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When going through IVF, embryos are often graded at the blastocyst stage with codes like AA, AB, BB, or BC. Many couples believe that the highest-graded embryos are always the healthiest, but the truth may surprise you. What embryo grades mean The first letter refers to the inner cell mass (baby part). The second letter refers to the trophectoderm (placenta part). “A” looks very good, while “C” looks less ideal under the microscope. What grading really tells us Embryo grading is based only on appearance. It does not confirm whether the chromosomes are normal. To know that, a separate test such as PGT-A (Preimplantation Genetic Testing) is required. Lower grades can still succeed Many healthy babies have been born from embryos graded as low as BC. Research even suggests that male embryos often grow faster and achieve higher grades, while female embryos may look less perfect by Day 5 or 6, yet they can still be completely healthy. Key takeaway: Do not worry if your embryo is not AA. Grading helps embryologists decide, but it is not the only factor in IVF success. What truly matters is chromosomal health, timing, and the overall fertility plan. If this video helped you understand embryo grading better, please like, share, and subscribe for more IVF and fertility education.