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Recurrent Implantation Failure

Recurrent Implantation Failure (RIF) is one of the world’s most challenging and painful experiences for someone going through a fertility cycle through in vitro fertilization (IVF). These conditions include several unsuccessful attempts to get pregnant, even with the existing embryos being placed into the uterus. RIF comes with multi-dimensional problems ranging from emotional and physical difficulties to financial exhaustion stemming from a series of failed IVF cycles. RIF has been among the toughest problems for many even after the increase in the advanced technology.

Recurrent IVF failure describes the numerous procedures which, while employing assisted methods of reproduction, such as In Vitro Fertilization, have not yielded any positive results. In extreme cases, even with the implantation of regular embryos, there is no tissue implant. This turns out to be a complex issue which exists during fertility therapy within men as well as women. There is even a phenomenon where clinicians do not understand why these patients do not conceive.

These two types may be classified as: early and late on the basis of when the different types of conceptive RIF occurs. An embryo that is implanted but the tissues immediately put a stop to other Recurrent Implantation Failure derived sequences is termed as Early Recurrent Implantation Failure whereas late is when an embryo does succeed in implanting but a miscarriage or other misfires set in.

Unlike the first, both types have their challenges regarding evaluation and treatment, which makes both of them unique.

Recurrent implantation failure has many potential causes. Issues concerning embryos like chromosomal abnormalities or low quality embryos are also present. Likewise, there are also uterine issues such as structural abnormalities, and moderate infection like chronic endometriosis that can interfere with implantation. Imbalances in hormones, such as those causes by diabetes or thyroid problems, may also be responsible for RIF. Moreover, lifestyle and environmental issues including smoking, drugs, bad nutrition, stress and high levels of physical activity can have dire effects on embryo implantation as well.

Among the signs of this medical complication is lack of emerging symptoms, also known as a patient’s failure to notice problems. The most prominent sign, however, is difficulty in conceiving following frequent embryo implantations. But the constant attempt to try to conceive leads to severe distress and emotional suffering, as they are left constantly trying to solve their feelings of frustration, despair, and hopelessness after multiple failed attempts.

Thorough examination procedures of the person or couple attempting to look for the problem is the first stage towards diagnosing recurrent fertility failure. These may include but are not restricted to: endometrial biopsy which inspects and potentially fetches portions of the afflicted site, blood tests for hormonal gaps, genetic tests for chromosomal abnormalities and finally hysteroscopy to evaluate structural issues within the uterus.

Additionally, a male partner’s semen can be examined to measure the quantity and quality of the sperm.

Recurrent implantation failure treatment is very specific and personalized as per the person’s requirements. One strategy might be increasing the quality of embryos by using advanced laboratory methods like genetic testing or better culturing techniques. Analyzing the endometrium for receptivity to determine the best timing for embryo transfer can also boost the odds of implantation. Hormonal preparation of the uterus can help improve the uterine lining for implantation, increasing the chances of successful pregnancy. These days, some couples may also use assisted reproductive techniques like surrogacy or gestational carriers to improve their odds of pregnancy.

Life may be made more bearable by perpetual implantation failure as it is a difficult condition to handle from an emotional and psychological point of view for couples seeking to have children. It is essential to clarify and understand the possible reasons and symptoms of the condition so it can be managed along with available tests and medication. Improving the success of embryo implantation by taking a comprehensive, individualized approach which includes medical treatment as well as changes to lifestyle factors will definitely increase the likelihood of having a healthy pregnancy.

Fertility experts are most relevant for women suffering from RIF since they will assist in am navigating through this difficult journey and help in making choices.

Fetal Medicine Specialist

Dr. Meena Jhala

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Fetal Medicine Specialist

Dr. Mayank Chowdhary

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MS OB/GYN
Masters in Reproductive Medicine & IVF
(Homerton, UK)

Dr. Shreya Iyengar Patel

MASTERS IN REPRODUCTIVE MEDICINE AND IVF(Homerton University Hospital, U.K)

July, 2013 to July, 2016 : M.S. Obstetrics and Gynaecology College: Smt. N.H.L. Municipal medical college University: Gujarat universityMarch, 2019,

2007-2013: M.B.B.S :

College: Smt. N.H.L. Municipal medical college
University: Gujarat university

Attended Many conferences and workshops.

MS OB/GYN (Gold Medalist)
Dip. Gyn Endoscopy (Kiel, Germany)
Fellow in Advanced GYN Endoscopy

Dr. Priyadatt Patel

Diploma in Gynaecological Endoscopy by Keil School of Gynaecological Endoscopy Germany,
March, 2019,

Diploma in Gynaecological Endoscopy by Keil School of Gynaecological Endoscopy Germany,
March, 2019,

Certificate of completion: Winners Project quizzes of the Bachelor level, Leuven, 3’d January, 2018.Fellowship training course in advanced gynaecological endoscopy at Mayflower Women’s Hospital Gynaecological Endoscopic training centre, Ahmedabad, India under Dr. Sanjay S. Patel (Recognised by FOGS! & Karl Storz (Germany)), 4th August, 2016 to 3rd August, 2017.

Hands on training programme for laparoscopic Radical Hysterectomy/ Total Laparoscopic Hysterectomyat Galaxy Care Hospital, Pune under Dr. Shailesh Puntambekar in 2017.

M.S. Obstetrics and Gynaecology, 2013 to 2016. Smt. N.H.C Municipal medical college, Gujarat university. With: University First with 4 Gold medals,
March, 2019,

M.B.B.S., 2006 TO 2012.
B.J.M.C., Ahmedabad, Gujarat university