The failure of IVF treatment can be both devastating and bewildering, particularly when there have been multiple unsuccessful attempts despite the treatment going technically well (Recurrent Implantation Failure). Patients often eagerly seek explanations for the lack of success and explore potential treatments to enhance their prospects in future cycles.
Browsing the internet can lead to increased confusion and anxiety when coming across information about different tests that your doctor may not have recommended. A lot of these investigations do not have enough scientific backing to be endorsed.
When contemplating conducting tests or interventions, it is crucial to ensure that we have evidence supporting their effectiveness, which is known as evidence-based medicine.
The European Society of Human Reproduction and Embryology (ESHRE) have published good practice guidelines on the investigation and management of couples with recurrent implantatiojn failure. This paper is a useful reference for professionals in guiding evidenced based practice. Even though its a scientific paper it can be useful for patients to understand why certain tests or treatments they have read about haven't been recommended.
You can browse the paper here
The diagrams below summarise an evidenced based approach to investigation and treatments of couples with recurrent treatment failure.
Reference
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