Abstract
The chance for conception with IVF is improved by transferring more than one embryo to the uterus but this practice carries the risk of high order multiple gestation (HOMG). Effective 2000, we decided to transfer one fewer embryo on day 5, post-oocyte retrieval (D5ET) than the traditional number on day 3. From 1999 to 2003, this resulted in a 58% decline in HOMG, while maintaining the overall clinical pregnancy (CP, +fetal heartbeat) rate at 47%. The current data extends our results through 2006.
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