Embryo transfer

But in large part, we see a lot of prematurity.

So for that reason, we don't support the single embryo transfers anymore.

unless, you know, let's say it's medically advised.

You know, if the quality of the embryo is such, it might be advised.

Once again, the ultimate metric of success.

Now, moving on to kind of stage three, which is the embryo transfer.

This is the stage where we see the highest number of add-ons.

There are so many things people do to try to improve the chance of an embryo transfer succeeding.

Going from endometrial biopsies to check endometrial receptivity arrays or looking at the microbiome of the endometrium, looking for chronic inflammation.

like chronic endometritis, looking at receptiva to help as an adjunct or a replacement for an endometriosis diagnosis or, you know, progesterone receptor resistance where the progesterone, you may have adequate progesterone, but it doesn't work anymore.

And I'm not saying these things can't be missed.

But usually you'll have adenomyosis or you'll have some sort of a polyp or scar tissue or fibroid or some anatomic issue with the uterus that makes it obvious that it is less likely to implant and result in a pregnancy.

We use, um, Angus recips as well as Drought Masters.

The Angus recips, we've-- we are definitely having a better take rate when it comes to embryo transfer.

What, what do you put that down to, um, Ben? Is it farming?

They've all been managed the same, so it's, it's not that.

Um, and rarely would we do three unless you're over, over 40, uh, doing day threes untested.

Tested embryos that are normal, you get one embryo transfer per time, at least up to three times, then consider two after that.

But there's a big push to minimize the number of multiples and do, uh, one embryo is our standard, and there may be some times that you can do two, and it's all, all basically discussing with a clinician.

Emily, uh, "Do you think Lupron suppression would be good, a good idea for two small intramural fibroids? I have been doing carnivore diet for two months now.