Conception after successful IVF: pregnancy with a second baby. Natural pregnancy after unsuccessful IVF: is it possible? Natural pregnancy after IVF

Not all women manage to easily conceive and carry a baby. Sometimes pregnancy does not occur for various, often incomprehensible reasons, and doctors, sadly spreading their hands, make a diagnosis - "infertility". However, for desperate women, there is always the opportunity to decide on IVF pregnancy, having received the desired child.

But what if the family wants to have two children? Is a natural pregnancy possible after IVF or is it necessary to decide on repeated in vitro fertilization? Are there state quotas for a second child conceived by IVF? All these questions arise immediately, as soon as parents who have completed a successful first IVF start planning a second pregnancy. Let's try to highlight the main points of the birth of a second baby after the first successful artificial insemination and answer popular questions.

What is IVF pregnancy and how is it different from normal?

Of course, the first IVF is already behind you, and your beloved child is most likely already walking, and possibly going to kindergarten or school. But let's remember what in vitro fertilization is.

IVF pregnancy is the only chance for couples who cannot have children together. An unpleasant diagnosis of "infertility" is made by doctors if a woman cannot become pregnant within two years, despite regular sex life without the use of any contraceptives. In this case, after passing all the tests, a decision is made on the need for medical intervention. Under artificially created conditions, the egg (and maybe several) is fertilized by the partner's sperm. The resulting embryo is implanted in the woman's uterus, where it develops in the most usual way.

That is why the first signs of pregnancy that occur after IVF are no different from the most standard signs that occur during the natural course of the process. But the course of pregnancy can be complicated by the characteristics of the female body, and therefore, the first trimester is usually accompanied by additional hormonal therapy.

IVF is offered to couples with various causes of infertility problems. This is the male factor, when there is too little sperm, and the absence of tubes in a woman, as well as their poor patency, and the psychological factor, and much, much more. However, over time for couples after the birth of their first child, a lot can change in life, in the body, and in the head. And at the moment when there is a desire to have a second child, it is worth analyzing the current situation.

Is a natural pregnancy possible after the first successful IVF?

As a rule, after suffering the first baby, parents are so confident in the acceptability of unprotected sex that they completely forget about protection. What contraceptives, if the doctors said "infertility"?! But the situation from the moment of the first conception and the birth of the first child can completely change. And the woman with amazement hypnotizes the test with two cheerful stripes ...

Indeed, studies conducted at different times and in different countries confirm the fact that a second natural pregnancy after IVF is quite likely. According to experts, as many as 17% of couples are able to conceive a second or even third child without outside intervention.

Often, of all couples seeking help, 12% have an unclear etiology of infertility that is not associated with obvious causes of hormonal or physiological disorders in a woman or with a low quality of the partner's sperm. But it is these couples who have the greatest chance of a spontaneous second pregnancy after IVF. Let's try to understand in what cases a turning point change in the situation is possible.

Treatment of specific female diseases

One of the reasons pushing a woman to IVF pregnancy is the obstruction of the fallopian tubes after any inflammatory diseases or hormonal imbalance in the body. A fairly common scenario is when, after childbirth, a woman's reproductive function is completely normalized in the body. Often a woman learns this suddenly, being pregnant with a second baby.

Psychological factor

If the cause of infertility was unclear, with both partners in full reproductive health, it may have been a matter of mental attitude. Never underestimate the human subconscious. Often, spontaneous conception is possible in such couples after childbirth, which resulted in IVF pregnancy, and after - a natural pregnancy occurs against the backdrop of a lack of haste and hidden fears very easily. Parents already have a baby, he was born, everything is in order with him, and I want a second baby, but this is, as it were, not necessary. Confidence and relaxation allow you to simply enjoy life. Again, couples diagnosed with "infertility" rarely bother with contraception, so the fall in moral attitudes that prevent pregnancy can be learned very unexpectedly.

Partner problems

Children born after IVF, the first signs of pregnancy - all this is achievable if a woman has at least a uterus. And now the firstborn is growing up. Is it possible to count on a second child, conceived naturally, if it's a man? Or a combination of female and male factors?

Yes, such a scenario is not excluded. Firstly, during this time a woman can change a lot, including ... her husband. In this case, there are no obstacles for re-pregnancy. But if a couple loves each other and strives to have another child, then a small miracle can happen even without IVF, a series of accidents is enough in which the sperm still gets to the egg, giving a new little life.

