Should I transfer one or two embryos in my first IVF cycle?
I am 32 with unexplained infertility. We have three good day-5 blastocysts. My doctor suggested a single embryo transfer. Friends say two embryos improve chances. What should I consider?
Short answer: For many patients under 35 with a good-quality blastocyst, elective single embryo transfer is preferred to reduce twin risks while keeping strong live-birth chances when remaining embryos are frozen.
Answer #1
Success is not simply double with two embryos
Transferring two embryos can raise pregnancy chance in some situations, but it sharply raises twin risk. Twins carry higher rates of preterm birth, preeclampsia, caesarean delivery and NICU admission. With remaining blastocysts frozen, a single transfer often gives a safer path to a healthy singleton.
Dr. Ananya Krishnan, MD Reproductive Medicine. Answered 2026-08-29
Answer #2
When two embryos may be discussed
Double transfer is sometimes considered after repeated implantation failure, with advanced maternal age, or with lower-quality embryos, after twin-risk counselling. At 32 with good blastocysts, many Indian clinic protocols favour elective single embryo transfer for the first transfer.
Dr. Rohan Mehta, MS (OBG), FNB Reproductive Medicine. Answered 2026-08-29
Call your clinic or go to the hospital the same day if you have
- Sudden severe abdominal pain after transfer
- Heavy bleeding
- Fever after the procedure
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Answers are general education for patients in India, not a diagnosis or personal medical advice. Best IVF Centers is a fertility matching service, not a clinic or hospital. Always follow your treating doctor's instructions. In an emergency, go to the nearest hospital.