Fertility Decoded

Embryo grading decoder

Enter or pick a grade like 4AB, or a day-3 cleavage grade, and see a plain-language, illustrated decode of what each part means — and just as importantly, what a grade can't tell you.

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Which grade do you have?

Expansion (1–6)

Inner cell mass (A–C)

Trophectoderm (A–C)

Grade 4AB

Blastocyst grade 4ABExpanded blastocyst, grade 4AB: tightly packed inner cell mass, fewer cells trophectoderm.ICMTE

Illustrative diagram, not to scale — a stylised drawing, not a photograph of an embryo.

Expanded blastocyst

Expanded blastocyst — large cavity, the outer shell (zona) is thinning. A common stage to transfer or freeze.

Inner cell mass (ICM) — becomes the baby

Tightly packed, many cells — the top grade.

Trophectoderm (TE) — becomes the placenta

Fewer cells, a looser lining.

Reaching blastocyst by day 5 is, on average, a slightly better sign than reaching it on day 6 — but good day-6 blastocysts succeed all the time.

What the grading shorthand means

This tool turns a grade your clinic reads out over the phone into something you can see and understand. Day 5–6 blastocyst grades like 4AB have three parts (expansion, inner cell mass, trophectoderm); day-3 cleavage-stage grades describe cell number and fragmentation. For the full explainer, see embryo grading explained, and what it can't tell you.

Default grade: 4AB

Blastocyst grade 4ABExpanded blastocyst, grade 4AB: tightly packed inner cell mass, fewer cells trophectoderm.ICMTE

Illustrative diagram, not to scale — a stylised drawing, not a photograph of an embryo.

Day 5–6 — expansion (the number)

ValueMeaning
1 — Early blastocystEarly blastocyst — the fluid cavity is just starting to form.
2 — BlastocystBlastocyst — the cavity fills about half the embryo.
3 — Full blastocystFull blastocyst — the cavity fills the embryo.
4 — Expanded blastocystExpanded blastocyst — large cavity, the outer shell (zona) is thinning. A common stage to transfer or freeze.
5 — Hatching blastocystHatching blastocyst — the embryo is starting to break out of its shell.
6 — Hatched blastocystHatched blastocyst — the embryo has fully escaped its shell.

Reaching blastocyst by day 5 is, on average, a slightly better sign than reaching it on day 6 — but good day-6 blastocysts succeed all the time.

Day 5–6 — inner cell mass (first letter · becomes the baby)

ValueMeaning
ATightly packed, many cells — the top grade.
BLoosely grouped, fewer cells.
CVery few, sparse cells.

Day 5–6 — trophectoderm (second letter · becomes the placenta)

ValueMeaning
AMany even cells forming a neat lining — the top grade.
BFewer cells, a looser lining.
CFew large or uneven cells.

Day 3 — cell number

Around 6 to 8 cells is typical for a good day-3 embryo; fewer or many more can be normal too. A day-3 grade is a snapshot of an early moment and tells you much less than what the embryo does by day 5 — which is why many clinics grow embryos on to day 5 before deciding.

Day 3 — fragmentation / evenness

ValueMeaning
Even, little fragmentationClean, evenly sized cells — the better-looking end.
Some fragmentationA moderate amount of cell debris; still commonly transferred.
More fragmentation / unevenMore debris or uneven cells; on its own not a verdict — day-3 looks change fast.