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9), MPR (0 vs. , and LBR (6.3 vs. 0,P = 0.13) when SET or DET was performed. If age was less then  40 years (n = 818), the MPR was significantly higher in DET than SET (6.7 vs. 1.63, P = 0.004). In egg donor cycles (n = 189), there was no difference in CPR, MPR, and LBR between SET and DET. Single embryo transfer should be offered even in women ≥ 40 years of age or transferring lower quality embryos since transferring more did not increase outcomes in this group, and SET is likely the safest path.What is the perception of health and well-being of adolesce