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IVF AND IUI

Things your aunty told you about IVF. Checked.

Everyone has advice about IVF, and most of it is said with love. Some of it is true. Here are the claims couples hear most often in Chennai homes, each checked against the evidence, with the source.

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Written by the Jananam editorial team. Reviewed by Dr Vani Sundarapandian, MD, DGO, FRCOG (UK)

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Key takeaways

  • IVF is not a guarantee, and it is not only a last resort for older women.
  • Studies following children born after IVF into their teens are reassuring.
  • Bed rest after embryo transfer or IUI does not improve the chance of pregnancy.
  • A male factor is part of the reason in about half of couples, so both partners are tested.

The short answer

Most IVF myths are either too hopeful or too frightening. IVF does not guarantee a baby, and it is not only for older women. Bed rest after transfer does not help, stress is unlikely to make treatment fail, and studies of children born after IVF are reassuring. Jananam Fertility Centre, Chennai, checks each claim against the evidence.

12 things couples hear. The facts.

IVF is only for older women.

ActuallyIVF is used at any age when the diagnosis calls for it: blocked tubes, a significant sperm problem, low egg reserve or unexplained infertility. Age changes the likely result, not whether IVF is right.

IVF is the last resort, after everything else fails.

ActuallySometimes going to IVF sooner is the better use of time, when simpler treatment is unlikely to work or when age and falling egg reserve make waiting costly.

IVF guarantees a baby, first time.

ActuallyNo treatment can promise a baby. Many couples need more than one cycle, and your own chance depends mainly on age, egg reserve, the sperm and the diagnosis.

IVF babies are weaker, or "less natural".

ActuallyStudies following children born after IVF into their teens are reassuring on growth, heart and lung health and quality of life. IVF changes where egg and sperm meet, not the pregnancy after that.

IVF always means twins.

ActuallyTwins come from transferring more than one embryo. Transferring one embryo at a time, and freezing the others, keeps the chance of twins low.

You must lie flat after embryo transfer or IUI.

ActuallyBed rest does not improve the chance of pregnancy. You can get up, walk and go home straight after, and carry on with normal daily life.

Stress is why IVF isn't working.

ActuallyWorry before or during treatment has not been shown to lower the chance of pregnancy. Stress is real and deserves support, but it is not your fault.

IVF uses up your eggs and brings early menopause.

ActuallyThe injections help eggs from that month's group grow, eggs that would otherwise be lost that month. They do not draw on eggs meant for later years.

IVF is only for blocked tubes.

ActuallyBlocked tubes were the first reason for IVF. Today it is also used for sperm problems, endometriosis, low egg reserve, unexplained infertility and embryo testing where it is indicated.

Regular periods mean my fertility is fine.

ActuallyRegular periods suggest you ovulate. They say nothing about the tubes, the womb, egg reserve or the sperm, and egg quality falls with age even when periods stay regular.

Infertility is the woman's problem.

ActuallyA male factor is part of the reason in about half of couples who struggle to conceive. That's why we check both of you, starting with one simple semen test.

ICSI is just a better kind of IVF.

ActuallyICSI places one sperm in each egg and is needed for some sperm problems. "ICSI should not simply be viewed as automatically better IVF." (Dr Vani Sundarapandian)

Check your own situation at a first consultation
01

Is IVF only for older women, or a last resort?

Neither. IVF is used at any age when the diagnosis calls for it.

Blocked or damaged tubes, a significant sperm problem, low egg reserve and some cases of unexplained infertility can all point to IVF, whether she is 27 or 40. Age changes the likely result, not whether IVF is the right treatment. And IVF is not a way around age: it works with the eggs you have and cannot make new ones. The right question is not "Are we old enough for IVF?" but "What do our tests show?"

IVF at JananamThe Jananam Standard: both partners, first
02

Does IVF work the first time?

Sometimes, but many couples need more than one cycle, and no honest clinic promises a baby.

The chance in any one cycle depends mainly on the woman's age, her egg reserve, the sperm and the diagnosis. A first cycle that gave good embryos carries a very different outlook from one where few eggs were collected. That is why the doctor should explain what each cycle showed, not just whether it worked. Frozen embryos from one egg collection can give more than one transfer.

Why we don't quote a headline success rate
03

Are IVF babies different from other babies?

No. Studies following children born after IVF into their teens are reassuring.

Large studies from the UK and Australia have compared children born after IVF with other children, on growth, heart and lung health, and quality of life, and found them much the same. The bigger risk in IVF is twins, because twin pregnancies are more likely to come early. That risk comes from transferring more than one embryo, and it can be avoided.

