“Should we transfer one embryo or two?” is one of the most common questions before embryo transfer day. Many people assume more is better \u2014 but the evidence tells a more nuanced story.<\/p>\n\n\n\n
SET (Single Embryo Transfer)<\/strong> \u2014 one embryo transferred DET (Double Embryo Transfer)<\/strong> \u2014 two embryos transferred<\/p>\n\n\n\n 1. Twin pregnancy carries more risk than most people realize<\/strong><\/p>\n\n\n\n A twin pregnancy from ICSI is not simply a “bonus” outcome. It carries significantly higher risks including:<\/p>\n\n\n\n 2. Cumulative success rates are comparable<\/strong><\/p>\n\n\n\n When you factor in subsequent FET cycles using frozen embryos, the overall probability of having a baby across all cycles is similar for SET and DET \u2014 but SET is considerably safer.<\/p>\n\n\n\n 3. PGT-A makes SET more effective<\/strong><\/p>\n\n\n\n With PGT-A, only chromosomally normal embryos are transferred. The implantation rate per transfer rises substantially, making it unnecessary to transfer two embryos to improve odds.<\/p>\n\n\n\n Despite SET being the standard, there are specific cases where DET may be discussed:<\/p>\n\n\n\n This is always an individual discussion with your treating doctor.<\/p>\n\n\n\n Per cycle, it may be slightly lower. But cumulative success across all cycles (including frozen transfers) is comparable \u2014 and SET is significantly safer.<\/p>\n\n<\/div>\n<\/div>\n Your doctor will discuss this based on your specific situation. It’s important to understand that twin pregnancies carry meaningful medical risks for both mother and babies.<\/p>\n\n<\/div>\n<\/div>\n If you have frozen embryos remaining, yes \u2014 FET in a subsequent cycle is an option. Your doctor will discuss this during treatment planning.<\/p>\n\n<\/div>\n<\/div>\n Yes. PGT-A selects chromosomally normal embryos, which have significantly higher implantation rates \u2014 making SET effective enough that the incremental benefit of DET is reduced<\/p>\n\n<\/div>\n<\/div>\n Your doctor will make a recommendation based on your situation, but the decision is ultimately yours. All options and their trade-offs will be explained clearly before transfer day.<\/p>\n\n<\/div>\n<\/div>\n Line @gfcclinic or call 097-484-5335.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n Current international guidelines recommend SET (single embryo transfer) as the default \u2014 particularly when PGT-A is used. Cumulative success rates are comparable to DET, while the risks associated with twin pregnancy are avoided.<\/p>\n\n\n\n \u2192 Learn about PGT-A \u2192 PGT-A Explained<\/a> \u2192 ICSI at GFC \u2192 ICSI Treatment<\/a> \u2192 Book a Free Consultation<\/a> or Line @gfcclinic | Tel: 097-484-5335<\/p>\n","protected":false},"excerpt":{"rendered":" “Should we transfer one embryo or two?” is one of the most common questions before…<\/p>\n","protected":false},"author":22,"featured_media":30538,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[448],"tags":[],"class_list":["post-38301","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/posts\/38301","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/comments?post=38301"}],"version-history":[{"count":1,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/posts\/38301\/revisions"}],"predecessor-version":[{"id":38302,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/posts\/38301\/revisions\/38302"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/media\/30538"}],"wp:attachment":[{"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/media?parent=38301"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/categories?post=38301"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/genesisfertility.co.th\/en\/wp-json\/wp\/v2\/tags?post=38301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n\n\n\nDirect Comparison<\/h2>\n\n\n\n
<\/th> SET<\/th> DET<\/th><\/tr><\/thead> Pregnancy rate per cycle<\/td> Slightly lower<\/td> Slightly higher<\/td><\/tr> Twin pregnancy risk<\/td> Very low<\/td> Significantly higher<\/td><\/tr> Preterm birth risk<\/td> Lower<\/td> Higher<\/td><\/tr> Best suited for<\/td> Good quality embryo, younger patient<\/td> Moderate quality, previous failures<\/td><\/tr> Current standard<\/td> \u2705 Recommended as default<\/td> Specific cases only<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
\n\n\n\nWhy SET Is Now the Recommended Standard<\/h2>\n\n\n\n
\n
\n\n\n\nWhen DET Might Be Considered<\/h2>\n\n\n\n
\n
\n\n\n\nFAQ<\/h2>\n\n\n
Is the success rate much lower with SET?<\/strong> <\/h3>\n
We’d like twins \u2014 can we request two embryos?<\/strong><\/h3>\n
If SET doesn’t work, do I have embryos left for another try?<\/strong><\/h3>\n
Does PGT-A make SET more viable?<\/strong><\/h3>\n
Who makes the final decision on how many embryos to transfer?<\/strong><\/h3>\n
Where can I discuss embryo transfer options at GFC?<\/strong><\/h3>\n
\n\n\n\nSummary<\/h2>\n\n\n\n