While undergoing IVF treatment, there’s probably a complex mix of nervousness, excitement, and a thread of several questions. One of the most critical questions that pops up is; “should I choose single embryo transfer or multiple? It’s a valid question as there is a common
the misconception that the more embryos the better your chances of conceiving.
The final decision on how many embryos are transferred in IVF depends upon the doctor’s advice.
Why is this decision so crucial?
For IVF treatment, most people have common assumptions that the more embryos you transfer, the higher the chances of getting pregnant. Even if it’s not technically wrong, it’s not the complete truth as well.
In many cases, more embryos = higher chance of multiple pregnancies = higher medical risks for both the expecting mother and the fetus.
The aim is not just to conceive desperately, but rather to have a healthy, full-term pregnancy and a seamless postpartum recovery. This is where the process of IVF embryo transfer becomes critical.
The modern approach of IVF- not focused on quantity
The older approach of IVF was when doctors used to transfer 3-4 embryos, hoping that at least one of them would implant and progress toward a full-time pregnancy. Earlier, even the success rates were lower, and freezing embryos wasn’t an efficient option.
Currently, leveraging high-quality controlled lab environments and efficient embryo freezing techniques, single or double embryo transfer are the standard choices of most IVF specialists, all the more so, if the embryo quality is high.
So, how many embryos are transferred in IVF? There may not be one particular objective answer that applies to every case. It depends upon the fertility score/profile of the individual.
So, How Many Embryos Should You Transfer?
There’s no one-size-fits-all answer. It depends on your individual fertility profile. Here are some key factors doctors consider while deciding:
1. Your age- This is among the strongest predictors of IVF success.
- Younger than 35 years: If you belong to this age group and have good-quality embryos, most fertility clinics will recommend transferring only one embryo. That’s because your chances already look quite promising.
- 35 to 37 years: Based on embryo quality and IVF history, your IVF specialist can allow double embryo transfer.
- 38 to 40 years: In such cases, success rates somewhat go down, so two embryos might be considered.
- Above 40 years: You may get the option to transfer two or three, basis your embryo quality, uterine health, and previous IVF cycles.
Remember, multiple embryos carry a higher risk of twins or triplets, which can pose further serious complications.
2. Embryo quality matters
Embryo quality has a major say in IVF decisions. Well-developed healthy embryos generally have a higher chance of turning into a successful pregnancy, thus doctors often prefer transferring just one, that of good quality. For average-quality embryos, transferring two can have better odds. Still, the prime focus is on finding the safest, most effective approach best suited for you.
High-quality embryos imply a higher success rate with just one.
- Your IVF history: what’s already happened Tells Us A Lot
Your medical history of gynecological treatment, especially IVF reveals a lot about your best way forward. Your past IVF experiences often shape what comes next. If it’s your first try and things seem to be promising, one embryo is usually enough. If you’ve been through failed cycles or early losses, the doctor can advise transferring two. More than pushing the odds, the goal is to choose smarter steps for IVF success.
4. Underlying health conditions or uterine problems
If you’ve gone through endometriosis, fibroids, or uterine surgeries, your fertility specialist will mindfully assess the risks. Sometimes, such health conditions affect the implantation chances, which might influence how many embryos are transferred. However, multiple embryos don’t guarantee better odds, especially if your body isn’t in the proper environment for more than one pregnancy.
- Considering donor eggs or embryos: higher chances of success
Donor eggs generally come from younger, healthier females. That means higher-quality embryos and higher implantation success rates, even with a single embryo. When using donor embryos or eggs, your doctor would ask to go ahead with a conservative, single transfer to keep away complications.
The Trend Toward Elective Single Embryo Transfer (eSET)
If you’re less than 35 years of age and have good-quality embryos, elective single-embryo transfer is safer for both you and the baby. With current advanced embryo freezing tech, doctors and embryologists can save extra embryos for future purposes, so you’re not missing out and only choosing a smarter, more flexible approach that prioritizes wellbeing without compromising your chances.
The Reality of Multiple Pregnancy
Want to have twin babies? After all the ups and downs of the IVF procedure, the shots, stress, and waiting, it may feel like double the joy.
What you must know is that twin pregnancies are a bit more risky or complicated. In some complex cases, premature delivery, gestational diabetes, C-sections, and even preeclampsia are also seen.
Babies are often born underweight and may be kept in NICU care. And for the mother, there is much more physical and emotional toll. Thus, many clinics keep single embryo transfers as a priority. This is mostly the safest option.
What to do if you want to have twins?
Have an open discussion with your doctor. Vocalize your desires, apprehensions, and your reasons. But prepared to receive medical advice backed by research and experience. Your IVF specialist will always guide you toward a safe and secure outcome following the embryo transfer.
It’s more of a partnership than a transactional relationship
You’re not just another case for the doctor. Your IVF doctor will thoroughly assess your case and all related factors. It is not a top-down approach, but rather a collaborative effort to give you the best possible result.
Deciding how many embryos are transferred in IVF is about choosing safe, effective, and right for you. Whether you are considering single or double embryo transfer, or thinking about the timeline of IVF injections before embryo transfer, your medical team will guide you each step of the way.
If you are still in doubt, connect with our specialists at Pristyn Care Fertility. We’d love to answer all your IVF-related queries, concerns, and apprehensions.