Transfer or not to transfer? a medical dilemma

Authors

  • Neeta Singh Department of Obstetrics and Gynecology, AIIMS, New Delhi, India
  • Garima Patel Department of Obstetrics and Gynecology, AIIMS, New Delhi, India
  • Monika Saini Department of Obstetrics and Gynecology, AIIMS, New Delhi, India
  • Ankita Sethi Department of Obstetrics and Gynecology, AIIMS, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222335

Keywords:

Poor grade embryo, Embryo transfer, Pregnancy outcome

Abstract

Morphological assessment predominantly determines the quality of embryos although, several methods are available for it. Dilemma to transfer arises when clinicians are left with mere poor grade embryos. This case report encompasses a case of 37 years primary infertile female managed with GnRH antagonist cycle for tubal factor infertility. Post ovarian stimulation and ovum pickup, only two 4 celled grade-C embryos were available for transfer. Reluctantly the embryo was transferred, but fortunately resulted in a healthy live intrauterine pregnancy. This case report questions the aptness of the current methods to determine embryo quality and also enlightens whether the ethical or medical conundrum holds true regarding relation between embryo quality and chances of a fruitful pregnancy.

Author Biographies

Neeta Singh, Department of Obstetrics and Gynecology, AIIMS, New Delhi, India

Department of Obstetrics & gynaecology

Garima Patel, Department of Obstetrics and Gynecology, AIIMS, New Delhi, India

Department of Obstetrics & gynaecology

Monika Saini, Department of Obstetrics and Gynecology, AIIMS, New Delhi, India

ART center, Department of Obstetrics & gynaecology

Ankita Sethi, Department of Obstetrics and Gynecology, AIIMS, New Delhi, India

Department of Obstetrics & gynaecology

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Published

2022-08-29

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Section

Case Reports