When Can Couples Opt for  IVF / ICSI 

The journey towards parenthood is a deeply personal and cherished one. However, for some couples, conceiving a child may not come easily due to various fertility challenges. In such cases, medical advancements like in vitro fertilization (IVF) offer a glimmer of hope. IVF has become a popular assisted reproductive technology, enabling couples to fulfill their dream of having a child. But when exactly should couples consider opting for IVF? Let’s explore the factors that may influence this decision.

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Unsuccessful attempts at natural conception:

Couples who have been trying to conceive for a significant period without success may start considering IVF. Typically, doctors recommend trying to conceive naturally for about a year before seeking fertility assistance. However, this timeframe can vary depending on the age and medical history of the couple. If conception remains elusive despite regular and unprotected intercourse, it may be time to consult a fertility specialist and discuss the possibility of IVF.

Female infertility factors:

If the female partner has known fertility issues, such as blocked fallopian tubes, polycystic ovary syndrome (PCOS), endometriosis, or diminished ovarian reserve, IVF can be a viable option. These conditions may significantly impact the chances of natural conception, making IVF a suitable alternative. IVF bypasses the need for fallopian tubes, helps stimulate ovulation, and increases the chances of successful fertilization.

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Male infertility factors:

Male infertility factors, such as low sperm count, poor sperm motility, or abnormal sperm morphology, can also necessitate considering ICSI. In such cases, ICSI  allows for the retrieval of sperm directly from the male partner and facilitates the fertilization process .It  may also be considered if the male partner has undergone a vasectomy, as sperm can be retrieved surgically for use in the ICSI  procedure.

Genetic disorders:

Couples with a history of genetic disorders or concerns about passing on hereditary conditions to their offspring may choose IVF/ ICSI  with preimplantation genetic testing (PGT). PGT involves screening embryos for  genetic abnormalities before implantation. This enables the selection of healthy embryos .

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Advanced maternal age:

As a woman ages, her fertility naturally declines. After the age of 35, the quality and quantity of eggs decrease, making conception more challenging. In such cases, IVF / ICSI  can be a viable option. By using fertility medications to stimulate the ovaries and retrieving multiple eggs, IVF/ ICSI  increases the chances of successful fertilization and implantation.

Unexplained infertility:

In some cases, couples may experience difficulties conceiving without any identifiable medical reason. This is known as unexplained infertility. When other fertility treatments have been unsuccessful, IVF/ICSI  can be an option to overcome this perplexing situation. IVF offers a more controlled environment for fertilization and allows for closer monitoring of the reproductive process.


The decision to pursue IVF is a deeply personal one and should be made in consultation with a fertility specialist. While IVF/ ICSI  has opened up new possibilities for couples facing fertility challenges, it is essential to explore alternative treatments and consider emotional, physical, and financial factors before proceeding. Seeking professional guidance and support throughout the process can help couples make informed decisions and navigate the complexities of infertility treatment. Remember, IVF /ICSI can provide hope and a path towards parenthood for many couples, offering the possibility of creating a loving family when other options 

Dr Ila Gupta
Director & Sr. Consultant Ferticity IVF & Fertility Clinics