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[quote=Anonymous]Didnt finish posting from that same article:

Argument 3: PGT-A Is Wrong For Older Patients

Many doctors do not want to do PGT-A on older patients (40 years and older) for two fundamental reasons (which we’ll list here and articulate below).

First, they don’t believe we need an embryo selection tool for patients with few embryos of low quality, which is often the case with older patients.

Second, they don’t want to take any steps required for PGT-A that might cause them to harm, or discard, otherwise good embryos.

In general, for older patients, these doctors have a high tolerance for failed transfers and miscarriage, and a low tolerance for any possibility of harming, or discarding, an embryo with potential.

Older Patients Don’t Need a Selection Tool

Older patients often have very few good embryos and thus very few options. Using a selection tool only takes options off the table, which these doctors aren’t comfortable with. Instead, they would rather transfer two, three or four embryos.

While transferring multiple embryos is generally risky, there is little risk that transferring multiple non-PGT-A tested embryos for this patient population will lead to a high-order multiple birth. For this reason, ASRM believes it’s safe to transfer up to 3 untested embryos per transfer at ages 41 and older.

Finally, many doctors believe failed transfers and miscarriages are an inevitable byproduct to improving an older patient’s chances of success. They believe patients understand this, are willing to make the tradeoff, and thus, miscarriage is more tolerable for this group.[/quote]

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