| Date of birth: | |
| Age: | |
| Actively trying to conceive since: | |
| Duration of subfertility: | |
| Previous ongoing pregnancy: | |
| Male subfertility: | |
| Diminished ovarian reserve: | |
| Endometriosis: | |
| No. of previous failed IVF cycles: |
| Embryo after ovum pick up: | |
| Number of embryos after ovum pick up: | |
| Mean morphological score all embryos day 3: | |
| Eight-cell embryo on day 3: | |
| Morulae on day 3: |
