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The Decision Around How Many Embryos to Transfer
The Risks of Multiple Embryo Transfer
The Benefits of Multiple Embryo Transfer
What About After A Failed Single Embryo Transfer?
The Day 3 vs. Day 5 Wrinkle
ASRM Recommendations For Number of Embryos To Transfer
Financial Implications of Single Versus Multiple Embryo Transfer
Who Decides How Many Embryos To Transfer
Begin an early discussion with your clinician around the risks and benefits of single-versus-multiple embryo transfer. Understand their tendencies and philosophy on the subject and when, if ever, they break their own rules
Understand what your doctor’s plan would be depending on your age, and how this might adjust depending upon how many embryos you create and the stage of development (e.g. Day 3 or Day 5) they reach
Compare this approach to the ASRM guidelines and understand if (and why) your doctor wishes to exceed the recommended limit. If your doctor’s plan exceeds the guidelines, consider the medical and financial risks you are taking on.
Once you agree on a plan, have your doctor put in writing what you have decided and why she or he supports the decision. Bring this to your transfer.
If you choose to do a multiple embryo transfer, get clarity on which NICUs are the best in your area and which are covered by your insurer
If you choose to do a multiple embryo transfer, research and budget in for potential future costs should your offspring be born prematurely and require special accommodation as a child or income assistance as an adult
If you choose to do a single embryo transfer, budget in the cost for an additional transfer (or more) at $3,000
If your doctor insists on a single embryo transfer, ask if they will provide a free (or discounted) subsequent transfer if the first fails
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