{"id":40397,"date":"2026-09-28T12:24:37","date_gmt":"2026-09-28T11:24:37","guid":{"rendered":"https:\/\/now-fertility.com\/echecs-de-transferts-dembryons-euploides-quand-faut-il-sinquieter\/"},"modified":"2026-09-28T12:24:42","modified_gmt":"2026-09-28T11:24:42","slug":"echecs-de-transferts-dembryons-euploides-quand-faut-il-sinquieter","status":"publish","type":"post","link":"https:\/\/now-fertility.com\/fr\/echecs-de-transferts-dembryons-euploides-quand-faut-il-sinquieter\/","title":{"rendered":"\u00c9checs de transferts d’embryons euplo\u00efdes : quand faut-il s’inqui\u00e9ter ?"},"content":{"rendered":"\t\t
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Un \u00e9chec de transfert en FIV est particuli\u00e8rement d\u00e9cevant lorsque l’embryon a \u00e9t\u00e9 test\u00e9 par DPI-A<\/a> et s’est r\u00e9v\u00e9l\u00e9 chromosomiquement normal (euplo\u00efde). Apr\u00e8s des \u00e9checs r\u00e9p\u00e9t\u00e9s, les patientes se demandent souvent s’il existe un probl\u00e8me d’implantation sous-jacent et si des examens ou des traitements suppl\u00e9mentaires sont n\u00e9cessaires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Une vaste \u00e9tude de 2026 publi\u00e9e dans Fertility and Sterility*<\/em> apporte des preuves rassurantes, mais aussi mati\u00e8re \u00e0 r\u00e9flexion. L’\u00e9tude a port\u00e9 sur 5 811 patientes et 7 763 transferts d’embryons euplo\u00efdes uniques.<\/p>

La probabilit\u00e9 cumulative estim\u00e9e d’obtenir au moins une naissance vivante est pass\u00e9e de 63,1 % apr\u00e8s un transfert d’embryon euplo\u00efde \u00e0 83,0 % apr\u00e8s deux, 92,0 % apr\u00e8s trois, 96,0 % apr\u00e8s quatre et 98,3 % apr\u00e8s cinq.<\/p>

Point important : la probabilit\u00e9 de naissance vivante par transfert est rest\u00e9e relativement stable apr\u00e8s la deuxi\u00e8me tentative. Cela sugg\u00e8re que l’\u00e9chec d’un ou plusieurs embryons euplo\u00efdes ne pr\u00e9dit pas n\u00e9cessairement l’\u00e9chec de l’embryon suivant.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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L'\u00e9chec d'implantation r\u00e9current est-il vraiment si fr\u00e9quent ?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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L’\u00e9tude remet \u00e9galement en question le concept d’\u00e9chec d’implantation r\u00e9current (EIR). Seulement 3,2 % des patientes n’ont pas obtenu de naissance vivante apr\u00e8s trois transferts cons\u00e9cutifs d’embryons euplo\u00efdes.<\/p>

Cela sugg\u00e8re que l’\u00e9chec r\u00e9p\u00e9t\u00e9 peut parfois refl\u00e9ter une probabilit\u00e9 biologique plut\u00f4t qu’une anomalie sous-jacente de l’ut\u00e9rus ou de l’endom\u00e8tre. L’\u00e9tude ne soutient donc pas le recours automatique \u00e0 des examens compl\u00e9mentaires approfondis ou \u00e0 des traitements non \u00e9prouv\u00e9s apr\u00e8s des \u00e9checs pr\u00e9coces de transferts d’embryons euplo\u00efdes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Qu'est-ce que cela signifie pour les patientes ?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Le message est encourageant : un \u00e9chec de transfert d’embryon euplo\u00efde est un revers, et non une pr\u00e9diction d’\u00e9chec futur.<\/p>

