The role of embryo quality
After a failed cycle we’ll start by reviewing the quality of the transferred embryo. Was it PGT-tested? What was the grade at the time of freezing? Did it become a blastocyst on day five, six or seven of culture?
If embryo quality is of concern, the next question is how to improve that. Was there an egg or sperm-quality issue? If we suspect a sperm issue, we may run additional fertility tests, such as sperm DNA fragmentation for additional insight.
For egg-quality issues, we look at the ovarian stimulation protocol and ovarian response to see what can be improved in a future cycle.
For both egg and sperm quality issues, it’s important to look at diet and lifestyle factors that can have an impact. A change in diet to a more Mediterranean-style diet, with additional vitamins and antioxidants, can be helpful for both egg and sperm quality.
These are all important questions to be asking as we examine the possible role the embryo quality has played in the failed cycle.
Of course, it’s entirely possible the embryo was of the highest quality and that doesn’t appear to be a concern.