Hi Fishies. Im 31 yrs old,spouse 33 yrs old. We are going with IVF due to male factor. Today we got PGT results from CCRM Boston. Among 7 embryos, 5 came normal. 1- 5AA(male), 1-5AA(female),1-4BB(tier2,female),1-4AA(tier1,female), 1-4AA(tier 1, male). What is the best embryo among them? This is my first IVF. And little nervous as well. What could be the reasons if the embryo is not implanted ? Is it something with to do with me? Do we need to do anything from our side, like acupuncture ?

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I would ask your doctor.

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Thanks ! I’ll check with my Dr. as I have appointment on Oct 12th

These are all fantastic grades! Really not much of a difference between them. Obviously As are better than Bs but Bs are still very good.

IVF can not work for so many reasons that we'll never know. Don't be too stressed trying to do everything exactly right. Being as relaxed and distracted as you can is the best thing you can do.

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Your doctor will make the recommendation. If 2 are indifferent between male and female you can choose from there or be surprised.

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We just told them to transfer single best embryo. Our best didn’t stick but our second one did. There are so many factors, and embryo grade doesn’t really determine success as long as they are generally good.

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An embryo can also stick but miscarry later in the pregnancy - nothing is a guarantee. I would trust your doctor’s experience and intuition.

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I also worked with CCRM-- there are so many variables involved in transfer that its hard to pinpoint why one might fail. On the cycle that finally worked for us we went with a very natural protocol and were using our lowest quality embryo 4BB (letrozole and trigger only, no progesterone, estrogen at all). We also used a standard protocol once (4AA miscarriage) and an anti-inflammatory protocol once (6AB - chemical; standard + antibiotics, steroids, antihistamines....).

I did do accupuncture in the cycle that was successful-- I don't really believe it worked, but it was 30 min 2x a week where I had to put down my phone and do nothing, which may have been helpful. They also had me supplement with NAC.

TLDR; the science isn't perfect, there is some trial and error in getting it right for your body. But the good news is you have 5 excellent embryos all of which give you a great chance of having a baby.

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