Fertility Decoded

Time-lapse imaging

An incubator with a camera that films embryos developing, to help select which to transfer.

The verdict

No effect on your chance of a baby.

Evidence positions on Time-lapse imaging from HFEA, ESHRE, NICE and ISAR
BodyPosition
HFEA
  • Black — no effectfor chance of a baby
ESHRENot recommended (research only)

Not recommended — low/very-low quality evidence, no improvement over conventional grading.

Source
NICEAssessed; no recommendation to offer

NG257 assessed time-lapse (evidence review O) under embryo selection but issues no recommendation to offer it (the only embryo-selection recommendation is 'do not offer PGT-A').

Source
ISARNo robust benefit; safe as a tool

No robust evidence of improved clinical pregnancy or live birth; regarded as safe and useful as a lab/counselling tool, but not recommended as a marker for ploidy.

Source

Cochrane evidence base

Low-certainty evidence, no clear benefit to live birth.

In India

Often bundled as a lab charge; when itemised ~₹40,000–60,000 per cycle (EmbryoScope monitoring + advanced grading).

Is time-lapse imaging worth paying extra for?
The evidence says it makes no difference to your chance of a baby — HFEA rates it black (no effect) and ESHRE does not recommend it. It is safe and can help the lab, but it isn't shown to improve outcomes.

Sources

Take this further

Last reviewed .