###Human: Is it possible to get grade A embryos from eggs with poor quality after IVF procedure? ###Assistant: Hi. How are you doing today? I would like to put forth a few facts of IVF or embryology. 1. Your wife is in the perfect age for pregnancy. 19 to 35 years is the best age. 2. Her body weight is normal, so a hormonal imbalance is ruled out. 3. She has given nine eggs, which is perfect. Of course, 15 or so would have been great. But 9 to 10 is excellent. Of these 8 are mature, so it means egg quality is good, otherwise, they would not have matured. 4. Out of 8 mature eggs, only 3 embryos formed, so I would be more concerned about the health of sperms. Some problem in sperm is not allowing good embryos to be formed. The egg has a lot of corrective capacity. Even if the sperm is damaged, it can correct it. Sperm movement and number may be normal, but if the morphology or health is not up to the mark then there is a lot of chances for the sperm factor to be evaluated and treated. Mixing of donor and self-embryos especially if self embryos are good grade is not a good idea. For your queries: 1. You are right. If eggs are not good, embryo quality will be bad, you cannot get grade A. 2. The grade is only to classify embryos. We get a healthy pregnancy from poor grade and no pregnancy from the best grade of embryos. It alone cannot be used to predict pregnancy chances. 3. I would suggest you have semen factor re-evaluated. You need examination, good antibiotic cover and hormonal priming of sperms, then if needed, go for IVF or if no other causes IUI or ovulation induction, try for few months, you never know, she may get pregnant with these simple, small but very effective methods. An indication of IVF also needs to be thought of.