Infertility/Fertility/IVF/PGS

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QUESTION: I recently underwent IVF with PGS and will soon do a FET. Results indicated that 3 were chromosomally normal. The embryos are : 4AC, 3BC, 3BC. Do embryos of this quality implant? I feel that having the information from the PGS helps a little, but I'm still so concerned. My doctor wants to transfer no more than 2 at a time. I had a previous ectopic after IVF, but did not do the PGS that time.

ANSWER: Hello Rose for the U.S. (Texas),

The quality of these embryos are not good, but pregnancy certainly can happen.  I have had patients get pregnant with 4 cell embryos but never with 3 cell.  Despite the fact that they are chromosomally normal, the chances are not good.  However, I believe in miracles, and part of IVF requires a miracle in everyone, so at this point, you have to hope for the best and pray for success.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.



---------- FOLLOW-UP ----------

QUESTION: Thank you so much for your prompt response. I should have included this information in my previous question, but these embryos had made it to 5 day blastocytes. The numbers (3,4) in my clinic refer to the quality of the blastocyte ( 5 being best). My embryos were blastocytes when they were PGS tested. The numbers (3,4) do not refer to cell numbers. If they are blastocytes with normal chromosomes is prognosis a little better? Thank you again.

Answer
Hello Again,

That makes a significant difference and changes my answer completely.  With grade 4 blastocysts, your chances are indeed improved.  The recommended number of good quality blastocysts to transfer is no more than two.  You'll probably have to twist your doctor's arm to get him to transfer 3.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.

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Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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