What happens next if ivf does not work?

There are several options that may be explored after IVF has been unsuccessful. The course of action depends on various factors, including the specific reasons for the failure, individual circumstances, and the preferences of the couple or individual involved. Here are some possibilities:

1. Repeat the IVF Cycle: In some cases, doctors may recommend repeating the IVF cycle with adjustments or modifications. This could include using different protocols, changing stimulation medications, or altering embryo transfer strategies.

2. Change the IVF Protocol: Fertility clinics may suggest modifying the IVF protocol based on the previous experience. This could involve adjusting the dosage or timing of medications, altering the timing of egg retrieval or embryo transfer, or trying different laboratory techniques.

3. Pre-implantation Genetic Testing (PGT): If repeated cycles of IVF continue to fail, PGT may be considered as an additional diagnostic tool. PGT can help identify genetically abnormal embryos before they are transferred to the uterus, potentially increasing the chances of a successful pregnancy.

4. Other Fertility Treatments: Depending on the individual situation, other fertility treatments may be explored. These could include trying intrauterine insemination (IUI) if IVF has not been attempted or considering alternative donor options, such as sperm donation or egg donation.

5. Surrogate Motherhood: In some cases, couples or individuals may decide to explore surrogacy as an option. Surrogacy involves another woman carrying and giving birth to a child for intended parents who cannot carry a pregnancy independently.

6. Adoption: Adoption is an option for those who decide not to pursue further medical interventions or who are exploring ways to build their family beyond biological means.

7. Seek a Second Opinion: If unsuccessful IVF cycles continue, it can be beneficial to seek a second opinion from another fertility specialist or clinic. Different perspectives and expertise can provide additional insights and treatment options.

It is important for individuals or couples to discuss their experiences and concerns with their fertility specialist and consider their personal values, emotions, and goals before making decisions about further treatment options or alternative paths to parenthood.