A passionate Senior Clinical Embryologist. ❤ to Read & Share informations on ART. Msc in Clinical Embryology. Tweets are my own. Owner: Kausy @stuckinstorm89
Joined June 2020
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In IVF Lab, embryos are cultured for up to 5–6 days after fertilization. By Day 5, the goal is to see them reach the blastocyst stage. The point where they’re ready for transfer or cryopreservation/ freezing them for future use.
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Kausy retweeted
Patients arrive thinking EFP will solve all their fertility problems bc it is the narrative. I try to discuss numbers and probabilities and also desired family size #ESHREjc
Kausy retweeted
Here is a helpful figure by Doye and colleagues that accounts for the number of children one may want pubmed.ncbi.nlm.nih.gov/2660… #ESHREjc
Kausy retweeted
We found it useful to frame the issue like this: how many eggs give you the chances you would have if you tried spontaneously at the age of cryopreservation? pubmed.ncbi.nlm.nih.gov/3903… #ESHREjc
Kausy retweeted
It all depends on the angle we are looking at it from. From a cost-benefit perspective, the younger the age of EEF, the least likely to be utilised for treatment. But from a personal perspective of a patient that was unsuccessful treatment at a more advanced age? #ESHREjc
Kausy retweeted
Q4 on the integration of age-related success data into counseling #ESHREjc
By @NoemiSalme30386
Kausy retweeted
And there are definitely socioeconomic barriers - in many countries cost limits ability to freeze and/or affects decisions such has whether to do more than one cycle.
Kausy retweeted
As long as the egg freezing is provided in an ethical way, with patients understanding their pragmatic chances & the chance of statistical uncertainty so that it serves as a ‘backup’ and not a guarantee, it should bring only benefits. #ESHREjc
Kausy retweeted
Q3 on societal implications of elective egg freezing 🥶 #ESHREjc
By @zoyaalii_
Q3: What are the broader social implications of elective egg freezing ❄️ becoming more common 📈, particularly in relation to career planning 📝, societal expectations of motherhood 👩🏻🍼, and access across different socioeconomic groups? #ESHREjc
Kausy retweeted
AMH could be a good marker, but always considering it is only useful to predict response to ovarian stimulation (not egg quality), age, family history? Maybe new genetic markers? 🤔 #ESHREjc
Kausy retweeted
If we are talking about biological variables, then age related aneuploidy is the first one that comes to mind #ESHREjc
Kausy retweeted
The problem with social egg freezing the way I see it, is that majority of patients start enquiring about it once their ‘biological clock’ starts ticking, and for which the results might not be optimal #ESHREjc
Kausy retweeted
As it has been demonstrated time after time, there is an optimal window, at which aneuploidy rates are lower & as a result miscarriage rates drop & live birth rates increase #ESHREjc
doi.org/10.1016/j.fertnstert…
