers they are now. (And beyond but I’m just not there yet.) And He works it all for our good. I’m so glad you have your faith to sustain you through this because it’s the ultimate comfort through trials.

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  6. I know you don’t want to read success/failure stories…. but try not to read too much into the grading. I don’t believe it’s accurate. 😉 I hope God will continue to give you peace about it. I know those fert reports are really stressful calls!

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  7. Try not to worry too much about grading- it’s all about day 5 and making it to blast. Crossing my fingers you have a bunch of embryos to choose from!

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  8. I don’t know much about this, but I’m thinking of you and hoping that things work out for the best. I’ve followed your journey for so long and am so hopeful for you and Bob. Lots of love xxx

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    • I thought about you yesterday, how you didn’t want to know the quality of the embryos for S’s cycle. Thanks girl. 🙂 I am doing a lot better today. Shoulders are relaxed knowing that this is out of my hands. We’ll wait and see what happens tomorrow.

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  9. Prayers! And you are right, grading is no no big deal to Him. I know plenty of people with so-so grades and babies in their arms! Then theres me on the other hand, with grading of ones, and still, failure. Thinking of you 💗

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  10. Pingback: Day Three Report: Twelve 8-cell Grade 1 Embryos | In Quest of a Binky Moongee

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