If, nevertheless, the second is also IVF

Depending on the age of the spouses, a natural pregnancy after IVF can be expected for several years. And if conception never happens, and you really want a second baby, the couple begins to think about IVF again. This procedure is quite expensive, and success is achieved in only 30% of cases. Of course, a couple who are already raising a child think about whether the game is worth the candle.

Do not forget that IVF pregnancy is sometimes necessary after a natural pregnancy, when infertility manifested itself after a successful first birth. If you are wondering why a second pregnancy does not occur, you should familiarize yourself with the possible factors affecting this process in this article.

Many future parents received their first IVF pregnancy under the state quota, which significantly saved the family budget. But can you count on a free procedure a second time?

The order of the Ministry of Health regarding the city of Moscow specifies that a free quota is provided for couples diagnosed with infertility and who do not have common children. Nevertheless, there are regional programs, and there are federal ones. In regional programs, you can often find restrictions on the presence of children and the age of the woman.

But the federal program provides for the opportunity to receive a free quota even for couples who have a common child, regardless of the age of the partners. As a rule, this concerns only one attempt and is performed only in Moscow clinics that have won the annual tender.

There is only one criterion for obtaining a federal quota - the presence of indications for IVF, however, the commission takes into account the forecast for a favorable outcome of the procedure and the health status of the woman who applied.

Keep it up and you will definitely succeed. Forward, for the second baby!

The article will discuss what are the prospects for getting pregnant naturally if an in vitro fertilization (IVF) operation was previously performed.

The in vitro fertilization procedure helps people who have lost hope of having children to realize their dream. Someone wants one child (although often the number of children during pregnancy as a result of IVF is higher), and someone wants to become parents for the second and third time. In this situation, the question arises: is a natural pregnancy possible after a successful IVF, and after an unsuccessful one? Let's try to understand this issue.

When is it held

If pregnancy does not occur naturally, future parents, primarily a woman, undergo a thorough comprehensive medical examination. The reasons can be different, both somatic and psychological. Before thinking about eco, eliminate the possible factors that prevent conception. As a rule, the lion's share of couples experiencing such problems do not reach IVF.

The list of indications for the appointment of IVF is clear: it is physiological female and male infertility of certain forms, as well as cases when, after a long examination of the couple, the cause of infertility has not been identified.

Several failed protocols: consequences

Naturally, a woman who has gone through an unsuccessful eco protocol and placed cherished hopes on him is in a state of frustration when her hands drop and the whole world seems meaningless. About what kind of experiences after the second or subsequent unsuccessful attempts, it is difficult to even guess.

The situation is aggravated by the fact that the break for a new procedure after an unsuccessful protocol is at least six months. Unfortunately, depression in this situation is almost inevitable. Therefore, it is necessary to connect the courage, and possibly the support of a psychologist, in order to successfully cope with it.

In addition to hitting the psychological state, several failed protocols in a row can also lead to problems with the digestive system, kidneys, liver, and new (or worsened) problems of the female reproductive system. This is due to the abundant medical support of the body during the preparation and passage of the procedure, as well as a high level of stress.

The likelihood of pregnancy on their own without the use of IVF

The possibility of pregnancy in the future without the use of IVF remains the same as before the procedure. The chances of conception are more likely to increase. An organism that has been trained for IVF, even after an unsuccessful protocol, remains “in the stimulus” set during preparation for the procedure. There are many cases when, after an unsuccessful protocol, and sometimes after several failures, patients have a natural pregnancy.

A team of scientists from France calculated the proportion of "spontaneous" conceptions in patients who underwent IVF: about 24% of French women who underwent unsuccessful in vitro fertilization subsequently gave birth to babies without resorting to this procedure anymore. The proportion of women who became pregnant naturally after successful IVF was approximately 17%.

What can contribute to a positive result

A positive emotional background of a woman and a healthy lifestyle have a positive effect on the ability to conceive: a balanced diet, moderate physical activity, attentive attitude to the health of one's body. All this is required both to achieve the desired result using the IVF procedure, and is a positive background for natural conception.

What negative factors can prevent independent conception after IVF

Factors that are exactly the opposite of those described in the previous paragraph can interfere with conception after IVF, namely: a depressed emotional state, inattention to one's own health and lifestyle.

