Blastocyst grading

Written by Zayn Miah & R KhanomLast updated 17 September 2026Not clinically reviewed

A system embryologists use to describe a blastocyst's expansion stage and the quality of its two main cell groups, usually written as a number and two letters.

In plain English

It's a shorthand code, like 4AA, that describes how well developed and how tidy-looking the cells in your embryo are.

Why it matters

Grading helps embryologists choose which embryo to transfer first, though grade alone doesn't guarantee whether an embryo will implant.

Related terms

Guides that cover this

Written by patients, not clinicians. This page has not yet been reviewed by a named fertility professional, so it explains published guidance and points you to the original source instead of giving medical advice. It is not medical advice. Decisions about your treatment belong with your own clinic. Read our editorial policy and corrections policy.