Fertility Cafe

Embryologist Reveals the Truth About IVF and Egg Freezing


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There's a part of the fertility process most people never really get to see. After all the appointments, medications, and procedures, things move into the lab, and from the outside, it can feel distant and hard to follow.

In this episode, host Eloise Drane sits down with clinical embryologist Alease Daniel Barnes to pull back the curtain on what actually happens in the IVF lab. Alease breaks down the technical processes patients are often expected to navigate with limited explanation: embryo grading, ICSI, PGT testing, and cryopreservation.

The conversation covers what those numbers and letters on embryo reports really mean, when genetic testing is actually necessary versus overused, and why ICSI has become routine in the U.S. despite similar success rates with conventional insemination. They also discuss the logistics that don't always get addressed, how embryos are stored, shipped, and preserved long-term.

If you're navigating your own fertility journey this episode gives you the knowledge to ask better questions and make more informed decisions about your care.

"IVF doesn't guarantee you a baby, neither does freezing eggs." - Alease Daniel Barnes

You'll Hear About:

  • How embryo grading works and what the numbers mean
  • Why grading is subjective and not a pregnancy guarantee
  • PGT-A, PGT-M, and PGT-SR: understanding the different types
  • Why PGT testing is often overused without proper counseling
  • Speaking with genetic counselors before deciding on PGT testing
  • Vitrification versus traditional freezing and improved survival rates
  • When ICSI is medically necessary versus routinely overused
  • Why the U.S. uses ICSI more than other countries
  • Embryo shipping safety measures
  • Long-term storage basics and why embryos last indefinitely
  • Alease's choice to freeze eggs instead of embryos
  • Egg quality supplement myths and predatory marketing practices
  • Sperm quality has more improvement potential than eggs
  • Abandoned embryos in clinics and how policies address this
  • Cord blood preservation basics and why it matters
  • AI introduction in embryology labs for embryo selection
  • Evaluating the lab matters as much as the physician
  •  

    Connect with Alease: 

    Instagram:  @alease_the_embryologist

    TikTok: @aleasetheembryologist

    Website: https://aleasetheembryologist.com/

    Resources mentioned:

    • Alease’s free guide to choosing a fertility clinic - https://aleasetheembryologist.com/free-guides/
    •  

      Related episodes:

      Ep 97 - Fertility in the Modern Age: IVF, Environmental Impacts, and Quality Care

      https://thefertilitycafe.com/podcast/ep-97-fertility-in-the-modern-age-ivf-environmental-impacts-and-quality-care/

      Ep 102 - Beyond the Clinic: Why the Fertility Lab is Key to Your Success

      https://thefertilitycafe.com/podcast/ep-102-beyond-the-clinic-why-the-fertility-lab-is-key-to-your-success/

      Ep 121 – Inside Modern Fertility Care — IVF, Surrogacy, Egg Donation & Family Building

      https://thefertilitycafe.com/podcast/beyond-ivf-surrogacy-egg-donation-the-future-of-fertility-care/

       

      Stay Connected:

      Instagram: https://www.instagram.com/fertilitycafe

      Facebook: https://www.facebook.com/fertilitycafe

      LinkedIn: https://www.linkedin.com/company/fertility-cafe/

       

      More Resources

      Learn more about surrogacy & fertility: https://familyinceptions.com/

      Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists

      Get expert insights & updates: https://thefertilitycafe.com/resources

       

      Produced by Between Tracks - https://www.betweentracks.com/ 

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      Fertility CafeBy Eloise Drane

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