Does the chance of natural pregnancy increase after successful fertilization

The chances of getting pregnant after a successful IVF procedure are higher. Firstly, the body "learned" and "remembered" the mechanism of conception and gestation, this effect is most relevant in the first year or two after childbirth and weakens over time.

Secondly, the psychological state of a woman: awareness of her “fullness” (with which there are often problems during the period of struggle with infertility), happiness from gaining the long-awaited status of a mother is only beneficial.

Natural conception after unsuccessful in vitro fertilization

After unsuccessful IVF, the body's ability to conceive naturally also increases. This is especially true in the first month after the unsuccessful procedure. Since the parents were preparing for the protocol: they followed the regimen, received medical and hormonal support for the body - all this is a favorable background for the onset of a "spontaneous" pregnancy.

Sometimes psychological factors interfere with the onset of pregnancy. For health reasons, there are no contraindications to conception, but a woman cannot become pregnant. This may be due to excessive experiences and reflection on this topic. On the other hand, the woman herself is not psychologically ready for the birth of a child, she has hidden anxieties. In these cases, not medical, but psychological help is required.

In vitro fertilization is a real opportunity to become parents when the situation seems hopeless.

However, it should be remembered that this is not a magic panacea, but a serious medical procedure. First, responsible preparation is required on the part of parents. Second, don't be afraid of failure.

Assisted reproductive technologies in the form of in vitro fertilization are resorted to when a married couple or a single woman cannot conceive a child naturally. The reason may be the infertility of one of the partners or both, for example, poor mobility or irregular shape of spermatozoa, obstruction of the fallopian tubes, anovulatory cycles. According to statistics, only a third of IVFs end in pregnancy. Many do 2-3 protocols before the embryos take root.

What to do if an IVF attempt was unsuccessful, how is the recovery going?

Before the IVF protocol, a woman undergoes hormonal therapy, which provokes superovulation - the maturation of several eggs at the same time in one menstrual cycle. After an unsuccessful attempt at in vitro fertilization, a woman's body recovers within a few months.

First of all, hormone therapy affects the menstrual cycle. The first menstruation can go 2-3 days after replanting, or it can be delayed for several weeks. The restoration of the functioning of the reproductive system depends on the individual characteristics of the woman, the state of health, the dosage of the drugs that she took. To control the restoration of the hormonal background, the gynecologist-endocrinologist sends for tests.

The need to take pills affects the health of the gastrointestinal tract, kidneys, and liver. With an exacerbation of chronic diseases, a woman needs to contact a gastroenterologist, urologist, nephrologist.

An unsuccessful IVF protocol, especially if this is not the first attempt, is a big shock for failed parents. The mental health of a woman can be shaken, emotional stress, disappointment often bring discord between spouses and lead to divorce. A therapist or family psychologist can help you cope with depression and overcome the crisis between husband and wife.

Is it possible to conceive a child naturally after unsuccessful IVF?

Is it possible to get pregnant after unsuccessful IVF? International studies show that the probability of spontaneous conception after an unsuccessful IVF protocol increases by 25%. Such conclusions were made by reproductive scientists from Great Britain and France. Before making the next attempt of in vitro fertilization, you need to wait a few months for the female body to fully recover, and it is during this period that the woman suddenly becomes pregnant.

Of course, you should not hope for a miraculous cure for infertility. The possibility of getting pregnant naturally is not systemic, and the IVF protocol does not cure infertility. This pattern only says that it is possible to conceive, so the spouses should continue their sexual life in anticipation of the next attempt of in vitro fertilization, and not give up.

Causes of natural pregnancy after unsuccessful IVF

The in vitro fertilization procedure is used by couples who cannot conceive a child on their own. Why does a natural pregnancy suddenly occur after IVF? Reasons why a woman can get pregnant:

• hormone therapy. Before ovarian puncture, the patient of the reproductive clinic receives a large dose of hormones, including follicle-stimulating, luteinizing, chorionic gonadotropin. Hormone therapy can trigger the body's natural reproductive mechanisms, which were previously depressed. In this case, pregnancy is possible if the cause of infertility was due to hormonal failure, lack of ovulation.
• Lifestyle change. Before the IVF protocol, a man and a woman begin to monitor their diet, they eat healthy food, refuse fast food, alcohol, heavy and fatty foods. Partners conduct moderate physical activity, monitor their health. A healthy lifestyle has a positive effect on fertility, a man can begin to produce more mobile and viable sperm.

