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[Correspondence] Fresh versus frozen blastocyst transfer – Authors' reply

20:06 EDT 11 Jul 2019 | The Lancet

We appreciate the comments from Tjitske Zaat and colleagues and Matheus Roque and colleagues. We disagree that we should have compared the outcomes from two embryo transfers (ie, a fresh and a frozen one) to one embryo transfer (ie, a frozen one only) in our study.1 Whenever time to pregnancy is evaluated as the primary outcome of infertility treatment, it will encourage the rapid use of expensive and invasive assisted reproductive technology and a willingness to tolerate increased patient risk, such as inducing ovarian hyperstimulation syndrome.

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