Understanding failed IVF attempts: Insight from a reproductive medicine specialist

Written in association with: Dr Anu Chawla
Published: | Updated: 26/09/2023
Edited by: Sophie Kennedy

Going through unsuccessful IVF attempts can be an emotionally challenging experience for couples who have been eagerly hoping to start or expand their families. In this informative article, internationally esteemed senior specialist in reproductive medicine Dr Anu Chawla explores the factors that can contribute to failed IVF attempts and offers expert insight to help you navigate this journey.

In-vitro fertilisation (IVF) is a widely used assisted reproductive technology designed to help couples conceive when natural conception is not successful. During IVF, eggs are retrieved from the ovaries, fertilised with sperm in a laboratory setting, and the resulting embryos are then transferred back into the uterus. While IVF offers hope to many, it is essential to recognise that not every attempt will lead to a successful pregnancy.


Common reasons that IVF attempts are unsuccessful

Embryo quality

One of the critical factors affecting IVF success is the quality of embryos. Some embryos may not develop as expected, leading to implantation failure.


Age

Age plays a significant role in IVF success rates. As women age, the quantity and quality of their eggs decline, making it more challenging to achieve a successful pregnancy.


Uterine issues

Problems with the uterus, such as uterine fibroids or polyps, can interfere with implantation and reduce the chances of pregnancy.


Sperm quality

Male infertility issues, such as low sperm count or poor sperm motility, can impact fertilisation and hinder successful pregnancy.


Implantation failure

Even when high-quality embryos are transferred, they may not implant successfully in the uterus, leading to failed IVF attempts.


Exploring your options

Experiencing failed IVF attempts can be disheartening, but it's important to remember that it doesn't mean all hope is lost. As medical professionals, we work closely with our patients to understand their unique circumstances and tailor a plan that addresses their specific needs.


Comprehensive evaluation

If you've experienced failed IVF attempts, a comprehensive evaluation will help identify potential underlying factors that may be affecting your ability to conceive.


Personalised treatment

Based on the evaluation, your specialist will develop a personalised treatment plan that may include adjustments in medication protocols or addressing any uterine or sperm-related issues.


Consider other paths

If further attempts at IVF are not recommended or do not result in a successful pregnancy, there are alternative paths to parenthood, such as adoption, or using donor eggs or sperm.


Emotional support for couples following unsuccessful IVF attempts

Facing failed IVF attempts can take an emotional toll on both partners. It's crucial to seek emotional support during this challenging time. Many individuals and couples find counselling or support groups helpful in navigating their feelings and finding ways to cope with the ups and downs of fertility treatments.

Experiencing failed IVF attempts can be disheartening, but it's essential to remember that there are various reasons for unsuccessful cycles, and it doesn't mean you should lose hope. As a reproductive specialist, I am committed to supporting you on your journey to parenthood, providing compassionate care and personalised treatment options to help you achieve your dream of starting or expanding your family.




If you are seeking expert reproductive care and wish to schedule a consultation with Dr Chawla, you can do so by visiting her Top Doctors profile.

By Dr Anu Chawla
Fertility specialist

Dr Anu Chawla is a highly-experienced senior fertility specialist, practicing Advanced Reproductive Medicine, in London

Her area of expertise is in Advanced Fertility PracticeRepeated IVF failures, Polycystic Ovarian Syndrome, PCOSEndometriosis (Current Chairperson of Endometriosis Committee of FOGSI), Reproductive Immunology, Egg Freezing, Fibroids, Male Factor Infertility.

Dr Chawla qualified in medicine in Gujarat University in 2007 and then went on to pursue a Master's degree in obstetrics and gynaecology.  She became a member of the Royal College of Obstetricians and Gynaecologists, London, in due course.  

She also obtained a diplomate of the National Board in Obstetrics and Gynaecology. She holds Three Post Graduation Degrees in Obstetrics and Gynaecology, one from UK, two from India, from reputable universities. In addition, she did Advanced Fellowship in Minimal Access Surgery and another Fellowship in Reproductive Medicine.

She trained in Advanced Level 3D Pelvic Ultrasounds with Prof Stuart Campbell, in London.

She went to the United States to do a Reproductive Medicine Observership Programme at National Institutes of Health, Bethesda, Shady Grove Fertility Clinics in Bethesda, Maryland, USA, and in IVF Department at the EVMS Jones Institute in Virginia, USA, Centre of Reproductive Medicine New York, New Hope Fertility Centre New York.  

Dr Chawla has been previously appointed as a clinical lead consultant in Advanced Fertility Department at various leading teams in India, where she also founded the esteemed IVF department at the Fortis Memorial Research Institute at Gurgaon in Delhi Region.

Her high success rate and clinical excellence in Fertility Practice, with global expertise and perspective, brought her an offer to come back to London and join St. Bartholomew’s Hospital and the Queen Mary University, London Hospital as a Senior Fertility Specialist, where she did huge numbers of egg collections, embryo transfers etc.

She worked at Create Fertility, St. Paul’s, London and The Fertility and Gynaecology Academy, London.

Combining clinical expertise in both gynaecological Fertility Enhancing Surgery and Reproductive Medicine, Dr Chawla's patients benefit from her sensitive, comprehensive and continuous care throughout their conception journey. 

Dr Anu Chawla's has been actively contributing to the various gynaecology associations, like Royal College of Obstetrics and Gynaecology, RCOG, London, The International Federation of OBGYN, FIGO, and the Federation of Obstetrics and Gynaecological Societies in India (FOGSI), amongst others.  

Dr Chawla is a regular invited faculty speaker, at various international and academic key fertility and OBGYN conferences around the world. Most recently, she was invited to chair a film festival session on the topic of Sexual and Reproductive Health and Wellbeing at the XXIV FIGO World Congress of Gynecology and Obstetrics. She was additionally actively involved in campaigning to extend the time span of egg freezing for women in the UK, an amendment which has now been successfully enacted in to law. Dr Chawla also regularly conducts charitable medical projects in India, providing low cost reproductive and gynaecological care for those in need.

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