• Positive attitude. In 15% of cases, the cause of infertility is psychogenic. Researchers cannot find a reason why the spouses do not have children, they are both healthy and genetically compatible. As soon as the couple gives up trying to conceive children, believing that it will not be possible to do this between the protocols, the level of stress and emotional tension decreases, and the woman becomes pregnant.

In what cases is a natural pregnancy impossible after an unsuccessful IVF?

The possibility of natural conception depends on what initially caused infertility. If the problem was solved indirectly, then fertilization becomes possible as a result of sexual intercourse.

There are situations in which natural conception cannot occur. Pregnancy will not happen in the following cases:

• Complete obstruction of the fallopian tubes or their absence. Adhesions that interfere with the advancement of eggs are formed after inflammatory processes in the appendages, surgery to eliminate the consequences of an ectopic pregnancy. The tubes are removed after rupture due to tubal gestation, during the treatment of oncological tumors.
• Bad spermogram. Akinospermia is the absence of motile spermatozoa. Cryptospermia is a negligible number of gametes that can only be detected by centrifugation. Teratozoospermia is the absence of anatomically correct spermatozoa in the ejaculate.

• Cases when you need a donor egg or sperm. Donor services are used when a woman's ovaries are removed, for example, after malignant tumors. A sperm donor is needed for azoospermia (absence of spermatozoa in the ejaculate) and necrospermia (absence of living gametes in semen).
• Immunological infertility caused by the presence of antisperm antibodies in the body of a woman or a man. The reason for the presence of antisperm antibodies can be inflammatory diseases of the genital organs, sexually transmitted infections, unprotected anal and oral sex.

You should not perceive the possibility of independent pregnancy after the IVF procedure as an obligatory event that must certainly happen, and you should not place high hopes on it, but you should not despair either. The human body has great potential, including the restoration of its functions, and sometimes it just needs a little help.

The desire to become pregnant on your own after an unsuccessful IVF is absolutely natural. And these are not empty fantasies. Some women (there is data on 20-25%), who were not helped by assisted reproductive technologies, managed to conceive naturally.

How to recover mentally and physically after unsuccessful IVF

Initially, after a failed reproductive procedure, it is vital to take care of yourself. Replenish strength, put in order the emotional state. Until this happens, you should not even think about independent pregnancy. Even if the desire comes true, the exhausted body is unable to bear the baby, which will further shake your faith in yourself. So take care of your body first.

Recovery will begin with an examination. The patient should visit a gynecologist and take tests that will help determine the cause of the failure. Often it is at this stage that the true cause of infertility is discovered. After a significant dose of hormonal agents and stimulation of superovulation, the patient may experience a violation of the menstrual cycle. It will take from one month to six months to restore it. The state of the digestive tract should not be overlooked, because due to the intake of a large number of drugs, the work of the stomach and intestines is disrupted. This, in turn, will start the process of reducing immunity.

Simultaneously with the restoration of health after a failed protocol, it is necessary to normalize the emotional state. The news of failure can undermine the morale of both spouses, but you can’t give up. A second IVF attempt will be allowed to be done no earlier than six months later. For this period, you need to take a break: take care of yourself, relax and, if possible, change the situation or go on vacation.

In order not to get depressed and not get hooked on sweets that lead to excess weight, you can go in for sports. Physical activity relaxes the body and distracts from negative thoughts.

Even if you have never consulted a psychologist or psychotherapist, now is the right time to start. The specialist will help you understand yourself, your emotions and properly experience them. You will definitely find the strength to live on and continue to fight for future children.

Despite the fact that the attempt to get pregnant failed, you can not blame the partner. On the contrary, failure should rally the couple in order to work together to cope with the circumstances that have arisen.

Can I get pregnant after IVF on my own?

As world practice shows, the probability of natural pregnancy after the use of assisted reproductive technologies increases. The only exceptions are those women who are physically unable to conceive a child without the help of modern medicine. This group includes patients:

• with premature ovarian failure or during menopause, when a donor cell was used for the procedure;
• with complete obstruction or absence of the fallopian tubes, since the spermatozoa will not be able to reach their goal due to the obstruction;
• with immunological infertility, when antisperm antibodies are produced in a woman's body.

