u/vijhhh2

▲ 3 r/IVF

Severe OATS, TESA worked… now 7 good blastocysts — how hopeful should we be?

Hi everyone,

I wanted to share my situation and get some realistic insights.

I’m a 31M diagnosed with severe OATS (very low sperm count). I recently underwent TESA, and thankfully sperm were retrieved. We proceeded with ICSI.

Out of 21 eggs retrieved:

  • 13 made it to blastocyst stage
  • 7 are considered good-quality blastocysts

Grades:

  • 2 × 4AA
  • 1 × 3AA
  • 1 × 2AA
  • 2 × 4AB
  • 1 × 4AB/C
  • 1 × 4BB

From what I understand, my wife’s side looks good overall (no major known issues).

I had a few questions:

  1. What are the realistic chances of pregnancy with these embryos?
  2. Does having multiple AA/AB embryos significantly improve success rates?
  3. Are there any tests we should consider before embryo transfer (like ERA, PGT-A, hysteroscopy, etc.)?
  4. Any tips or things we can do to improve chances before transfer?

Would really appreciate hearing from others who had a similar journey or from anyone with experience in this.

Thanks in advance 🙏

reddit.com
u/vijhhh2 — 2 days ago

7 good blastocysts (4AA, 3AA, etc.) — what are realistic pregnancy chances?

Hi everyone,

I wanted to share my situation and get some realistic insights.

I’m a 31M diagnosed with severe OATS (very low sperm count). I recently underwent TESA, and thankfully sperm were retrieved. We proceeded with ICSI.

Out of 21 eggs retrieved:

  • 13 made it to blastocyst stage
  • 7 are considered good-quality blastocysts

Grades:

  • 2 × 4AA
  • 1 × 3AA
  • 1 × 2AA
  • 2 × 4AB
  • 1 × 4AB/C
  • 1 × 4BB

From what I understand, my wife’s side looks good overall (no major known issues).

I had a few questions:

  1. What are the realistic chances of pregnancy with these embryos?
  2. Does having multiple AA/AB embryos significantly improve success rates?
  3. Are there any tests we should consider before embryo transfer (like ERA, PGT-A, hysteroscopy, etc.)?
  4. Any tips or things we can do to improve chances before transfer?

Would really appreciate hearing from others who had a similar journey or from anyone with experience in this.

Thanks in advance 🙏

reddit.com
u/vijhhh2 — 2 days ago