Freezing of embryos (Cryopreservation)
Number of embryos to be replaced
When a number of embryos are formed from the eggs collected, we
still normally replace only one embryo in that cycle (under special
circumstances, we may replace two). This is the policy of many IVF
centres around Australia. It may be possible to freeze and store
some embryos not replaced in the initial treatment cycle.
If pregnancy does not occur in the IVF cycle, your frozen embryos
may be thawed and replaced in a later cycle; this is called a
frozen embryo transfer (FET). This possibility will be discussed
with you at the pre-treatment interview. Frozen embryos may be thawed
and replaced at the appropriate time in any subsequent cycle, even
several years later.
You should be aware that:
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not all embryos are suitable for freezing; and,
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not all embryos survive the freezing and thawing process.
Procedure for replacement of frozen embryos
If you do not become pregnant in the cycle of IVF, it is generally
advised to wait at least one cycle before returning to have a frozen-thawed
embryo replaced. If your menstrual cycles are normally regular,
medication to stimulate the ovaries is not required in a cycle in
which thawed embryos are replaced. It is only necessary to "track"
that cycle for a few days prior to the expected day of ovulation,
to find the optimal time to replace the embryos.
Embryos in storage
We know that the majority of couples will gladly consent to the
freezing of embryos as it can provide them with more than one opportunity
to achieve a pregnancy from their treatment cycle. However it is
important to be aware that if you do consent to freezing you may
have embryos left in storage that you do not need (where you have
achieved the desired pregnancy and have a healthy baby for instance.)
The decision concerning what to do with embryos that you do not
want yourself can be complex for many couples. We are happy to answer
any questions you may have about this and if you need an in-depth
discussion on this please contact our counsellor.
These embryos belong to both of you and any decisions, about their
use or disposal, must be taken by both partners. We will keep them
for you for up to ten years and would only dispose of them with
your authorisation in writing. If, however, you wish to keep them
beyond ten years, you are required to notify us in writing.
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