Thursday, September 26, 2019

Why doesn't every perfect IVF cycle end up in a pregnancy?

Often patients have a medically perfect embryo transfer when they do an IVF cycle. The embryo is a top quality blastocyst, the endometrium is 8 mm and trilaminar and the embryo transfer was technically smooth.
When patients hear that everything went perfectly, they are obviously very optimistic , and are very sure that they're going to get pregnant.

However, when the cycle fails, they can't understand what went wrong.
And that's the first question they ask, "What went wrong? Did I do something wrong? Was I too anxious? Didn't I rest enough? Didn't I take enough medications?"
There is often quite a bit of blaming the victim - and it's often the relatives who do this. And sadly, sometimes the doctor becomes the scapegoat , because everyone says the doctor must have messed up if the cycle failed.

The reality is that there are 3 things which we can measure in an IVF cycle, and these three tangibles are the embryo; the endometrium ; and the ease of the transfer.
However, there are still lots of things which we can't control or measure - for example, the genetic makeup of the embryo, and it is these genetic abnormalities which cause embryo implantation failure.
This is why IVF patients need patience and persistence to succeed  - and the good news is that the reward is well worth it  !

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