For other partners, independent pregnancy after unsuccessful IVF is not excluded. Statistics show that the incidence of spontaneous pregnancy reaches 24% in couples who have experienced a failed protocol. Numerous situations are also known when it was possible to get pregnant naturally by spouses who were just waiting in line for the protocol. At the same time, they were previously diagnosed with "unspecified infertility".

There are also chances of getting pregnant for those women for whom IVF ended with the birth of a baby. According to medical observation, more than 10% of couples have conceived a child on their own over the next 10 years.

“Independent pregnancy is really possible,” confirms our consultant, geneticist, gynecologist-reproductologist. - But only if one of the main indications for IVF is the endocrine factor (hormonal disorders - most often the lack of adequate maturation of oocytes) and endometriosis, and not the lack of patency of the fallopian tubes. Then, in the next cycle after IVF, spontaneous pregnancy is possible. Loading with gonadotropins can normalize cycles up to 3-6 months.

The main reasons for natural pregnancy after IVF

Natural pregnancy after IVF is often unexpected for couples. Partners let go of the current situation and simply live a normal life, when suddenly, unexpectedly, a woman has a delay, and pregnancy is confirmed. There are several theories as to why conception occurs after IVF.

• The use of hormonal agents in a shock dose. During the protocol, the woman is forced to take drugs, with the help of which reproductologists regulate the processes in the ovaries and uterus. The body seems to be learning, and if before there was no ovulation, now it begins to occur regularly.
• Set your body up for pregnancy. During the protocol and before it, the patient tunes in to pregnancy, because she hopes for a successful outcome. Even if the protocol gave a negative result, the body still remains tuned. It happens that the patient herself became pregnant a month before the start of IVF.
• Changes made. Preparing for the protocol, the couple changes their lifestyle: they lead proper nutrition, physical activity, and give up bad habits. All this has a positive effect on fertility.

For couples who conceived naturally after unsuccessful IVF, emotional attitude played an important role. There is a concept of "psychological infertility". It would seem that both partners are healthy, but pregnancy does not occur. All because a woman and a man are fixated on their goal. When they realize that there is no chance and they will have to wait at least another six months, the emotional barrier disappears on its own, and the desired pregnancy occurs.

For a long time already, such a diagnosis as absolutely not a sentence for a married couple, since even in such a situation there are insignificant chances of conception. In most cases, married couples, when making such a diagnosis, resort to the method of in vitro fertilization.

This technique not only allows many couples to conceive a child, but also in medical practice there have been situations when, after an unsuccessful woman, after some time, she became pregnant on her own.

How to restore health after unsuccessful IVF

IVF requires from a married couple not only financial, but also mental, as well as physical costs.

But when these costs are justified, and lead to fertilization, this is one situation, but the situation is completely different if the attempt is unsuccessful.

At such a moment, the woman is upset and depressed, even though the woman is initially prepared for a negative result.

That is why it is very important to undergo a rehabilitation course after an unsuccessful IVF, which is especially necessary to restore the woman's body, her psyche, as well as to establish further relationships in the family.

Physical exercises are very important in the recovery process, as a result of which endorphins and adrenaline are produced, which contribute to the restoration of not only the psychological state, but also bring the body into shape, and also bring variety to life.

Also, after an unsuccessful IVF attempt, a woman needs to recover psychologically. Undoubtedly, it is good when a woman finds support among relatives, but, unfortunately, this does not always happen.

Therefore, in this case, it is best to seek help from a professional psychologist or enroll in a specialized group that deals with similar problems. It is not worth starting a depressive state, you need to correct this situation as soon as possible.

Of no small importance is the rehabilitation of family relations, since in case of an unsuccessful attempt, not only the woman suffers, but also the man too.

The whole situation in which, during the preparation for IVF, of course, does not contribute to romance and the improvement of intimate relationships.

Even if your marriage ties have weakened as a result of the current situation, try to reset the relationship and start all over again and then the long-awaited moment will definitely come in your life.

The most important thing is not to despair under any circumstances and hope for a favorable outcome of events, even if the current situation does not bode well.

In order to survive this situation, you first need to understand all the possible causes of failure.

In the event that the cause is identified, then try to get rid of it. You can also, if necessary, if you consider it necessary to change the doctor or the clinic in general, and after that you can try again.

