Setting Expectations: IVF Success and Challenges
In vitro fertilisation (IVF) offers hope to many couples struggling with infertility, but it is not a guarantee of pregnancy. IVF failure is common and can be especially disappointing when it occurs early in treatment. Fertility declines with age, so women over 35 face lower success rates: studies show that while women under 35 may have a 35–40% chance of a live birth per cycle, that rate falls to below 10% by age 40. We also frequently encounter hormonal issues (like PCOS/PCOD) or structural problems (like fibroids) that tip the balance.
At Nimaaya IVF Center – a leading fertility clinic with over 30 years of experience – we emphasize learning from each cycle. We work with each couple to identify what happened in a failed IVF attempt so we can adapt the plan. For example, optimizing thyroid or iron levels, improving diet or sleep, or adjusting medication timing can significantly improve outcomes. This proactive strategy transforms anxiety into action.
For women in Gujarat and beyond, choosing the right clinic is crucial. Nimaaya IVF Center is recognized among the top IVF services in India for its comprehensive approach. In our region, it is also one of the premier IVF services in Surat, offering world-class care led by Dr. Pooja Nadkarni Singh – often called the best gynecologist in Surat. We know many patients have PCOS or PCOD, which makes IVF more complicated. In PCOS, excess hormones often prevent proper ovulation, and we tailor treatments (like metformin and careful monitoring) to address this before proceeding.
Facing an IVF failure can be emotionally tough, but understanding the underlying reasons helps turn anxiety into action. Common causes include poor egg quality, uterine or endometrial abnormalities, hormonal imbalances, embryo problems, and lifestyle factors. In the sections below we examine each of these causes in detail and explain how to avoid them. Nimaaya’s fertility specialists evaluate all these aspects — and provide advanced treatments or lifestyle plans — to give you the best chance of success.
Poor Egg Quality & Age-Related Factors
Women are born with all the eggs they will ever have, and those eggs age with time. After age 35, chromosomal problems in eggs become much more common. This leads to lower fertilization rates, fewer viable embryos, and a higher risk of miscarriage if an embryo is chromosomally abnormal. We carefully assess ovarian reserve at Nimaaya using blood tests (AMH, FSH) and ultrasound scans to measure egg count.
If tests indicate reduced egg quality or ovarian reserve, we discuss options openly. In many cases, we recommend strategies like IVF with preimplantation genetic testing (PGT-A) to choose healthy embryos. We also offer an egg donation program since donor eggs from younger women dramatically increase success rates. Many patients who had multiple failed IVF cycles with their eggs conceived happily with donor eggs—in fact, donor IVF has proven effective for many female-factor patients.
Alongside these advanced options, we focus on natural optimisation. Supplements like CoQ10, DHEA, and antioxidants can support the mitochondria in eggs. We counsel patients to eat a nutrient-rich diet (berries, leafy greens, nuts) and take antioxidant vitamins. We also advise quitting smoking, limiting alcohol, and achieving a healthy weight, since these factors accelerate egg ageing. By the time of egg retrieval, our goal is that your body has done everything possible to support strong, viable eggs. This combined strategy has helped many older patients at Nimaaya achieve successful pregnancies after previous failures.
Hormonal Imbalances (PCOS, Thyroid, etc.)
Hormones must be in balance for IVF to work. Conditions like PCOS and PCOD often throw this balance off. In PCOS, the ovaries produce many immature follicles but fail to release mature eggs, and high androgen/insulin levels disrupt ovulation. Many PCOS patients in our clinic also have irregular periods and metabolic issues. Thyroid disease and elevated prolactin are other hormonal causes of IVF failure, because they affect uterine receptivity and embryo implantation if not corrected.
At Nimaaya, we screen everyone’s hormone profile before IVF. We correct any problems – treating hypothyroidism, normalizing prolactin, or stabilizing blood sugar with metformin. For some patients, we begin with ovulation induction and possibly intrauterine insemination (IUI) to test the ovaries’ response before moving to IVF. (Nimaaya offers both IUI and IVF, so you can continue care here through each step.) Dr. Pooja and our fertility team adjust medication dosages as needed. Even small tweaks – for example, lengthening the stimulation protocol or adjusting hormone supplements – can make a difference. By correcting thyroid or other endocrine issues, and by controlling insulin and hormone levels in PCOS, we create a healthier environment for implantation. This targeted hormonal care has helped many patients turn previous IVF failures into successful pregnancies.
