Two (or more) part two
Karen... In retrospect, you're right, of course. I was so convinced that NOTHING was going to work that multiples wasn't a reality when I decided to transfer 4. Actually, when I had the 'better' embryos, I didn't get pregnant at all... (I guess this is in line with what Mel wrote today). I've been following your story and all your thoughts about reduction. I know I would have made the same choice you did.
Sarah... My last IVF was the only one in which the doctors even asked how many embryos I wanted to transfer. I was willing to go for 3. My (now ex)-husband said 2 and that's what we did. I think that some clinics are still pushing their agendas of higher pregnancy per cycle rates and are therefore anxious to give you the best shot at pregnancy, even if it includes the risk of multiples - so, although the doctors may KNOW best, they may not always do it. It's exactly like Thalia put it - "change the way clinic stats are measured and rewarded. Currently it's not in their best interest to allow SETs (single embryo transfers) as that potential first failed cycle would be a negative mark against them" (BTW, the cycle mentioned above led to an unsuccessful single embryo pregnancy)
Kirby... I know just where you're coming from. My feeling is that there are cases where hoping for twins makes sense - it depends on your chances to succeed with IVF (there must be some parameters that give an indication, especially in cases of known fertility issues), your age, how many children you'd like to have and of course how many IVF cycles you'll be able to go through (emotionally / financially / physically). With the success rates being the same overall, as Thalia said, with the ETs being split between two cycles - it means that women/couples who feel they have more time can allow themselves to reduce the risk of multiples without reducing the chance of pregnancy per retrieval.
Bea... I am truly praying for you to have a healthy singleton pregnancy :-)
Thalia... I love your comments and I totally agree with you.
Lastly, congratulations to Mia whose daughter Ava Marie has finally come home from the hospital!