Elective Single Embryo Transfer (ESET) has been a buzz topic lately in the news, amongst reproductive professionals, etc. so Dr. Kiltz recently recorded a video (below) to share his thoughts on the topic and shed some light for our clients and web visitors. If you have any questions about ESET or would like to continue the conversation with us, please bring up the topic at your next consult and we’d be happy to address any and all questions or concerns you may have.
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DR. ROB KILTZ: Hi Lisa, how are you?
LISA: I’m great Dr. Kiltz, how are you doing?
DR. ROB KILTZ: Spectacular, it’s another wonderful day!
LISA: Oh, it absolutely is. It’s a great day out and a wonderful day to be taking a look at all of our options here.
DR. ROB KILTZ: You know it’s interesting, someone said it’s Friday. I looked outside and I couldn’t tell but every day is a good day. What are we going to talk about today?
LISA: Single embryo transfer. We have a lot of questions about who should maybe look into this option or is it OK to do a single embryo transfer and what are the merits of it?
DR. ROB KILTZ: Well, single embryo transfer is something we are growing in tremendously. There’s some evidence now that suggests it you put in more than one embryo they may be competing against each other. If the good one implants and the bad one’s kind of starting to implant, it may actually affect the other one. So, I mean, this is somewhat theory but some studies are suggesting this for anecdotal information… certainly I believe for woman under 30, 1 embryo to transfer, 30-35 years of age, 1 or maybe 2 embryos to transfer, and then if you’re older than that, 2 embryos to transfer… that’s the direction we’re moving in.
LISA: That’s great!
DR. ROB KILTZ: We’re also looking at offering more and more PGS and PGD, where we biopsy the embryos, identify the normal embryos, and since we’re picking the 1 embryo… we’re more likely to find that 1 embryo. Now since are freezing procedures are doing a lot better, we’re freezing at the blastocyst stage, which is either day 5 or day 6 (sometimes day 7) you can follow them out that way. If you’re not doing PGD or PGS you can still pick that 1 embryo and when you’re thawing that 1, make it 1.
LISA: That’s great!
DR. ROB KILTZ: There’s a lot more information that will help to produce multiples and maybe even increase single embryo implantation, obviously a singleton baby.
LISA: That’s wonderful. I know the idea of, How do you choose? How do you make that decision? is something that weighs heavily on our clients before they have these conversations with our staff but then once they are able to sit down in the office and speak with you or speak with one of our other practitioners… the whole world seems to make a little more sense. We appreciate you taking the time to explain this.
DR. ROB KILTZ: It is important because it used to be that quite commonly we would implant 4 or 5 embryos, depending on the age and circumstances of the client, but now we are really moving toward doing 1 or 2. We believe that will show some real promise in helping our clients conceive and have babies.
LISA: Great! Thank you for giving us more information about this and I’m sure you’ll be hearing more from us about other questions we’ll be fielding from clients. And clients if you ever have any questions that you’ll really love for us to address on the clinical side, please don’t hesitate to let us know. We would love to address it, in video format and then of course you can always message us within the Patient Portal and contact us with any questions.
DR. ROB KILTZ: Always here and thank you, Lisa. God bless!
LISA: Thank you!