For patients participating in one of the warranty programs (including the donor program), the number of embryos to be transferred is based on the RMIA physician’s recommendations and ASRM Embryo Transfer Guidelines. Depending on the age of the female patient (or that of the egg donor) and quality of the embryos, the physician may recommend more than 1 embryo be transferred. If the patient chooses to only transfer one embryo (irrespective of age or embryo quality), this is referred to as “Elective Single Embryo Transfer” (eSET). This option may also be recommended if, for any medical reason, the risk of a twin gestation is unacceptable.
As part of the consent signing appointment, prior to treatment, the RMIA physician will discuss with the patient the number of embryo(s) to be transferred. Since embryo quality is not known at the time of consent signing, the different scenarios will be discussed. Patients’ intentions must be known in advance and if they decide against the physician’s recommendation, they may still be able to participate in a warranty program with an added cost. Although transferring fewer embryos may decrease the chance of multiples, which is one of RMIA’s objectives, it also decreases the chance of success, which is the ultimate goal.
If during embryo development, the patient decides to add the eSET option, additional fees and a penalty will be assessed. All of these eSET guidelines will be discussed prior to treatment.
The “eSET” option is available under the warranty programs for an additional fee, calculated based on the age of the person that provides the eggs (5% if < 35, and 15% if 35-37).