The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF ovarian stimulation process, or from any issues with egg retrieval, egg quality and/or quantity, fertilization results, embryo development, or problems with the embryo transfer procedure. Often there will be an issue in one or more of these areas. The ovarian stimulation protocol and results as well as the embryo development issues should be discussed with the couple. Pictures of the embryos and quality scoring issues, including cell stages, fragmentation and regularity of the cells in day 3 transfer cases, or blastocyst grading and expansion scoring for day 5 transfer cases – should also be reviewed and discussed. Then a plan for a second IVF cycle can be formulated.
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