Implantation Failure & Uterine Issues
Even a high-quality embryo must attach to the uterine lining to result in pregnancy. Implantation failure often stems from uterine abnormalities. Non-cancerous fibroids, for instance, can distort the uterine cavity, physically blocking embryo attachment. Endometrial polyps or adhesions Scar tissue can do the same. If a fallopian tube is blocked (hydrosalpinx), toxic fluid can leak into the uterus. All of these can cause an IVF cycle to fail at the last step.
At Nimaaya, we thoroughly check the uterus before IVF. We perform high-resolution ultrasounds and sometimes a saline sonogram or hysteroscopy to look for hidden issues. When we find fibroids or polyps, our surgeons remove them in-office (hysteroscopy) or laparoscopically. These procedures are done by our endoscopy/cosmetic gynaecology team, who use minimal incisions and rapid recovery techniques. Research confirms that removing these barriers greatly improves implantation odds. We also ensure the endometrial lining is optimal: if it is too thin, we use estrogen therapy and sometimes innovative approaches (like Viagra suppositories) to thicken it; if it is uneven, we use timed progesterone support. By optimising the uterus itself, we prevent many cases of IVF failure due to implantation issues.
Lifestyle and Other Factors
Beyond medical issues, everyday habits and general health greatly influence IVF success. Studies show that smoking, obesity, and chronic stress can all cut the chances of pregnancy. For instance, smoking harms egg and sperm quality and can constrict uterine blood flow; a high BMI can disrupt hormones and ovulation; and stress hormones (like cortisol) can impair reproductive signals. Poor sleep and nutrient deficiencies (like low vitamin D or folate) also play a role.
Nimaaya addresses these factors head-on. Before an IVF cycle, we check nutritional and metabolic status. Our on-site nutritionists create personalized diet and exercise plans to achieve a healthy body mass index. We recommend supplements as needed (e.g. vitamin D, iron, omega-3) based on lab results. We also guide stress reduction: many patients benefit from meditation, yoga, or counseling. Even integrative treatments like acupuncture in the weeks before transfer can improve blood flow to the uterus. In short, we treat the whole person. When your body is healthier overall, it responds better to fertility treatment. We’ve seen many patients improve their overall health in the preparatory phase and then produce higher-quality eggs and a more receptive lining as a result.
Practical Tips to Improve IVF Success
- Optimize Your Health Months Before IVF: Begin fertility-friendly habits 3–6 months in advance. Quit smoking and alcohol, eat a balanced diet rich in antioxidants (fruits, vegetables, nuts, and whole grains), and aim for a healthy BMI. Moderate exercise and 7–9 hours of sleep each night will strengthen your reproductive health.
- Manage Medical Conditions Proactively: Treat PCOS/PCOD, thyroid disorders, diabetes or hypertension with medications and lifestyle changes. For instance, metformin can improve ovulation in PCOS, and thyroid hormone ensures proper uterine lining. Taking care of these issues before IVF can greatly boost success rates.
- Be Mindful of Age: : If you are over 35, consider ovarian reserve testing. If it shows low egg quantity/ quality, discuss options like donor eggs or preimplantation genetic testing (PGT-A). These can help avoid issues like chromosomally abnormal embryos, turning a typical IVF failure scenario into a healthy pregnancy.
- Screen Your Uterus: Ensure you have a clear uterine cavity before transfer. Nimaaya recommends an HSG (hysterosalpingogram) or ultrasound scan to check for fibroids or polyps. If any issue is found, our specialists will correct it before proceeding, since this simple step often prevents an IVF failure due to implantation issues.
- Follow Protocols Closely: Take all fertility medications (hormones, injections, etc.) exactly as prescribed and attend all monitoring appointments. Our fertility nurses and counselors make sure you understand the schedule and instructions. If adjustments are needed mid-cycle (for example, a higher stimulation dose), our team will guide those changes. Staying on track with the plan is key to avoiding failures caused by missed steps.
- Check Online Info: Many couples search for the best fertility clinics online. Look for discussion of IVF services in India and see which clinics patients recommend. Nimaaya is often mentioned as one of the top IVF services in India, and many in Surat recognize it as a trusted IVF services in Surat due to our combination of expertise and patient care.