Honest note

We do not transfer more than two embryos under any circumstance. Single embryo transfer is preferred for tested euploid embryos at any age, and usually under 38 with a good blastocyst. (Dr Vani Sundarapandian)

Twins in IVF
04

Do you need bed rest after embryo transfer or IUI?

No. Bed rest does not improve the chance of pregnancy.

Studies that compared resting in bed with getting up straight after embryo transfer found no benefit from rest. There is no good evidence that lying down helps after IUI either, and after sex, position does not decide whether you conceive. You can walk, go to work, travel by car and eat normally. Your doctor will tell you if anything in your own case needs care.

After IUI: what actually mattersAfter embryo transfer: dos and don'ts
05

Does IVF use up your eggs or bring early menopause?

No. The injections help eggs from that month's group grow; they do not take eggs from future years.

Each month a group of eggs starts to grow, and the body usually lets only one mature while the rest are lost. IVF injections rescue more of that month's group. They do not reach into the eggs held back for later months, so they do not bring menopause forward. Low egg reserve before IVF is a separate question, and an AMH test helps answer it.

Does IVF reduce ovarian reserve?
06

Is stress the reason it isn't working?

Unlikely. Worry before treatment has not been shown to lower the chance of pregnancy with IVF.

A review of studies covering thousands of women found no link between distress before treatment and whether IVF worked. "Just relax" is unkind advice, because it tells a woman her feelings are the problem. Stress during fertility treatment is real, and it deserves support for its own sake, not because it decides the result.

Honest note

A review of 14 studies found no link between anxiety or low mood before treatment and whether IVF led to pregnancy. The authors said this should reassure women and doctors. (What the evidence says (Boivin and colleagues, BMJ, 2011))

Coping with infertility

When to call us

When to call us

  • Family advice is delaying tests, and you have tried for 12 months (6 if she is 35 or over).
  • You have been told IVF is your only option and nobody has tested both of you.
  • You are worried about twins, or about the health of a baby conceived by IVF.
  • You had a previous pregnancy and cannot conceive again.
  • Severe tummy pain, a swollen tummy with breathlessness, or heavy bleeding with dizziness during IVF: call 108 or go to the nearest emergency department, then call us on +91 89399 94244.

Questions couples ask

Still unsure? Ask us on WhatsApp — a real person replies.

Are IVF babies normal?

Yes. Studies following children born after IVF into their teens are reassuring on growth, health and quality of life. The main extra risk comes from twins, which transferring one embryo at a time avoids.

Should I rest in bed after embryo transfer?

No, bed rest does not improve the chance of pregnancy. You can get up and go home straight after, and carry on with normal daily life.

Is infertility mostly the woman's problem?

No. A male factor is part of the reason in about half of couples who struggle to conceive, which is why both partners are tested in the first round.

We had a baby easily before. Why can't we conceive now?

Difficulty conceiving after an earlier pregnancy is called secondary infertility, and it is common. Age, egg reserve, sperm and new problems such as fibroids can all change between pregnancies.

Does contraception taken for years reduce fertility later?

No. Hormonal contraception does not cause lasting infertility, though cycles can take a short time to settle after stopping. What does change during those years is your age.

How long should we try before seeing a doctor?

See a doctor after 12 months of trying, or after 6 months if she is 35 or over. Go sooner with irregular periods, known endometriosis, past pelvic surgery or repeated miscarriage.

Dr Vani Sundarapandian

Reviewed by

Dr Vani Sundarapandian

MD, DGO, FRCOG (UK) · Founder, Jananam Fertility Centre

Written by the Jananam editorial team and reviewed by Dr Vani Sundarapandian, MD, DGO, FRCOG (UK), 20 years exclusively in reproductive medicine. Each myth card names its source.

Sources (5)
  1. HFEA (UK fertility regulator): In vitro fertilisation (IVF)
  2. ASRM (ReproductiveFacts.org): IVF: what are the risks? (patient fact sheet)
  3. Frontiers in Reproductive Health: The longer-term effects of IVF on offspring from childhood to adolescence (Hart and Wijs, 2022)
  4. JBRA Assisted Reproduction (via PubMed Central): Live birth rate following bed rest versus early mobilization after embryo transfer: a systematic review and meta-analysis (2022)
  5. BMJ: Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis (Boivin, Griffiths, Venetis, 2011)

Where to next.

More on this topic

Heard something about IVF? Ask us if it's true.

Send us the claim on WhatsApp and we'll tell you what the evidence says. A real person from Dr Vani's team replies during clinic hours (Mon to Sat, 9am to 5pm. Sunday closed.).

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