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Jamie (no login) Posted Apr 11, 2012 6:58 PM
I think it's so, so important that labs are able to competently grow embryos to blast because too many 40+ women have false hope and extra weeks of hormones in their bodies thanks to day 3 transfer. It's highly possible that if they had gone to blast there would not have been any embryos to transfer and they can skip all that and move forward (as well as additional disappointment with the BFN). I know docs and patients want to have something to transfer but if it's not going to work that cycle I'd rather know sooner rather than later so I can skip all the progesterone and start thinking about my next move.
For younger women it can be bad too . . . docs tend to put more embryos in which can lead to higher-order multiples. Even a straggler on day 3 can turn into a live birth for a younger woman. Much better to culture to blast and then transfer one or two at most, while vitrifying everything else left.
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