- Read Patient Testimonials: Patient reviews and support groups can give insight. Search for experiences with IVF services in India and clinics rated highly by other patients. Nimaaya’s success stories and positive feedback underscore our reputation among IVF services in Surat.
- Choose Your Clinic Wisely: In India, there are many fertility centers, so review success rates and patient feedback of different clinics. Nimaaya is consistently rated among the best IVF services in India and is a trusted name among IVF services in Surat thanks to our expertise and patient care.
- Consult a Specialist: If you have tried IVF before, consider a center with a proven track record. Nimaaya is recognized as one of the leading IVF services in India, and locally we stand out among IVF services in Surat. Our specialists are adept at refining a treatment plan after a previous unsuccessful cycle.
- Focus on Reputation: Many locals recognize Nimaaya as one of the top fertility clinics in Surat – a clinic frequently mentioned among the best IVF services in Surat.
- Patient Recommendations: Word-of-mouth in Gujarat often lists Nimaaya when discussing reliable IVF services in Surat, thanks to our consistent success and supportive team.
- Check Local Rankings: By searching online or asking peers, you will see Nimaaya named as a leading IVF services in Surat in Gujarat. These community endorsements highlight our standard of care.
- Stay Positive and Supported: Emotional well-being matters. Engage with support groups or therapy to manage stress. At Nimaaya we have counselors and a supportive community to help you stay optimistic. Remember, one unsuccessful cycle is just one part of your journey, not the final answer. Our team is here to support you emotionally, not just medically.
Nimaaya IVF Center’s Comprehensive Approach
At Nimaaya, we address every fertility challenge with expert care. Our state-of-the-art embryology lab performs precise egg fertilization (using either standard IVF or ICSI techniques) and advanced embryo culture to maximize embryo viability. We offer the full spectrum of fertility treatments – from ovulation induction and IUI to IVF and genetic testing – tailored to each patient’s needs. Patients can also choose egg freezing to preserve fertility or use our donor egg program to improve their chances.
We support female fertility at every stage. Patients undergo comprehensive testing (hormone panels, ultrasound, genetic screening) so we know exactly what needs attention. If egg quality is an issue, our egg donation program offers hope. If blocked tubes or male-factor infertility is found, we address those too (we perform semen analysis in-house and use ICSI for low sperm counts). In short, Nimaaya provides all the IVF services you need, so couples don’t have to navigate multiple facilities.
Our team is led by top specialists, including Dr. Pooja Nadkarni Singh – the best gynecologist in Surat– alongside experienced embryologists and nurses. We adhere to global protocols and our success rates rival the best centers worldwide. Each IVF cycle is personalized: we tailor drug doses based on your response, and schedule embryo transfer at the most receptive time. Nimaaya stands out among IVF services in India for this attention to detail.
Crucially, we combine cutting-edge technology with compassionate care. Many patients say they feel at home at Nimaaya. Our staff explain every test result and procedure in simple terms, and our nurses are available by phone to answer questions. We involve patients in each decision, from stimulation strategies to embryo selection. This supportive environment, along with our medical expertise, builds trust – you become an active partner in beating IVF failure.
Conclusion
Facing an IVF failure can be disheartening, but it is not the end of your journey. By addressing each cause of IVF failure – from egg quality and implantation to hormones and lifestyle – you can greatly improve your chances next time. Nimaaya IVF Center, with its 30+ years of expertise, is here to guide you through the process. We are proud to be counted among the leading IVF services in India, and in Surat we continue to set the standard as one of the outstanding IVF services in Surat, combining excellence and personalized care.
We also make it easy to compare clinics: Nimaaya’s results and patient feedback put us among the top-ranked IVF services in India. Locally, couples searching for IVF services in Surat consistently find Nimaaya as a recommended choice. In short, Nimaaya continues to set an example for high-quality fertility care. We are frequently cited as a model among IVF services in India and as a benchmark among IVF services in Surat. Whether you are near Surat or elsewhere, choosing a clinic known among IVF services in India and IVF services in Surat can give you extra confidence in the care you receive.
Whether you are facing your first IVF cycle or you have tried before without success, remember that each attempt provides clues. Nimaaya’s experts will help you analyze those clues and adjust the plan – often turning a prior failure into success. Keep hope alive: with the right approach, support, and persistence, your path to parenthood is within reach.