JOURNAL · AFTER TREATMENT
It didn't work. What do we do now?
A failed cycle hurts, and it is also information. Read what it shows before you decide on the next step, or on stopping.
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IVF didn't work. What to look at before the next cycle
What the cycle can tell you, the questions to ask, and why waiting too long is the common mistake.
When to stop IVF: the conversation we have first
The situations where we would advise stopping, and why we talk about them before you start.
LIVING WITH ITIt is allowed to find this hard
Grief, anger, guilt and the months in between. What helps, and when to ask for support.
12 conversations nobody prepares you for
Parents, in-laws, friends, work: what to say, what to keep private, and how to end the question.
Second opinion
Bring your whole file. We'll tell you what it shows, including if you should stay where you are.
Recurrent implantation failure
Good embryos, no pregnancy: what to check before the next transfer.
Recurrent miscarriage
After two or three losses, a proper search for a cause.
How Dr Vani decides
When to continue, change or stop, in her own words.
Donor egg IVF
When it is considered, and time and plain facts for the decision.
Our team, including our counsellor
The people who will see you through the next step, whatever it is.
Questions couples ask after.
How soon can we try IVF again after a failed cycle?
It depends on what the cycle showed and whether you have frozen embryos, so review it with your doctor soon rather than leaving it for months. In Dr Vani Sundarapandian's experience, "Couples wait too long to resume treatment after a failed cycle."
When should we stop IVF?
Stop when the evidence says another cycle with your own eggs or sperm is very unlikely to work, or when it is unsafe. Dr Vani Sundarapandian's criteria: "Extremely low reserve over 40, repeatedly poor eggs, failed fertilisation, consistently poor embryos, repeated embryo arrest, no viable sperm. We also do not proceed where pregnancy poses a serious risk to the woman's life or where ART law does not permit it."
Should we get a second opinion after a failed IVF?
Yes, if you are unsure why it failed or what to change. A second opinion reads your whole file and says what it shows; sometimes the answer is to stay with your clinic.
Is it normal to feel this low after a failed cycle?
Yes. Grief after a failed cycle is common and real, and talking to us can help. If you are having thoughts of harming yourself, call Tele-MANAS on 14416 (free, confidential, 24 hours, in Tamil and English), or call 108 or go to the nearest emergency department.
Not the question you had?
The questions people don't ask with their partner sitting beside them, answered by Dr Vani Sundarapandian.
Bring us the file. We'll tell you what it shows.
Tell us what happened in your cycle. Janvi, Jananam's companion for fertility treatment, replies straight away, and we'll say plainly what a review can and can't answer.
Sex selection is prohibited in India under the PCPNDT Act, 1994 and the ART Act, 2021.