In-vitro fertilisation (IVF) is a widely used assisted reproductive technique, but not all cycles result in success. Many patients receiving treatment at an IVF clinic in Singapore have unsuccessful tries before having a live birth. Regardless, there is no need to worry, for fertility centres typically handle unsuccessful IVF cycles in a methodical, medically-based manner, making sure patients are appropriately evaluated and given direction for their next steps.
Comprehensive Medical Review
Fertility centres conduct a detailed medical review when an IVF cycle fails. This approach involves evaluating all available data from the failed cycle, including ovarian stimulation response, the number and quality of retrieved eggs, fertilisation rates, embryo development, and implantation outcomes. Blood tests, hormonal profiles, and ultrasound findings are re-examined. In some cases, clinics recommend additional tests such as hysteroscopy, saline sonography, or endometrial biopsy to detect uterine abnormalities or other underlying conditions. The purpose of this review is to identify any potential medical, embryological, or anatomical reasons behind the unsuccessful attempt. Clinics also consider factors such as age, body mass index, lifestyle habits, and pre-existing health conditions, as these can significantly affect the outcome of fertility treatment.
Patient Counselling and Expectations Management
Handling a failed IVF cycle extends beyond medical assessments. SG fertility clinics provide professional counselling to patients to help them process the emotional and psychological impact of treatment failure. Counselling sessions are typically conducted by in-house fertility counsellors or psychologists trained to address the specific challenges faced by individuals and couples undergoing fertility treatment. Patients are informed about realistic expectations, including statistical success rates for future attempts based on their medical profile. Clinics aim to ensure that patients make informed decisions without false reassurance or undue optimism. This step is necessary in allowing patients to decide if they are ready to proceed with another cycle or explore alternative options.
Adjusting the Treatment Protocol
After reviewing the failed cycle, IVF clinics often adjust the treatment strategy for subsequent attempts. This approach may involve modifying the ovarian stimulation protocol to improve egg quality and quantity, changing the timing of egg retrieval, or using different medications. In some cases, preimplantation genetic testing (PGT) may be recommended to assess embryos for chromosomal abnormalities before transfer. PGT helps reduce the risk of transferring embryos with genetic defects, which is a common cause of implantation failure and early miscarriage. Other adjustments may include assisted hatching, endometrial receptivity testing, or immune-related therapies if clinically indicated. Each treatment modification is based on medical findings and patient history, not trial and error.
Exploring Alternative Treatment Options
If repeated IVF cycles fail, some clinics may propose alternative options depending on the patient’s circumstances. These can include the use of donor eggs, donor sperm, or gestational surrogacy. Some patients may also consider adoption as an alternative route to parenthood. Clinics present these options without bias but provide clear information about the medical, legal, and procedural implications involved in each. Patients are encouraged to take sufficient time before deciding on alternative treatments. Some clinics may also recommend taking a break before attempting another cycle to allow for physical recovery and emotional readiness.
Continuous Monitoring and Support
Throughout the process, clinics maintain close monitoring and provide continuous support. Clinics routinely follow up with patients even after a failed cycle to ensure they have access to updated medical advice, psychological support, and information about any new advancements in fertility treatments. Some clinics organise support groups or workshops where patients can connect with others facing similar challenges. These sessions help patients navigate the emotional burden associated with fertility treatments while staying informed about realistic pathways forward.
In summary, fertility clinics take a thorough approach to dealing with unsuccessful IVF cycles. They meet the unique needs of patients with infertility by combining medical evaluation, counselling, support services, and customised treatment changes. Instead of focusing on assured results, the emphasis remains on patient-centred treatment and evidence-based interventions.
Contact The O&G Specialist Clinic and let us help you explore the most appropriate options for your fertility situation.
