If you don't get pregnant after
your IVF attempt, you'll be disappointed. Remember - this is not the end
- it's just the beginning!
If you don't get pregnant after your
IVF attempt, you are likely to be very disappointed and disheartened. However,
remember that this is not the end of the road - it's just the beginning!
At the end of the IVF cycle, you need to sit down with your doctor and
analyse what you learnt from it. Was the ovarian response good? Was the
endometrium receptive? Did fertilisation occur? Why didn't pregnancy occur?
(Though this is a question we still can't answer!) Can you repeat the same
treatment, or do you need to make changes before going in for your next
attempt? When can you go in for your next IVFcycle? And even if you do
not get pregnant, at least the fact that you attempted IVF should give
you peace of mind that you tried your best , using the latest technology
medical science has to offer.
The Second Time
Around - the Next IVFCycle
Most doctors would advise you to
wait for a month before starting a new cycle. While it is medically possible
to do the next cycle immediately, most patients need a break to marshall
their emotional strength before starting again.
Your doctor may need to modify your
treatment, depending upon an assessment of your previous cycle. For example,
if the ovarian response was poor, the doctor may advise you to increase
the dose of drugs used for superovulation. If fertilisation did not occur,
you may need to go in for microinjection (ICSI). If the quality of the
embryos was poor, you may be advised to consider a ZIFT rather than IVF.
When an IVFcycle fails, many patients
want to do "something new" or "something different" in the next cycle.
However, do remember that the commonest reason for a failed IVFcycle is
the failure of the embryos to implant - and since this is still an area
of profound ignorance, there is little we can do to increase the probability
of successful implantation occurring the next time. Rather than look upon
the cycle as a "failure", it's better to treat it as having provided valuable
information - for example, evidence that the sperm can fertilise the egg,
which proves that they are normal !
For patients who have had an embryo
transfer, the odds are stacked in their favour that they will get pregnant
sooner or later. Nevertheless, there is a lot of pressure to try the
"newest or latest advance" the next time - which is why many clinics
expensive techniques such as immunologic testing and even immunotherapy
- but these are still in the realm of "scientific witchcraft" and have
not been proven to be helpful. In fact, if the IVFcycle was satisfactory,
the doctor will often advise you to repeat exactly the same treatment again
- and all that it may take to achieve your IVF success is time and another
When an IVF cycles fails, there is
a lot of pressure on both patient and doctor. Many patients will change
the doctor because they do not conceive - but this is not usually a good
idea, unless you are unhappy with your medical care. Doing a second IVFcycle in the same clinic is usually better than changing doctors, because
your doctor can now tailor his treatment based on his observations during
your earlier treatmentcycle. Interestingly, we often find that couples
going through a second IVFcycle are much more relaxed and in control.
This may be because they are aware of all the medical and procedural minutiae,
and are better prepared for these; and also because they have had a chance
to establish a personal relationship with the medical team. Also, since
they have already faced failure the first time around, many of them are
much better able to cope with the stress of IVF, since they are prepared
for the worst.
With today's IVF technology, we can
confidently reassure any patient that we can help them to get pregnant,
provided they have inexhaustible resources of time, money and energy!
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- The Indiaparenting Team