I am with Emma Whitney, Director of Embryology at the Evewell, Emma The Embryologist on Instagram, and Chair of the Trustees for Fertility Action to discuss one of IVF’s most frustrating questions: why an embryo that looks good still might not lead to a pregnancy.
We discuss what “good” really means at different stages, why embryo grading is only part of the picture, and how male factor, genetics, and the uterine environment all fit into the bigger diagnostic puzzle.
We discuss
- What “good embryo” actually means
- Why day 3 grading can be misleading
- Blastocyst stage and implantation
- PGTA tested embryos that still don’t work
- Why embryo grading alone is not enough
- Environmental factors and bespoke testing
- Common add-on tests and the evidence around them
- The male factor may be under-investigated
- Time lapse is a major clue
- Why uterine assessment can matter
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