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Miscarriage after IVF: When to Try Again

miscarriage after ivf

In vitro fertilisation (IVF) journey can be exciting and challenging for those hoping to conceive. However, one of the difficulties some individuals face is experiencing a miscarriage after IVF.

In this article, we will explore the topic of miscarriage after IVF in-depth and provide guidance on when it may be appropriate to try again.
We will explore IVF and miscarriage, factors contributing to miscarriage, emotional and psychological support, medical evaluation and consultation, timing for trying again, preparing for a subsequent IVF cycle, success stories and hope, and conclude with actionable steps for moving forward.

Understanding IVF and Miscarriage

In vitro fertilisation (IVF) is a fertility treatment that involves the retrieval of eggs and sperm, their fertilisation in a laboratory setting, and the transfer of embryos into the uterus. While IVF offers hope to many couples, miscarriage can still occur.

A miscarriage is the loss of a pregnancy before the 20th week, and it can be emotionally devastating for individuals and couples who have undergone IVF.

It’s important to note that the rate of miscarriage after IVF is slightly higher than natural conception, but success is still possible with proper care and support.

Factors Contributing to Miscarriage after IVF

Miscarriage after IVF can occur due to various factors. One significant factor is genetic abnormalities in the embryo. Chromosomal abnormalities can lead to implantation failure or early miscarriage.

Hormonal imbalances, such as inadequate progesterone levels, can also contribute to miscarriages.

Additionally, uterine abnormalities, such as fibroids or an abnormal shape, can hinder successful implantation and increase the risk of miscarriage.

Lastly, lifestyle factors such as smoking, excessive alcohol consumption, or being overweight can negatively impact the success of IVF and increase the likelihood of miscarriage.

It’s important to remember that not all miscarriages are preventable, and it does not reflect the individual or couple’s failure.

Emotional and Psychological Support

Experiencing a miscarriage can take a significant emotional toll on individuals and couples. The grief, sadness, and sense of loss can be overwhelming.

It’s crucial to seek emotional support through counselling, therapy, or support groups to navigate the complex emotions associated with loss and grief.

Connecting with others who have gone through similar experiences can provide comfort and a sense of understanding.

It’s important to prioritise self-care and allow yourself to grieve and heal emotionally.

Medical Evaluation and Consultation

After a miscarriage, consulting with a fertility specialist or reproductive endocrinologist is essential.

They will perform tests and evaluations to identify the cause of the miscarriage, which can help determine the best course of action for future attempts.

A comprehensive evaluation will include hormonal levels, uterine health, and genetic factors.

This evaluation will provide valuable insights into any underlying issues contributing to the miscarriage and guide the appropriate treatment plan.

Timing for Trying Again

Determining the ideal timing for attempting another IVF cycle after a miscarriage is a personalised decision. Factors to consider include physical recovery, emotional healing, and medical advice.

Waiting for at least one menstrual cycle is recommended to allow the body to heal physically, but the emotional healing process may take longer.

Your doctor will provide guidance based on your unique circumstances and may recommend further tests or treatments before embarking on another IVF cycle.

Success Stories and Hope

It’s important to remember that many individuals and couples have successfully conceived after experiencing a miscarriage and subsequent IVF attempts. Their stories offer hope and inspiration to others going through a similar journey.

Each person’s path is unique, and it’s essential to remain positive and hopeful.

While the road may be challenging, advancements in fertility treatments and ongoing support can increase the chances of a successful pregnancy.

Actionable Steps for Moving Forward

  1. Seek emotional support: Contact a counsellor, therapist, or support group specialising in infertility and miscarriage. Talking about your emotions and experiences can be healing and provide valuable guidance.
  2. Consult with your fertility specialist: Schedule an appointment with your doctor to discuss the results of your medical evaluation and seek their expert advice on the next steps. They will provide personalised recommendations based on your unique circumstances.
  3. Take care of your physical health: Focus on self-care by adopting a healthy lifestyle. Eat a balanced diet, exercise regularly, and get enough rest. Prioritise activities that help reduce stress and promote overall well-being.
  4. Consider alternative therapies: Explore complementary therapies such as acupuncture, yoga, or meditation, which may help reduce stress and improve fertility outcomes. Discuss these options with your gynaecologists.
  5. Stay positive and hopeful: Surround yourself with positive influences and stories of successful pregnancies after miscarriage. Engage in activities that bring joy and help you maintain a positive mindset throughout your journey.
  6. Communicate with your partner: Share your feelings and thoughts with your partner. Open communication is essential for mutual support and strengthening your bond during this challenging time.
  7. Educate yourself: Stay informed about the latest fertility treatments and research advancements. Understanding the science behind IVF and miscarriage can empower you to make informed decisions and advocate for your care.
  8. Be patient and kind to yourself: Remember that healing takes physical and emotional time. Allow yourself to grieve, process your emotions, and take breaks when needed. Trust that you are doing everything possible to increase your chances of success.


Conclusion Experiencing a miscarriage after IVF can be profoundly challenging and emotionally draining.

However, with the proper support, guidance, and medical care, it is possible to move forward and try again.

Remember to reach out for both emotional and medical support during this time.

Taking proactive steps, staying positive, and advocating for your care can increase your chances of achieving a successful pregnancy.

Stay resilient, and trust in your ability to create the family you’ve always dreamed of.

  • About Author

    Dr. Supriya Puranik

    Gynaecologist & IVF Specialist

Often known as the last glimmer of hope for people who have lost all hope for conceiving a child, Dr. Supriya Puranik is a leading gynaecologist, high risk obstetrician and Head of IVF & Gynaecology department at Ankura Hospital for Women & Children.

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