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HOD IVF & Infertility MAX SUPERSPECIALITY HOSPITAL Vaishali- DELHI NCR

Dr Poonam's Blogs

Senior Consultant Infertility & IVF Obstetrics and Gynaecology

What to Do After 3 IVF Failures: Advanced Evaluation & Treatment Options by Dr Poonam Goyal

As a fertility specialist, one of the most difficult conversations I have with patients is after repeated IVF failures. When a couple comes to me after three unsuccessful IVF cycles, I understand the emotional pain, exhaustion and loss of confidence they are carrying. I want you to know one important thing first: three IVF failures do not mean you cannot become parents. It simply means we need to pause, reassess and approach your treatment in a more thoughtful and personalised way. This is exactly how I, Dr Poonam Goyal, guide my patients at this stage.

Why Repeating the Same IVF Plan Often Doesn’t Work

After multiple IVF failures, continuing with the same protocol rarely brings different results. IVF can fail due to several underlying reasons that may not be obvious in routine testing. These can include embryo quality issues, implantation failure, uterine factors, hormonal imbalance or even sperm DNA problems.

My first step is always to understand what has already been done and what may have been missed. Every failed cycle carries valuable information. Instead of seeing it as a setback, I encourage patients to view it as data that helps us plan more effectively.

Advanced Evaluation After Three IVF Failures

After three IVF failures, I recommend a deeper and more targeted evaluation. This stage is crucial.

  • Genetic Testing of Embryos: Many embryos may look healthy but have chromosomal abnormalities. Preimplantation genetic testing helps us select embryos with a higher chance of implantation and a healthy pregnancy.
  • Detailed Uterine Assessment: Tests such as hysteroscopy or advanced imaging help detect polyps, fibroids, scar tissue or subtle lining problems that may prevent implantation.
  • Endometrial Receptivity Testing: Sometimes the embryo is good, but the timing of transfer is not ideal. This test helps us personalise the exact window when your uterus is most receptive.
  • Sperm DNA Fragmentation Testing: Even with normal semen reports, sperm DNA damage can affect embryo development. Identifying this allows us to correct it before the next cycle.

As Dr Poonam Goyal, I strongly believe that without proper evaluation, repeating IVF can lead to unnecessary emotional and financial stress.

Personalised Treatment Makes the Difference

Once we identify the cause, the treatment plan changes completely. There is no single solution that works for everyone.

Some patients benefit from a modified stimulation protocol to improve egg quality. Others may need targeted hormonal support, immune modulation or correction of metabolic issues. In certain cases, using donor eggs or donor sperm can significantly improve success rates and bring emotional peace to couples who have struggled for years.

What matters most is choosing the option that gives you the highest chance of success, not just another attempt.

Addressing the Emotional Impact of IVF Failures

Repeated IVF failures affect mental health deeply. Many women blame themselves, feel anxious or lose hope. I always tell my patients that emotional healing is part of fertility treatment. Taking a short break, seeking counselling and having open conversations can restore strength and clarity.

In my practice, I make sure couples feel heard, supported and never rushed into decisions. Compassion is as important as clinical expertise.

Knowing When and How to Move Forward

After three IVF failures, the next step should always be guided by medical findings, age, emotional readiness and personal goals. Some couples try again with a refined plan, while others explore alternative paths. There is no right or wrong choice, only what feels right for you.

As Dr Poonam Goyal, my role is to guide you honestly, scientifically and with empathy. With advanced evaluation, personalised treatment and the right mindset, many couples do achieve success even after repeated IVF failures. The journey may be longer, but hope is very much alive.

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