The Myth of the “Perfect” Embryo
Research shows that PGT-A does not improve pregnancy or live birth rates—especially when counting all patients from the start of treatment (“intention-to-treat”).
What Are the Limitations?
PGT-A does not lead to better pregnancy or birth rates when all patients are included from the start of treatment.
Technical ErrorsInaccurate readings may occur due to mosaicism or DNA testing errors—these can affect up to 25% of results.
Unnecessary Discarding of EmbryosEmbryos labeled “unsuitable” (e.g. mosaic) have resulted in healthy babies—meaning they may have been discarded unnecessarily.
Ethical and Financial IssuesThe test is costly, emotionally exhausting, and often presented as “essential” despite limited evidence of benefit.
Key Takeaways
- PGT-A may not improve outcomes for many patients.
- Small sampling can lead to significant misinterpretation.
- Many embryos labeled “abnormal” may still result in live births.
- The financial and emotional toll may outweigh potential benefits.
Sources:
- Paulson, R. J. (2023). Preimplantation genetic testing: The great divide. Fertility and Sterility, 120(3), 408–409.
- Kawwass, J. F., et al. (2024). IVF add-ons and their effectiveness: A systematic review and meta-analysis. Human Reproduction, 39(2), 215–227.
- Gleicher, N., Barad, D. H. (2019). Preimplantation genetic testing for aneuploidy (PGT-A): Finally revealed. ResearchGate Preprint.
This material is for informational purposes only – always consult your doctor before making any decisions.