Dr Pooja Bajaj Wadhwa

“Doctor, what did I do wrong?”

This is one of the first things I hear after a failed IVF cycle. 💔

And honestly, I wish every patient knew this:

A failed IVF cycle does not mean you failed. And it certainly doesn’t mean your journey is over.

Here are 5 things I tell almost every patient after an IVF failure:

1. One failed cycle doesn’t define your chances.
IVF is not a guarantee, and one unsuccessful attempt does not mean it can never work.

2. Let’s understand what happened before we try again.
We look back at the entire cycle — ovarian response, fertilisation, embryo development, embryo quality, transfer and other relevant factors.

3. Please don’t blame yourself.
You didn’t necessarily cause the failure by working, travelling, exercising, eating something “wrong” or simply living your normal life.

4. We don’t always need to repeat the same plan.
Sometimes, the next step is about reassessing the treatment strategy and deciding whether anything needs to change based on your individual history.

5. You’re allowed to take a moment.
You don’t have to pretend you’re okay or rush into the next cycle before you’re ready. 🤍

If you’ve experienced an IVF failure, remember: this is a setback, not a definition of your fertility journey.

Comment “YES” if you’ve been through an IVF failure and want to know what your next step could be. 💬



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Recently, during a consultation, a patient came to me who had been trying to conceive for the last 5 years.

She was exhausted and confused because, from the outside, everything seemed normal no obvious symptoms, and there was no clear explanation for why pregnancy wasn’t happening.

But when we evaluated her more closely, we found one underlying concern that had been missed hyperthyroidism.

Even when periods appear regular, an overactive thyroid can affect fertility by:

• Interfering with normal ovulation
• Affecting the reproductive hormone balance
• Making it harder to conceive naturally
• Increasing the risk of early pregnancy complications

This is why fertility evaluation shouldn’t always stop at checking whether your periods are regular.

Sometimes, the reason can be hidden behind something you may not even realise is affecting your fertility.

📌 Comment “YES” and I’ll share a fertility evaluation checklist with you.
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Recently, a patient came to me after experiencing three miscarriages.

She was emotionally exhausted. And every day, one thought kept coming back to her:

“Maybe my embryos were just not good enough.”

She had started believing that poor embryo quality was the reason her pregnancies were not continuing.

But when we looked at her case more closely, we found three hidden factors that could have been standing in the way of a healthy pregnancy.

1. Uterine factors
Sometimes, conditions inside the uterus such as fibroids, polyps, adhesions or a uterine septum can interfere with implantation or pregnancy progression.

2. Blood clotting / immune-related factors
Certain conditions, such as antiphospholipid syndrome, can increase the risk of pregnancy loss and may need to be specifically evaluated when clinically indicated.

3. Genetic factors
Sometimes, a chromosomal abnormality in the embryo can lead to miscarriage. In recurrent losses, evaluating both the pregnancy tissue (when available) and, in selected cases, the couple’s genetic factors can provide important answers.

Because sometimes, finding the right reason is the first step towards changing the next outcome. ❤️

📌 Comment “YES” to book a fertility consultation and understand what evaluation may be appropriate for your case.
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She was 37. Trying to conceive for 7 years.

Regular periods.
Male reports were fine.
Yet, pregnancy was still not happening.

So what was missing?

These were the 5 things we needed to look beyond:

1️⃣ Ovulation quality – Regular periods don’t always tell the complete story.

2️⃣ Ovarian reserve & egg quality – AMH is only one piece of the puzzle, not the complete fertility picture.

3️⃣ Tubal health – Regular periods and normal reports don’t confirm that the fallopian tubes are functioning normally.

4️⃣ Uterine & endometrial factors – The uterus and endometrium also need to be assessed for implantation.

5️⃣ A complete fertility history – Previous investigations, duration of infertility, lifestyle, age, and other clinical factors need to be considered together.

Because “everything is normal” doesn’t always mean everything has been evaluated.

Before deciding that IVF is the only answer, make sure your fertility story has been looked at completely.

💬 Comment “FERTILITY” below, and I’ll share the detailed list of these 5 things with you.



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PCOS doesn’t mean you can’t get pregnant.

Most women with PCOS can conceive they just need to know what’s actually affecting their fertility and how to address it.

PCOS can make ovulation irregular, but it does not mean you cannot conceive.

• Find out whether you are actually ovulating. Irregular periods often mean irregular ovulation, and identifying your ovulation pattern is the first step towards planning conception.

• Look beyond PCOS. If pregnancy is not happening, fertility evaluation should also consider your ovarian reserve, fallopian tubes, uterus and your partner’s s***m health—not assume PCOS is the only reason.

• Ovulation can often be medically induced. For women with PCOS who are not ovulating regularly, medicines can help stimulate ovulation and improve the chances of conception.

• Know when to move to the next step. If ovulation induction is unsuccessful or other fertility factors are present, treatments such as IUI or IVF may be considered based on your individual situation.

The key is understanding why you are not conceiving and choosing the right fertility treatment at the right time.

Want to know what your fertility journey with PCOS could look like?

📌 Comment “PCOS” and I’ll send you a simple guide on the next steps.
📞+91 8287914303
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Want to know what could be affecting your fertility? Comment “YES” and let’s start there. 👇

Because fertility is never just about the woman.

It takes two.

From egg quality and ovulation to s***m health, lifestyle, nutrition, sleep and overall health — both partners play a role in the chances of conception.

And sometimes, it’s the small changes in both that can make the biggest difference.

Ready to work on your fertility together?

📌 Comment “YES” to book your consultation. 🤍
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