A failed fertility treatment cycle can be heartbreaking. After investing time, money, and emotions, getting a negative result can feel devastating. If ART (assisted reproductive technology) doesn’t work the first time, it’s important to remember that you still have options.

Step 1: Understanding Why It Didn’t Work

Fertility treatments don’t always result in pregnancy on the first try. Reasons for failure can include:

• Poor embryo quality
• Implantation issues
• Chromosomal abnormalities
• Unidentified reproductive conditions

Your doctor may suggest additional testing to determine possible causes.

Step 2: Deciding on Next Steps

If your ART cycle didn’t succeed, consider the following options:

• Trying Another Cycle: Many people need multiple attempts before achieving pregnancy. Your doctor may adjust medications or transfer protocols.
• Exploring Donor Options: Donor eggs, sperm, or embryos can improve success rates if there are underlying fertility issues.
• Considering Surrogacy: If carrying a pregnancy isn’t possible, a gestational carrier may be an option.
• Looking Into Adoption: Some couples decide to pursue parenthood through adoption if ART treatments are unsuccessful.
• Taking a Break: If you feel emotionally or financially drained, stepping back from treatments to focus on self-care can be beneficial.

Coping with the Emotional Impact

A failed cycle can bring up feelings of grief, frustration, or hopelessness. Coping strategies include:

• Seeking therapy or counseling to process emotions.
• Joining a support group to connect with others going through similar experiences.
• Practicing self-care through meditation, journaling, or other stress-reducing activities.

A failed ART cycle doesn’t mean the end of your fertility journey. Take time to explore your options, seek support, and work with your doctor to develop the best path forward.

Source:
Steiner, A.Z., & Jukic, A.M. "Predictors of pregnancy success in assisted reproductive technology." Human Reproduction Update, vol. 25, no. 5, 2019, pp. 595-613. DOI: 10.1093/humupd/dmz022