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Why can an IVF cycle be unsuccessful?

Dr Mohamed Cassim goes through the points in an IVF cycle where things can fall short — egg and sperm quality, fertilisation, embryo development, the lining of the womb and implantation.

Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG)Unsuccessful Fertility TreatmentIVF TreatmentFertility TreatmentAll learning videos

An IVF cycle can be unsuccessful at several points: fewer eggs than hoped, eggs that are not mature, fertilisation that does not happen, embryos that stop developing in culture, or a good embryo that simply does not implant. This talk works through those stages and the factors clinics look at afterwards, including egg and sperm quality, laboratory conditions, the lining of the womb and underlying conditions. An unsuccessful cycle does not mean something was done wrongly. Treatment can go exactly as planned — stimulation on track, eggs collected, fertilisation achieved, embryos developing, a smooth transfer — and still not result in a pregnancy, because each transfer carries a probability rather than a promise. That is why clinics offer a follow-up review to look at what the cycle showed and whether anything should change next time.

Recorded in 2022. Treat any suggestion in the recording about how to "minimise" failure as one clinician's 2022 view: ask your own clinic what current evidence supports for your situation, and read our IVF add-ons guide before paying for extra treatments.

Key takeaways

  • An IVF cycle can fall short at egg number or maturity, fertilisation, embryo development, or implantation.
  • An unsuccessful cycle does not mean a mistake was made — outcomes are probabilities, not promises.
  • A follow-up review with your clinic is the point at which the cycle's findings are used to plan the next step.
  • Be cautious about extra treatments offered to prevent another unsuccessful cycle; check the evidence first.

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References

  • Fertility Show Africa Expert Talks — https://www.youtube.com/watch?v=b2JqHBvV8fg

This video was produced by Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG) and is shared for education only. It is not medical advice and does not replace guidance from your own doctor or fertility clinic. Naming an organisation does not imply a partnership with Antega.