One of the most important decisions in a couple’s life is to have a child. However, in some cases it may not always be possible to have a child naturally. In this case, couples can resort to fertility treatments. In vitro fertilisation (IVF) is one of these treatments and is particularly preferred when it is difficult to conceive naturally or when other assisted reproductive techniques have failed. Unfortunately, however, not all couples are successful on the first attempt of IVF treatment. This often causes stress and frustration among couples. However, the question of what to do if IVF treatment does not work is an important question for many couples.

Why IVF may not work?

According to the data of the World Health Organisation, approximately 15% of couples experience problems in having a child and this rate is similar in Turkey. The reasons why IVF treatment fails the first time can be listed as female factor, male factor, embryo quality and intrauterine factors.

• The female factor is usually determined as the woman’s age, egg quality, hormonal imbalances and uterine health.
• The male factor usually includes sperm count, sperm motility and the quality of sperm DNA.
• Embryo quality is an important factor determining the success of IVF treatment. In general, embryologists select embryos that are genetically normal because they are more likely to lead to pregnancy.
• Finally, intrauterine factors play an important role in the implantation process.

What are the options if the IVF treatment is unsuccessful?

If the IVF treatment is unsuccessful, there are several options that couples can apply.

1. Trying again: A different study states that approximately 30-40% of couples who try to get pregnant with IVF are successful in the first attempt. However, it is important to note that most couples need more than one attempt to get a successful result from IVF treatment.
2. Reviewing the treatment plan: After a failed IVF treatment, it is important to discuss with your treating doctor why the treatment failed and what changes can be made in the future.
3. Switching to another treatment method: If IVF treatment fails repeatedly, your doctor may recommend another form of assisted reproductive treatment. This can often involve the use of donor sperm or donor eggs, or the use of a surrogate mother.
4. Psychological support: Failed IVF treatment can often have a negative impact on a person’s psychological health. Therefore, seeking psychological support and attending support groups can be useful for couples going through this process.

Which option you choose depends entirely on your and your partner’s preferences, health and age. It is extremely important for couples to discuss their situation and options in detail with IVF specialists before deciding whether to continue treatment or seek a different treatment option. It is important to remember that every failed IVF attempt is a step towards a successful IVF. In short, they should carry out their treatment process without any guarantee of either failure or success and should not lose hope until they reach the expected miraculous result. In fact, each trial is an important step towards a successful outcome.