Embryo transfers are now more successful than ever, thanks to improved techniques in the lab that allow for growing embryos to day 5 and beyond and genetic testing to select the embryo with reproductive potential. Key steps to optimizing embryo transfer outcome: •Pick the best embryo (based on genetic testing and morphology grading, speed of development) •Assess the uterine cavity for polyps/fibroids/scar tissue - this can be done with a saline sonogram or a hysterosalpingogram (HSG) or a hysteroscopy (which is a direct view of the uterine cavity) - if any of these problems are found they should be removed and fixed before doing a transfer •If known history of STIs/ruptured appendix/endometriosis, do HSG to identify swollen fallopian tubes (hydrosalpinx)- if present, the tube(s) should be disconnected from the uterine cavity (surgically removed or cut off from the uterine cavity) •Thicken the lining either with natural or induced ovulation vs. estrogen in a medicated cycle and move forward when you reach your personal best - ideally 7mm or thicker but this could be thinner and still be successful (in patients who have a tendency toward thin lining without risks for uterine scarring (asherman syndrome). •Optimizing overall medical health - healthy lifestyle, working towards a healthy weight/BMI, avoiding/quitting smoking, controlling any chronic medical problems, etc. •Catheter check (which can be done at the same time as the saline sonogram) to confirm I can get to the top of the uterus easily with the embryo transfer catheter. An easy, straightforward transfer always has a better chance of working. Knowing if there will be a sharp turn in the cervix, or a narrowing in the endometrial canal can help to prepare for transfer. •Do the transfer under ultrasound guidance to ensure the embryo is placed in the right spot. Hoping for lots of positive tests this week ✨⚡️ What questions do you have about prepping for embryo transfer? 💜 You can learn more on my tips for prepping for transfer on The Lucky Egg blog www.theluckyegg.com. #embryotransfer #ttc #ttcjourney #infertility #fertility #infertilitysucks #ivf #fet #embryotransfersuccess #ivfsuccess