We retrieved 4 oocyte cumlus complexes from 4 follicles for this older woman with a very low AMH level
All the 4 eggs were mature ( M2) and we did ICSI for all of them
However, only 1 fertilised
This divided well until Day 4, by which point it had formed a morule
However, the blastocyst on Day 5 was of poor quality

This photo-essay emphasises how much biological variability there is in egg and embryo quality, which is why it is so hard for us to predict the outcome of any IVF cycle
Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.
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