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AAA vs BBB Embryo grading

cutie66cutiecutie66cutie member
in Infertility
Ladies,

So after genetic testing, I only have two normal embryos.  (1) AAA grading girl and (2) BBB grading boy.  My doctor said they both are good embryos and it is up to me which one I want to put back.  He also said not many people get AAA grading.  Is that normal?  Hubby and I need to decide which one to put back.  Or should I ask my doctor to surprise me?  Since we only have two embryos, I am super scare of failure.  :(

Thanks. 
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Re: AAA vs BBB Embryo grading

  • airidh80airidh80 member
    edited July 2014
    Always put in the highest quality embryo. No question. Good luck!

    ETA: In case it's not clear, the AAA is the highest quality. 
    Me: 34 / DH: 33
    19-year history of endometriosis. Multiple surgeries and cyst removals. Forced directly into IVF due to blocked tubes and severe adhesions.
    IVF w/ICSI and CCS #1 - Dec 2013 - Only 1 normal. Ended in CP
    IVF w/ICSI and CCS #2, at CCRM - March 2014!
    14R, 12 ICSI'd, 11F, 6 for CCS, 5 healthy blasts frozen!
    Two 5BB blasts transferred 9/10; First beta 9/19: 109; second beta 9/22: 550!
    EDD: 5/29/15

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  • airidh80airidh80 member
    IFinTN said:
    I am not familiar with that grading method but I agree with PP, higher graded ones should be transferred first! 
    Yeah, I've also not heard of the triple letter grading method, but I'm assuming it follows general grading patterns.
    Me: 34 / DH: 33
    19-year history of endometriosis. Multiple surgeries and cyst removals. Forced directly into IVF due to blocked tubes and severe adhesions.
    IVF w/ICSI and CCS #1 - Dec 2013 - Only 1 normal. Ended in CP
    IVF w/ICSI and CCS #2, at CCRM - March 2014!
    14R, 12 ICSI'd, 11F, 6 for CCS, 5 healthy blasts frozen!
    Two 5BB blasts transferred 9/10; First beta 9/19: 109; second beta 9/22: 550!
    EDD: 5/29/15

    imageimage


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  • AMSharkAMShark member
    Unless you have a very strong preference for a boy, I'd go with the AAA embryo.  I've always head the higher quality the embryo, the higher the success rate.

    *** Ticker Warning ***

    Me: 37, DH: 39, TTC 5 yrs

    2013 summary: Diagnosed with Hypothyroid; Cervical polyp removed (benign); 
    2 rounds ovidrel with timed intercourse (no result): 3 rounds IUI with clomid + ovidrel (no result)
    2014 summary (to date):
    IVF cycle 1 - ER: 4/17 (28 follicles, 3 fertilized, 2 survived to day 3);
    ET: 4/20 (3rd day, 2 embryos - 1 @ 6 cells & 1 @ 4 cells); Beta 5/1 - BFP!; 
    1st scan 5/13 - development behind, no heartbeat detected; D&C 6/2; WTF 6/13
    IVF cycle 2 - BCP begun 7/12; stims w/ HGH begun 7/26; 
    ER: 8/6, 12 follicles, 7 fertilized w/ ICSI; ET: 8/11, 3 blastocysts left, 2 transferred, 3rd arrested 8/12 - none to freeze :'(
    1st beta 8/19 - BFP! 294; 2nd beta 8/26 - 4976; 1st u/s 9/2; 2nd u/s 9/9 - two little heartbeats at 140 each!!! 
    EDD: 29-April-2015
    Other Meds: Synthroid 100 mcg/daily

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  • cutie66cutiecutie66cutie member
    I know I shouldn't have any preference since I really want to have a baby.  But deep inside i really want to have a boy first.  However I am so scare to lose it since it is BBB.  I keep thinking over and over again and I can't get my mind off on it.    :((
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  • Sunny BSunny B member
    My RE's office uses triple grading.

    It works like this, you information about the blast before the 3 letters so it will either be an E (expanded) or a M (mid) then the three letters.

    The first is the rating for the cells that make up the baby.
    The second is the rating for the cells that make up the placenta.
    The third is the rating for the zona.

    So, our best rated embryo is a E-ABB Expanded top rated bunch of baby cells with a good placenta and a good zona. 
    It seems like your AAA is a top rated bunch of baby cells with a top rated placenta and top rated zona.

    I'm assuming you're going to freeze the other embryo, so I think whichever decision you make for you would be the right one. I, however, would transfer the highest rated embryo. I have no sex preference at this point.
    TTC since May 2012
    Me: 32 H: 31
    DX: MFI-Very Low Count, I have Hashimotos.
    IVF prep September 2013 cancelled due to Ovarian Cyst
    IVF #1 October 2013 Antagonistic Protocol with ICSI  ER 10/31/13 (18R 16M 11F- 6 blasts to freeze)
    ET delayed due to OHSS 
    FET scheduled for July 8. Delayed due to a crazy high TSH (it had been under control for YEARS!)
    FET #1 8/5/14 sET BFN 

    All welcome!
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