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Most fertility journeys begin with standard tests such as hormone levels, ultrasound scans, and semen analysis. These investigations are essential, but they may not always reveal deeper or more complex fertility challenges. Many couples proceed with IVF based on basic evaluations, only to face repeated failure later.
The purpose of this blog is to explain why certain fertility problems are often missed during early evaluations, and why a deeper, more comprehensive assessment can be critical before repeating IVF treatment, particularly after unsuccessful cycles.
Initial fertility assessments commonly include:
These tests provide important baseline information. However, they may not detect functional, biological, or subtle factors that influence fertilisation, implantation, or embryo development.
Some issues require deeper investigation and may be overlooked during routine testing, including:
These factors often become evident only after IVF attempts fail or when evaluations are revisited in detail.
Repeating IVF without understanding what went wrong can lead to the same outcome. If diagnostic gaps remain and protocols are unchanged, success rates may not improve.
A meaningful review includes:
Learning from previous cycles is essential before moving forward.
Fertility challenges are shared. Male factors may be underestimated when basic semen parameters appear normal. A more detailed assessment and lifestyle evaluation can reveal important contributors.
Evaluating both partners together provides a clearer picture and supports more effective treatment planning.
A comprehensive reassessment may be helpful:
Early re-evaluation can prevent emotional and physical exhaustion from repeated unsuccessful treatment.
Missed or incomplete fertility evaluations are a common reason for repeated IVF failure. Routine tests may not always uncover deeper contributing factors. Taking time to reassess, review previous cycles, and explore overlooked issues can provide clarity and direction. A comprehensive evaluation often reduces uncertainty and supports more informed, confident treatment decisions.
Repeated IVF attempts without clear answers can be emotionally and physically exhausting. Before proceeding further, a detailed review of past evaluations and treatment responses can help identify what may have been missed. Consulting Dr Nandita Palshetkar allows couples to seek informed guidance focused on understanding rather than repetition, supporting better decision-making and a more confident path forward in their fertility journey.
