-Dr. Astha Dayal, Director Obstetrics and Gynecology, CK Birla Hospital Gurgaon ,Robotic and Laparoscopic Surgeon
One of the most common issues we see as gynecologists is couples facing difficulty in conceiving.This is mainly due to advanced age, and impatience coupled with stress and social pressure. The intense social expectation to have children quickly—sometimes within the first year of marriage—drives families and even doctors to promote or choose IVF prematurely, especially when initial treatments take longer than anticipated
While IVF has transformed fertility options and offers hope,many couples may opt for IVF even before appropriate timing or alternative, less invasive treatments (like ovulation induction, timed intercourse, or intrauterine insemination) are fully explored.
In India, unlike several Western countries where clinical protocols and regulations strictly outline the indications for IVF, the criteria for recommending IVF can be far less standardized or rigorously enforced. Couples often see IVF as a shortcut, not just a last resort. Marketing and word-of-mouth success stories further reinforce this as “the solution” for any fertility struggle, regardless of cause.
While IVF can be a powerful tool for overcoming infertility, couples should understand that
many conceive naturally after patience, lifestyle modifications, addressing factors like timing, nutrition, and reducing stress and proper medical guidance. Both partners should aim for a healthy BMI, eat a balanced diet rich in nutrients, limit or exclude alcohol, quit smoking, get regular exercise, and manage stress. Taking folic acid and vitamin D supplements three months before conception is recommended. Men should avoid hot tubs, saunas, or placing laptops on their laps, as heat affects sperm quality
Also, before moving to IVF, proper fertility testing for both partners to assess ovarian reserve, fallopian tubes, uterine health, and semen analysis and some treatable conditions like thyroid imbalances, PCOS, or infections should be treated first. Women may need to take hormone injections and other medications to prepare eggs and the uterine lining.
IVF does not guarantee pregnancy. Success rates depend strongly on maternal age, the underlying cause of infertility, and overall health. For example, women under 35 tend to have higher success rates; the likelihood drops significantly after 40. Some couples may need more than one cycle.
IVF can be emotionally and physically taxing. It’s important to prepare for possible disappointment and the need for more than one cycle. IVF is costly, often not fully covered by insurance, and may require several cycles. It’s wise to plan financially and be prepared for both the direct and indirect expenses.
IVF is not a quick fix—timelines are longer than expected, with possible waiting periods and multiple steps in each cycle. Not all eggs become embryos, and not all embryos result in a pregnancy.
These are the facts, we as fertility experts wish couples would know, so they do not rush into IVF unprepared. Taking time to optimize health, understand the process, and explore all options can make a significant difference in outcomes and mental well-being.