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Choosing the Best Embryos

Mar 11, 2013 10:10AM ● Published by tina

Day 5 development of embryos are the preferred day for embryo transfer as it gives a better selection and higher pregnancy rates for patients

Sponsored by Fertility Specialists of Texas

Written by Dr. Carlos Guerrero, Ph.D., HCLD, ELD

How does an embryologist select the best embryos for transfer?    

This is a question that I am routinely asked by patients undergoing IVF treatment. If an embryologist has 10 embryos from a patient how do we know which one will be the strong one with a high potential to implant and ultimately become a baby? To the untrained eye, embryos will look very similar to each other. However, each embryo displays specific morphological criteria that will allow us to distinguish the ones that are developing the best. This is why a very experienced embryologist is paramount for a successful IVF treatment cycle.

In many ways, IVF is like packing many months of trying to conceive into one cycle, because of the many embryos that often result, but it increases the probability of success by selecting the best embryo(s) from the group to be replaced. 

There are two possible embryonic stages for embryo transfer, one at the cleavage stage and one at the blastocyst stage. At the cleavage stage, the embryos are on either day 2 or day 3 of development in the laboratory after the egg retrieval procedure. These embryos will have approximately 4-cells on day 2 or 8-cells on day 3. Embryos at these stages are more difficult to select between each other, as they look very similar. We use criteria such as the number of cells, the size of the cells and the amount of fragments inside the embryo to select the potentially best one. However, embryos at this stage exhibiting high quality traits don’t necessarily continue developing. There is a process called embryonic activation that occurs around day 3 of development where the embryo actually starts producing its own proteins for further development so if there is any problem with the egg or sperm that produced that embryo it will manifest after day 3 and the embryo will stop developing. Usually, about 60-70% of day 3 embryos will continue developing to the blastocyst stage in world class IVF laboratories. Laboratories with high quality embryo culture conditions will only transfer day 2 or day 3 embryos when all the embryos produced by a patient will be transferred. In this case, if the patient only has 2 embryos they will be transferred regardless of quality so the day of transfer won’t matter as we are not selecting any embryos.

Improved laboratory conditions have allowed us to grow embryos to day 5 of development called the blastocyst stage. This is the preferred day for embryo transfer at Fertility Specialists of Texas’ laboratory, as it will give us a much better selection of the embryos and provide our patients with higher pregnancy rates. Embryos at this stage will have a different more complex morphology than embryos at the cleavage stage. Blastocysts have a fluid filled cavity where we will find a compact mass of cells called the inner cell mass. This mass of cells is what will become the baby. Also, we will find a layer of cells forming around the fluid filled cavity called the trophectoderm which will ultimately form the placenta. Evaluating these components of a blastocyst will tell us which of the embryos is truly the best one from a group of embryos.

Our IVF laboratory at Fertility Specialists of Texas has one of the best embryo culture conditions allowing us to produce high quality day 5 blastocysts. This is one of the reasons we provide our patients with one of the highest pregnancy rates in the nation.

About Dr. Guerrero:

Dr. Guerrero is originally from Colombia, South America. He is a graduate of Louisiana State University, where he received his Ph.D. degree in Reproductive Physiology with emphasis in Embryology. Prior to joining Fertility Specialists of Texas, Dr. Guerrero was a Senior Embryologist and Head of Research and Development at the THR Presbyterian-Harris Methodist ARTS Program in Dallas-Fort Worth,TX .He is board certified in Human Clinical Andrology and Embryology and is a High Complexity Clinical Laboratory Director and In Vitro Fertilization Laboratory Director by the American Board of Bioanalysis. 

Health+Beauty, Today fertility specialists of texas fertility ivf pregnancy
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    12/20/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/20/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/20/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/20/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/20/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Holiday Cookies Galore Camp (Ages 4-8)

    12/21/2017
    09:00AM — 12:00PM

    Come enjoy everyone’s favorite sweet holiday escape in this tasty camp where we’ll put your culin...


  • Holiday Cookies Galore Camp (Ages 9-Teen)

    12/21/2017
    01:00PM — 04:00PM

    Come enjoy everyone’s favorite sweet holiday escape in this tasty camp where we’ll put your culin...


  • Extreme Ornament Help-Create Events

    12/21/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/21/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/21/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/21/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/21/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/21/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/21/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Holiday Cookies Galore Camp (Ages 4-8)

    12/22/2017
    09:00AM — 12:00PM

    Come enjoy everyone’s favorite sweet holiday escape in this tasty camp where we’ll put your culin...


  • Holiday Cookies Galore Camp (Ages 9-Teen)

    12/22/2017
    01:00PM — 04:00PM

    Come enjoy everyone’s favorite sweet holiday escape in this tasty camp where we’ll put your culin...


  • Extreme Ornament Help-Create Events

    12/22/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/22/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/22/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Kid's Night Out

    12/22/2017
    05:00PM — 09:00PM

    Parents can enjoy last minute Christmas shopping while the kids have a blast swimming, eating piz...


