Embryo implantation
is an extremely complex process, and sometimes patients get frustrated when
good quality blastocysts do not implant. But you need to understand that even
if two blastocysts look exactly the same, their implantation potential can be very
different.
Thus, for
example, if we have two blastocysts , both of which have the same grade - let's
say 3AA - but one came from an older woman with a poor AMH level whereas the
other one came from a younger woman with good ovarian reserve, the chances of the blastocyst which came from the
younger woman implanting are much higher, even though both the embryos looks
exactly the same.
This is one
of the limitations of a embryo grading system - that it just captures how the
embryo looks at a particular moment of time. It doesn’t tell us anything about the
quality of egg this embryo came from, even though we know that egg quality
plays a big role in embryo implantation, because it affects the genetic
competence of the embryo.
After all,
no one cares about how beautiful the blastocyst looks like on the day of the
transfer – we are much more interested in its future potential of being able to
grow in the uterus and implant – and we still can’t predict this accurately as
yet.
You can
download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you make better decisions !
No comments:
Post a Comment