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do you have ins coverage under the MA mandate for IVF? that might be a factor in how to approach.
I never got to the IVF stage so I'm not the best to give advice but it seems like embryo quality is not always related to success rates so might be worth trying the rest of your embryos if a FET is much easier on you than fresh?
I do know at my clinic in MA they pushed for single embryo transfer since you're not paying as much per cycle given good insurance coverage (usually).

@GreenThumb: sorry to hear that about the coverage. that was true for us when we first moved to MA too.

I'm sorry your FET didn't work this time I think if it were me, I'd have the remaining 4 embryos moved to a MA clinic (do you have a clinic yet?) and do FETs with the remaining ones locally. Maybe not having to travel will help you to stay calm/relaxed (I SWEAR I'm not telling you to "just relax"! ) A new clinic might also have a different way of prepping you for your FET - are you doing natural or medicated?

We had a successful IVF followed by two unsuccessful (chemical pregnancy) FETs. I know people say that FETs are just as successful and possibly even more successful but that wasn't my case. We went down a completely different path that we haven't discussed online. I am currently pregnant with our second baby.

With 4 embryos left, can you do chromosomal analysis on them? Since that is what is supposed to be the reason most of these fail. Technically, these are young embryos (from when you are younger) so they should be good embryos.

So sorry it didn't happen the second time. I'd do a fresh cycle, especially if you're in MA where IF coverage is good. I think after some time, even if the embryos look like high quality, they don't fare as well as newer ones...
ETA: Just read your responses and that stinks about your insurance! I still think I'd do a fresh cycle but it is harder...

Boy...that's a really hard decision. Take this with a grain of salt, but I think, in your position, I would try to find the best RE locally in MA, and expedite having the remaining 4 frosties transferred. From what I understand, they only thaw as many as they plan to transfer at one time (since usually they're frozen in groups of 1 or 2), so I would go ahead and do one more FET with your new clinic...and if that were not successful, strongly consider doing another fresh cycle. I really want you to be successful with your frosties...but I also understand how high the stakes are. BTW-- with the new freezing technique (vitrification), I don't think there should be any "aging" of the frozen embies. Wishing you lots and lots of luck and sending good vibes!

I don't have much more to add that hasn't already been said. I just wanted to offer a hug, and say that I'm sorry your second FET didn't work.

i am so sorry this cycle didn't work out. big big hugs. thinking about you lots as you make a decision on how you will move forward.

at my RE's office, genetic testing is big. apparently, 90% of their patients do genetic testing and they give a 80-90% chance of success with genetic testing. i unfortunately never made it that far since they recommend having at least a couple of embryos making it to day 5 (i only made it both times to a 3 day transfer). it's definitely something to consider with your frozen embryos! it's $$, but it might be worth it to guarantee the best shot at a FET.

@GreenThumb: As frustrating as it is, for cost reasons, I'd use whatever frosties we had first (that way I'd not have to make the decision about what to do with 'leftovers' afterwards, too) - but it's got to be what your gut tells you. x

I have had no luck with frosties (1 missed m/c & 1 early m/c) either, and was really hoping to get a fresh transfer (my daughter was from fresh) but that didn't turn out - and I have to say, I'm TERRIFIED about using our frozen embryos.