Recurrent IVF Failure in Delhi
A systematic re-investigation after repeated transfers of good embryos have not implanted.
What recurrent IVF failure involves
Repeating the same protocol after three failed cycles is not a plan. When good-quality embryos have failed to implant more than twice, the question moves away from the embryo and towards the uterine cavity, the endometrium, the timing of transfer and the immune and clotting environment.
This is one of the situations Dr. Tiwari sees most often as a second opinion, and the first step is always a careful read of the existing cycle records — stimulation doses, response, fertilisation rate, embryo grades and transfer notes.
Who this is for
- Two or more failed transfers of good-quality blastocysts
- Previous cycles at other centres with no clear explanation given
- Thin endometrium or suspected intrauterine adhesions
- Recurrent biochemical pregnancies
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Cycle record review
Every previous cycle sheet is read in detail before any new test is ordered.
Uterine assessment
Hysteroscopy to inspect the cavity directly, looking for polyps, adhesions, septa or chronic endometritis.
Endometrial and immune workup
ERA timing test, endometrial biopsy for CD138, thrombophilia and thyroid screening where indicated.
Revised protocol
A changed stimulation approach, PGT-A, ERA-guided transfer or PRP for thin endometrium, as the findings dictate.
Your results, in writing
Whatever the outcome of recurrent IVF failure, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
What is different about having this done here
Second opinions welcomed with full previous records
Hysteroscopy performed rather than assumed unnecessary
Chronic endometritis actively looked for — it is often missed and easily treated
An honest conversation about when to stop, if that point has been reached
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Previous treatment records from other centres read in full
- Itemised costs given in writing before anything begins
Areas we see patients from
Both clinics are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about recurrent IVF failure
How many failed cycles before something should change?
Two. After two failed transfers of good blastocysts, a full re-evaluation is warranted before a third attempt.
Is an immune workup worth it?
Selectively. Some immune tests have a reasonable evidence base, many do not, and some clinics sell expensive panels of marginal value. We order the ones that would change management.
Should I change clinics?
Not automatically. What matters is whether the plan changes. If a new centre proposes the identical protocol, changing achieves nothing.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.