Why a Single Embryo Transfer May be Better

Source: http://www.dailymail.co.uk/health/article-5039655/Using-one-embryo-IVF-boosts-odds-healthy-baby.html

 

When it comes to deciding how many embryos to transfer into your surrogate, the surface choice may seem obvious.

For many years intended parents have opted to transfer many embryos. The logic was that IVF is an expensive process, and transferring multiple embryos would surely improve the odds of having at least one take and go on to result in a live birth. However, researchers at Duke University and Colorado University are turning that logic on its head and saying a single embryo transfer may be the way to go.

The Colorado and Duke study is the first comprehensive comparison of the two methods, comparing outcomes for 30,000 patients who underwent IVF between 2012 and 2014.

The largest of its kind study showed that the act of transferring multiple embryos often lead to multiple gestations. In the case of twins, triplets, or even higher order multiples, it is quite common for the babies to be born prematurely and encounter additional medical needs.

However, when doctors transferred just one embryo, there was no noticeable drop in the number of successful pregnancies. In the instances of single embryo transfer, the outcome was an improved probability of a full term pregnancy and healthy, live birth. In fact, researchers said that transferring just one embryo doubles the probability of a healthy, live birth. The conclusion researchers came to was that it is in the best interest of the future fetus, the carrier, and the hopeful parents to transfer a single embryo at a time.

In addition, the study looked at IVF success rates in cases where both fresh and frozen embryos were used. They found that there was no clinical difference in the success rates between fresh or frozen embryos. Given that the use of a frozen embryo rather than a fresh one is logistically much simpler, researchers are suggesting that frozen embryo transfers are the wave of the future.

Of course, the plan you make with your doctor will be based on a number of contributing factors. Your doctor may still elect for, encourage, or allow a multiple embryo transfer if that is what looks to be in the best interest of success.

Dr. Kim Bergman

Kim Bergman, PhD, a licensed psychologist of 26 years, has specialized in the area of gay and lesbian parenting, parenting by choice and third party assisted reproduction for over two decades. Dr. Bergman has created a comprehensive psychological screening, support and monitoring process for Intended Parents, Surrogates and Donors. She is the co-owner of Fertility Counseling Services and Growing Generations and is a member of the American Society for Reproductive Medicine, the American Psychological Association, the Los Angeles County Psychological Association, the Lesbian and Gay Psychotherapy Association, and the Gay and Lesbian Medical Association. She is on the national Emeritus board of the Family Equality Council. Dr. Bergman writes, teaches and speaks extensively on parenting by choice. Along with co-authors, she published “Gay Men Who Become Fathers via Surrogacy: The Transition to Parenthood” (Journal of GLBT Family Studies, April 2010). Dr. Bergman’s is the author of the upcoming book, Your Future Family: An Essential Guide to Assisted Reproduction (Red Wheel Press 2019). Dr. Bergman created her own family using third party assisted reproduction and she lives with her wife of 35 years. Her two daughters are in college.