  • Enchant Christmas Light Maze & Market

    12/22/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/22/2017
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Fireside Holidays at Four Seasons

    12/22/2017
    06:00PM — 08:00PM

    Don't get your tinsel in a tangle this holiday season trying to figure out fun things to do with ...


  • Gift of Lights 2017

    12/22/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • PARTY ON!

    12/22/2017
    07:00PM — 10:30PM

    Join us each Friday night for our weekly ballroom dance party! A great mix of ballroom, latin, c...


  • Interlochen Lights 2017

    12/22/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Breakfast with Santa at Four Seasons

    12/23/2017
    10:00AM — 12:00PM

    The jolly ol' elf joins Four Seasons Dallas for breakfast and holiday crafts. Kids, bring your C...


  • Extreme Ornament Help-Create Events

    12/23/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/23/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/23/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/23/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/23/2017
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/23/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/23/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Extreme Ornament Help-Create Events

    12/24/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/24/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/24/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/24/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/24/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/24/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/24/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Extreme Ornament Help-Create Events

    12/25/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/25/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/25/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/25/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/25/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/25/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/25/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Dine For Dragons: December 26

    12/26/2017
    07:00AM — 12:00AM

    Eat in. Take out. Help fuel Carroll Education Foundation with every meal on December 26. Restaura...


  • Winter Mystery Basket Camp (Ages 4-8)

    12/26/2017
    09:00AM — 12:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Winter Mystery Basket Camp (Ages 9-Teen)

    12/26/2017
    01:00PM — 04:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Extreme Ornament Help-Create Events

    12/26/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/26/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/26/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/26/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/26/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/26/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Interlochen Lights 2017

    12/26/2017
    07:00PM — 11:00PM

    "Texas Best" Christmas Lights (as voted by the viewers of the Texas Country Reporter TV Show) are...


  • Winter Mystery Basket Camp (Ages 4-8)

    12/27/2017
    09:00AM — 12:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Winter Mystery Basket Camp (Ages 9-Teen)

    12/27/2017
    01:00PM — 04:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Extreme Ornament Help-Create Events

    12/27/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/27/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/27/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/27/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/27/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/27/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Winter Mystery Basket Camp (Ages 4-8)

    12/28/2017
    09:00AM — 12:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Winter Mystery Basket Camp (Ages 9-Teen)

    12/28/2017
    01:00PM — 04:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Extreme Ornament Help-Create Events

    12/28/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/28/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/28/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/28/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/28/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/28/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Winter Mystery Basket Camp (Ages 4-8)

    12/29/2017
    09:00AM — 12:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Winter Mystery Basket Camp (Ages 9-Teen)

    12/29/2017
    01:00PM — 04:00PM

    Calling all chefs! Cooking shows have nothing on Taste Buds Kitchen's tasty cooking extravaganzas...


  • Extreme Ornament Help-Create Events

    12/29/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/29/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/29/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/29/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/29/2017
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/29/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • PARTY ON!

    12/29/2017
    07:00PM — 10:30PM

    Join us each Friday night for our weekly ballroom dance party! A great mix of ballroom, latin, c...


  • Extreme Ornament Help-Create Events

    12/30/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Traditional Ornament Help-Create Events

    12/30/2017
    02:00PM — 06:00PM

    Bring the kids and drop in for one of Vetro’s Traditional Ornament Help-Create events, *select da...


  • Holiday in the Park 2017

    12/30/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    12/30/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    12/30/2017
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Gift of Lights 2017

    12/30/2017
    06:00PM

    The Gift of Lights is a Texas-sized Drive Thru light park hosted at Texas Motor Speedway with a p...


  • Extreme Ornament Help-Create Events

    12/31/2017
    02:00PM — 06:00PM

    Unleash your inner elf during Vetro’s Extreme Ornament Help-Create events, *select dates and time...


  • Holiday in the Park 2017

    12/31/2017
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    12/31/2017
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Enchant Christmas Light Maze & Market

    12/31/2017
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • Holiday in the Park 2017

    01/01/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • Enchant Christmas Light Maze & Market

    01/01/2018
    05:00PM — 11:00PM

    The Lone Star State is about to get a lot brighter as Enchant, The World's Largest Christmas Ligh...


  • 2017 Magical Winter Lights

    01/01/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/02/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/02/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/03/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/03/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/04/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/04/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/05/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/05/2018
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/06/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/06/2018
    05:00PM — 11:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/07/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/07/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


  • Holiday in the Park 2017

    01/08/2018
    02:00PM — 10:00PM

    Holiday in the Park is back for select days from November 17-January 7 at Six Flags Over Texas. I...


  • 2017 Magical Winter Lights

    01/08/2018
    05:00PM — 10:00PM

    Magical Winter Lights is a spectacular, larger-than-life festival that presents a fresh multicult...


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