When IVF hasn't worked — and especially when it "should have" by now — it can feel like the ground is shifting beneath you. Dr. Erica breaks down exactly how she thinks through unsuccessful IVF, what questions haven't been asked yet, and why the answer is almost never "just keep doing more of the same."

This episode is for anyone who has had high-quality embryos not take, who has been told everything looks fine on paper, or who is wondering if there's something being missed.

In this episode:

• Why "unsuccessful IVF" means something different depending on how many transfers, what embryo quality, and what protocol — and why context is everything
• The question Dr. Erica always asks first: what were the odds IVF should have worked by now?
• Chronic endometritis: how common it actually is in this population, why so many people haven't been screened, and what happens to outcomes when it's treated
• Occult endometriosis and adenomyosis as drivers of implantation failure — even without classic symptoms
• Hydrosalpinx: the diagnosis that cuts success rates in half and is frequently missed on standard imaging
• Inflammation, PMOS, and why GLP-1 medications are showing up in the fertility conversation
• Uterine factor: IUD history, hypothalamic amenorrhea, Asherman's syndrome, and the compounding effect of multiple insults over time
• When stepping back from IVF — and trying Letrozole, Clomiphere or gonadotropin IUI cycles — is actually the smarter clinical move
• Two powerful client stories: one who conceived spontaneously after surrendering the outcome; one who got pregnant on her first letrozole cycle after multiple failed IVF retrievals
• Third-party reproduction and gestational carriers: how Dr. Erica helps people move toward those decisions thoughtfully, not reactively
• Why "just keep trying" is not a strategy — and what thoughtful, empowered decision-making actually looks like

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As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice.

If you found this conversation valuable, book a consult call with me using this link:

https://www.loveandsciencefertility.com/private-fertility-consult

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Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always.

In Gratitude,

Dr. Erica Bove