Unfortunately, at present, the IVF procedure is a very expensive procedure, and not everyone has the opportunity to repeat it after an unsuccessful case. But, despite this, you still should not despair, since there is some likelihood of a natural pregnancy after an unsuccessful IVF.

Natural conception after unsuccessful IVF procedure

In the event that an attempt to conceive a child using the in vitro fertilization procedure ended unsuccessfully, do not despair.

As medical practice shows, the chances of a natural pregnancy after IVF increase significantly.

Pregnancy after unsuccessful IVF can occur in the next cycle. The most important thing in such a situation is never to lose hope and continue to try to conceive a child.

In addition, very often there are cases when independent pregnancy after IVF and the birth of a child occurred again.

This is due to the fact that the reproductive system returns to normal and the body's ability to conceive is stimulated.

Among other things, pregnancy in a natural way after unsuccessful IVF occurs as a result of the following factors:

1. due to long-term hormonal support, since for a long time the body is exposed to drugs that stimulate various processes;
2. full readiness of the woman's body for pregnancy, which does not disappear in case of unsuccessful IVF;
3. lifestyle changes, as in the process of preparing for IVF, the couple completely changes their lifestyle, daily routine and nutrition;
4. emotional component. Since in preparation for IVF, a woman forms certain impulses and the whole body prepares for it, if an unsuccessful attempt is made, a miracle can happen, and a woman can become pregnant naturally.

As practice shows, and reviews testify, pregnancy after IVF happens, and this is not uncommon.

In some cases, an unsuccessful attempt to conceive a child with the help of IVF is a specific push, as a result of which the body begins to work in a completely different way.

In order to increase the chances of natural conception, first of all, it is worth finding out the reasons that do not allow a woman to become pregnant and then undergo a full-fledged complex treatment. In addition, do not lose hope, since it is a positive attitude that plays one of the main roles on the path to a favorable conception.

Note!

According to statistics, about 34% of couples were able to become pregnant after unsuccessful IVF.

In most cases, pregnancy occurs within three to four months after the unsuccessful fertilization procedure. This is due to the characteristics of the organism, since it is during this period that increased ovarian activity is observed due to the stimulation transferred during preparation for eco-stimulation, and it is after this period of time that the menstrual cycle is restored.

Independent pregnancy after unsuccessful IVF occurs if:

• at the time of diagnosis, poor patency of the fallopian tubes was revealed, as well as hormonal imbalance. It is with such pathologies that, due to artificial conception, the reproductive function normalizes;
• in the event that the male factor was diagnosed as the cause of infertility. Basically, the solution to this problem occurs if a woman has a new sexual partner who does not have problems in this area;
• Often the cause of infertility is psychological reasons that disappear after the birth of a child with the help of IVF.

Even if your pregnancy after IVF still does not occur, you should not despair, since the birth of children sometimes happens even in spite of all, even the most unfavorable diagnoses.

According to reviews, natural pregnancy after IVF occurred even in the most incredible situations. Since ancient times, pregnancy has been considered a kind of gift from God. Some people who, for whatever reason, fail to get pregnant, begin to look for circumstances and events that could lead to such a punishment.

Very often, even couples, after unsuccessful attempts to conceive a child, decide to adopt children, and after that a real miracle happens and the woman manages to get pregnant. There are quite a few such stories. But, despite this, doctors still refuse to believe in miracles and explain such situations from their point of view.

As long-term practice shows, the IVF procedure is only a certain chance for conception to occur, but how the embryo takes root and develops further depends entirely on many factors that sometimes cannot even be explained.

The most important thing is to always monitor your health, eat right and lead a healthy lifestyle.

Conclusion

Is it possible to get pregnant after IVF on your own, this question is asked by many couples who find themselves in such a situation. Of course, unsuccessful IVF is a serious nuisance, but despite this, it is precisely such an attempt that can contribute to conception in a natural way.

That is why you should not despair and become depressed, and even before the moment the couple enters into the protocol, it is necessary to make every effort so that subsequently even an unsuccessful attempt does not turn into a real tragedy.

Even if, despite everything, the long-awaited pregnancy does not occur, it is always possible to repeat the artificial insemination procedure.

As practice shows after a long-awaited and successful protocol, all failures are instantly forgotten and regarded as an insignificant trifle.

Video: Failed IVF. What to do?