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When the embryo gets sub optimal conditions in the lab, the process of cell division is hindered and it stops growing. When the patient suspects lack of lab care, they have a right to question the embryologist about the growth arrest; Once the embryo stops growing in the lab, nothing can be done about it, though it can be taken as a lesson. This was true for implantation, clinical pregnancy, live birth, and multiple pregnancy rates.
Day 3 embryos were slow growing so they called for a day 3 transfer of 3 embryos. Duing the 2 week wait, i experienced an ovarian torsion which was the worst pain of my life and found out at the hospital, just before having surgery to sew my ovary back down, bfn. 25 eggs retrieved, 13 fertilized. An embryo needs energy for its development. The energy requirement of the dividing embryo is met by specialized organelles called mitochondria, which are called “cellular power plants”. Yes, of course patients do get pregnant after day 3 transfers, but these are good prognosis patients, and it's not right to confuse the two. Yes, if the embryo arrests in the lab , this does cause a lot of short term heartache, but it gives us valuable information , so we can make changes and maximize the chance of achieving a pregnancy in the. On average, only half of all day 3 embryos will continue to grow to the blastocyst stage, and the other half will stop growing after day 3. Although embryologists do not know why embryos stop growing, it is thought it is because there is something wrong with their chromosomes.
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