Answering Your Questions on Embryo Adoption

The following question was asked during a recent Q&A session of the "Embryo Adoption: The Affordable and Accessible Adoption Choice" evening webinar presented by the Awareness Center. 

Q: If you were to adopt and transfer 3 embryos, what are the chances you would have triplets? We have seen Embryo Adoptive families with triplets. Does that mean they transferred more than 3 embryos?

A: The American Society of Reproductive Medicine (ASRM) provides suggested guidelines for Reproductive Endocrinologists preforming Frozen Embryo Transfers (FETs). Typically, you won’t see Reproductive Endocrinologists transfer more than two embryos at a time because of the increased risk of multiple embryos implanting in a woman’s womb.

Recently, an embryo adoptive family from Iowa gave birth to triplets. This family transferred two embryos, both embryos implanted and one of the embryos split naturally. So yes, this family did have triplets, but this occurred after transferring only two embryos. This is something that has happened, but I would say it is not a common occurrence.

Multiple births do happen more frequently with any form of fertility treatments compared to a natural conception. It is good to be aware of this and to give it careful consideration so when it comes time to work with a doctor on your plan regarding how many embryos to transfer you know what you are comfortable with. We would encourage you to transfer no more embryos than you would be comfortable carrying at one time. If you don't want to carry twins, don’t transfer two embryos. There is always the possibility that the embryos could split and you wouldn’t want to be carrying triplets if you really don't feel comfortable with the thought of carrying twins.

To register for our next session of "Embryo Adoption: The Affordable and Accessible Adoption Choice" scheduled for Thursday, March 20 at 6pm MT, please visit the Webinar Registration Page of

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