The number of IVF cycles required to achieve pregnancy varies from couple to couple. As explained by Dr. Bhavana Mittal, widely regarded as the Best IVF Doctor in Delhi, while some couples conceive in the first attempt, others may need multiple cycles depending on medical conditions, age, and individual fertility factors.
Some couples conceive in the first IVF cycle.
Others may require 2–3 cycles for a successful pregnancy.
A small percentage may need more attempts due to complex fertility issues.
Important Note: Success rates improve cumulatively with multiple cycles.
1st Cycle:
Many women under 35 achieve success on their first attempt.
Success depends on egg quality and overall reproductive health.
2nd–3rd Cycle:
Often recommended if the first cycle does not succeed.
Doctors may adjust medication or protocol to improve outcomes.
Beyond 3 Cycles:
Further evaluation is done to identify hidden causes.
Advanced techniques such as ICSI, PGT, or blastocyst transfer may be recommended.
A. Age of the Woman
Women under 35 generally have higher success rates.
After 35, egg quality may decline.
After 40, multiple cycles may be required.
B. Ovarian Reserve (AMH Levels)
Higher AMH often means better response to stimulation.
Low ovarian reserve may require optimized protocols.
C. Cause of Infertility
PCOS
Endometriosis
Male factor infertility
Blocked fallopian tubes
Unexplained infertility
Each condition affects the number of attempts needed.
D. Embryo Quality
High-quality embryos increase implantation chances.
Blastocyst-stage embryos often improve success rates.
E. Lifestyle Factors
Smoking
Obesity
Stress
Poor diet
Healthy lifestyle changes can improve IVF outcomes.
IVF success increases over multiple cycles.
Studies show cumulative pregnancy rates significantly rise after 2–3 cycles.
Persistence and medical adjustments improve the chances of conception.
IVF can be emotionally demanding.
Proper counseling helps couples stay prepared.
Financial planning is important if multiple cycles are anticipated.
If pregnancy does not occur after 2–3 cycles:
Re-evaluate uterine health
Check embryo quality
Consider genetic testing (PGT)
Assess immune or implantation factors
Explore donor options if required
A detailed reassessment helps optimize future cycles.
According to Dr. Bhavana Mittal, who is one best IVF doctors in Delhi:
Every couple’s fertility journey is unique.
Many patients conceive within 1 to 3 IVF cycles.
Personalized protocols significantly improve outcomes.
Proper diagnosis before starting IVF reduces unnecessary repeated cycles.
She emphasizes:
Customized stimulation plans
Advanced laboratory techniques
Careful embryo selection
Transparent communication about realistic expectations