Number of embryos allowed in fertility treatment should be flexible

EDITOR—The Royal College of Obstetricians and Gynaecologists' new guidelines for the management of infertility in tertiary care 1–3 are generally welcomed. Guideline 10, however, recommends that the maximum number of embryos should be reduced from three to two for all patients. This is an imprecise way of dealing with a complex problem, eliminating triplets at the expense of some couples having their own child. Regulatory authorities already deprive some women of having their own children because of the decision to fix the upper limit to three in 1987. …