The patient and clinician review a recent frozen embryo transfer that did not result in pregnancy, despite previous successes. The clinician explains that breakthrough ovulation and an arcuate uterus are normal and unlikely to have affected implantation. They discuss embryo quality, success statistics, and new progesterone testing before transfer. The clinician reassures the patient that there are still good embryos and recommends proceeding with another single embryo transfer, while noting that genetic testing is rarely advised.