I had a 5 day transfer today.  I though everything was going well and then the MD stopped.  He eventually told me that the two embryos that he was going to transfer were in the cervix and that he didn’t think they would implant.  He said that the flexible tube, that worked during the inital messurement of my uterus, didn’t work this time.  He used a different tube to put my next two best embryos in.  He had the lab person check the old tube to make sure that the first two weren’t in there.  He said that a cervix is always changing and that it just happens sometimes.  He also said that I had just as good of a chance of pregnancy.

I was wondering if he was full of crap and if this was an error on his part.  I felt like he was covering his butt.  Does this “just happen”, or was it a human mistake?  Also, why couldn’t they take a tube with nothing in it first and try to pass it and then transfer the embryos?  Also,  is there a chance that the first two could end up in the right place to impant, or when you put them in there are they stuck where they are put?

I just wanted to know to put my mind at ease. 
Thanks,
Erica

Dear Erica,
I don’t blame you for feeling uneasy, because much of the IVF process is out of your voluntary control. First and foremost, please know that if you had another set of two high quality embryos transferred into the endometrial cavity properly, you probably still have a good chance. Not knowing your age and embryo quality, I really cannot tell you that your chance was equivalent. If your embryo transfer was performed under ultrasound guidance, the MD can see more clearly where the tip of the transfer catheter (and the embryo/medium droplet/air bubble) is; it is possible that he was able to see that the fluid enter the cervix improperly. If your embryo transfer was not ultrasound guided, then it is conceivable that the inner sheath of the catheter had doubled over (made a u-turn) and he saw the catheter tip coming out of the cervix after he had injected the embryos. In that case, it was entirely appropriate and honest of him to tell you so, and to transfer anew.  It sounds like your MD tried to do the right thing medically and was honest with you about what happened. I would recommend scheduling an appointment to speak with him in the office or by phone to clear up your doubts. That way, you can rest easy and await your results without any additional anxiety. Good luck!

Thank you for your response.  I am 24 and it was done under ultrasound.  He was able to show me the placement once the second set was placed via ultrasound.  My husband has corrected me about exactly what the MD said.  He said that my cervix was too tight and when he placed the tube in it, my cervix squeezed the embryos out.  We were wondering if that was a reasonable explination? 
Thanks again,
Erica

Dear Erica,
At the age of 24, your chance of conception with two high quality embryos is very good! Based on what you have told me, I think you can still be optimistic about this cycle. I am, however, having trouble envisioning the embryos being squeezed out by the cervix. The best thing to do is to schedule a consultation with your doctor, and ask him to draw or describe very clearly what occurred. Sometimes when MDs try to simplify their descriptions, things can get a little confusing . Focus on staying positive and minimizing your stress for now.

Thank you for your time and help.  I am still feeling very positive about this.  I was wondering if it were possible for the first two embies to implant?  My MD said it was very unlikely that they would implant.  I was wondering if they would put me at risk for triplets/quads?
Thanks again,
Erica