Pour les patientes qui sont en mesure d’obtenir plusieurs embryons euplo\u00efdes, la pers\u00e9v\u00e9rance avec des transferts d’embryons s\u00e9quentiels peut aboutir \u00e0 une probabilit\u00e9 cumulative tr\u00e8s \u00e9lev\u00e9e d’avoir un b\u00e9b\u00e9. Environ trois embryons euplo\u00efdes \u00e9taient associ\u00e9s \u00e0 une probabilit\u00e9 estim\u00e9e de 90 % ou plus d’obtenir au moins une naissance vivante dans cette \u00e9tude.<\/p>

Toutefois, ces chiffres sont des estimations de population plut\u00f4t que des garanties. L’\u00e2ge, la r\u00e9serve ovarienne, la capacit\u00e9 \u00e0 produire des embryons euplo\u00efdes, les facteurs ut\u00e9rins et les objectifs reproductifs individuels doivent toujours \u00eatre pris en compte.<\/p>

En FIV, le r\u00e9sultat d’un embryon ne raconte pas toute l’histoire. Ce qui compte souvent davantage, c’est le potentiel reproductif cumul\u00e9 de tous les embryons disponibles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Le message \u00e0 retenir<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Un \u00e9chec de transfert d’embryon euplo\u00efde est un revers, et non une pr\u00e9diction que les transferts futurs \u00e9choueront. Avant de qualifier une patiente d’\u00e9chec d’implantation r\u00e9current ou d’introduire des traitements non \u00e9prouv\u00e9s, nous devons nous rappeler que chaque embryon euplo\u00efde suppl\u00e9mentaire repr\u00e9sente une nouvelle chance significative de succ\u00e8s.<\/p>

Peut-\u00eatre que la meilleure question n’est pas \u00ab Pourquoi cet embryon a-t-il \u00e9chou\u00e9 ?<\/strong><\/em> \u00bb mais \u00ab Quelle est ma probabilit\u00e9 cumulative de succ\u00e8s avec les embryons euplo\u00efdes dont je dispose ?<\/strong><\/em> \u00bb<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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*Durbin C, Parra CM, Blakemore JK, DeVore S, Wertz B, Fino ME, Licciardi F, Berkeley A, McCaffrey C, Grifo JA, Cumulative probability of a live birth after up to six sequential single euploid embryo transfers, Fertility and Sterility (2026), doi : https:\/\/doi.org\/10.1016\/ j.fertnstert.2026.07.016.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Planifiez une consultation gratuite<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pour r\u00e9server une consultation avec l'un des consultants renomm\u00e9s de NOW-fertility, veuillez nous contacter :<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Un \u00e9chec de transfert en FIV est particuli\u00e8rement d\u00e9cevant lorsque l’embryon a \u00e9t\u00e9 test\u00e9 par DPI-A et s’est r\u00e9v\u00e9l\u00e9 chromosomiquement normal (euplo\u00efde). Apr\u00e8s des \u00e9checs r\u00e9p\u00e9t\u00e9s, les patientes se demandent souvent s’il existe un probl\u00e8me d’implantation sous-jacent et si des examens ou des traitements suppl\u00e9mentaires sont n\u00e9cessaires. Une vaste \u00e9tude de 2026 publi\u00e9e dans Fertility […]<\/p>\n","protected":false},"author":1,"featured_media":40398,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[33,67],"tags":[],"class_list":["post-40397","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-fr","category-trucs-conseils"],"yoast_head":"\n\u00c9checs de transferts d'embryons euplo\u00efdes : quand faut-il s'inqui\u00e9ter ? | NOW-fertility<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/now-fertility.com\/fr\/echecs-de-transferts-dembryons-euploides-quand-faut-il-sinquieter\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9checs de transferts d'embryons euplo\u00efdes : quand faut-il s'inqui\u00e9ter ? | NOW-fertility\" \/>\n<meta property=\"og:description\" content=\"Un \u00e9chec de transfert en FIV est particuli\u00e8rement d\u00e9cevant lorsque l’embryon a \u00e9t\u00e9 test\u00e9 par DPI-A et s’est r\u00e9v\u00e9l\u00e9 chromosomiquement normal (euplo\u00efde). 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