Hi all! 40 yrs here I just had a successful egg retrieval (at 39) that started with 21 retrieved eggs, and led to 4 euploids after PGTA testing.

The grading of the euploids is where I’m a bit lost. Google says it should be a 1AA rating system (1 number, 2 letters) but mine is the following
XBAB
EBBB
HBAA
XBBA

While I trust the embryologist team I would like to have more insight into which of these are “ideal” for implantation. Is anyone familiar with these grades?

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I believe XB is expanded blastocyst (so equivalent to 4), EB is early blastocyst (equivalent to 3), and HB is hatching blastocyst (equivalent to 5) - so 4AB, 3BB, 5AA, and 4BA. My clinic doesn’t use this grading system but I’ve seen it mentioned enough on Reddit!

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Relatable haha! Search the r/IVF and r/infertility subs and you’ll definitely find other people who have asked basically this same question, along with answers!

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Our embryos had the number-letter-letter grading system. Do you have a follow up with the fertility doctor or team? Our IVF doctor gave us the grading at the next appointment follow up.

My nurse said I can do a follow up with the doctor so I’m going to do that. She wasn’t able to give me more info than “they’re all AB grades which we’re happy about”
They asked if I had a gender preference and while I do, I also want the healthiest. So was hoping to have a better understanding of which are more likely to work. (I have a boy now so I ideally want a girl if it’s possible)

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