Sean Lauber: PGT-A Success Rates
Sean Lauber, Founder of Remembryo, shared on LinkedIn:
“PGT-A results can help explain an embryo’s chance of leading to a baby, but a euploid result isn’t a guarantee, and not every ‘abnormal’ result means the same thing.
First, what are the chances of getting a euploid embryo?
- Age plays a major role. In a study of over 86,000 tested embryos, euploid rates fell from about 58% under age 35 to 16% over 42.
- Embryo grade and day 5/6/7 development also have an influence.
What happens after transfer? Different studies have looked at this.
- Euploid: About 65% live birth after the first single transfer based on two studies.
- Mosaic: This depends on the type/level, with one study finding about 13–44% ongoing pregnancy/live birth. Some research finds that low-level mosaics and segmental mosaics are comparable to euploids.
- Whole chromosome aneuploid: About 0.5% live birth (2 births after 398 transfers across four studies).
- Segmental aneuploid: About 17% live birth based on one study.
One of the strengths of PGT-A is identifying embryos that are whole-chromosome aneuploid.
Available evidence suggests these embryos have a very low chance of working.
Embryo grade and whether the embryo is day 5, 6, or 7 still matter. Low-quality day 7 euploids have a lower chance compared to high-quality day 5 euploids.
This post covers the basics. The full article on Remembryo goes into more detail.
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