Explore IVF miscarriage risks, factors like age, genetic testing, and PGT screening. Learn how to minimise pregnancy loss in IVF cycles.

Introduction

Starting your IVF journey is a hopeful step toward building the family you’ve dreamed of. But it also comes with its own set of challenges, emotions, and uncertainties—one of them being the fear of miscarriage. It’s a difficult topic that weighs on the minds of many people going through IVF. If you’ve found yourself wondering whether an IVF pregnancy carries a higher risk of miscarriage, you’re not alone. We understand how important this question is, and we’re here to guide you with honest, compassionate information.

Miscarriage: Overview

First, it’s important to acknowledge that miscarriage, while incredibly difficult, is a common experience in both natural and IVF pregnancies. Around 10-20% of known pregnancies, according to the American Pregnancy Association, end in miscarriage. This often happens due to chromosomal issues that make the pregnancy non-viable. When it comes to IVF, the chances of miscarriage can be slightly higher, but that’s not because of the IVF procedure itself. It’s often linked to factors like the age of the eggs or the health of the embryo. IVF offers options like Preimplantation Genetic Testing (PGT), which can check for chromosomal abnormalities in embryos before they’re transferred. This can help reduce the risk of miscarriage and increase your chances of a healthy pregnancy.

Factors influencing miscarriage

The most significant factors influencing miscarriage risk in IVF pregnancies include:

•  Age of the woman or the egg donor: Women using their own eggs in their late 30s or 40s are more likely to experience miscarriage, as egg quality naturally declines with age. Egg donation, especially from a younger donor, can help lower this risk.
• -Underlying health conditions: Certain health issues, such as uterine abnormalities, hormonal imbalances, or immune system disorders, may increase the likelihood of miscarriage. IVF treatments may sometimes involve extra care or additional medications to address these issues.
• Embryo quality: Not all embryos have the same developmental potential. Sometimes, even after fertilization, the embryo may have chromosomal issues that prevent it from growing properly. PGT can help identify embryos with higher chances of successful implantation and reduce the risk of miscarriages.

The Role of Nature and Control in IVF Miscarriages

One of the strengths of IVF is that it provides more control over some aspects of the conception process, such as selecting higher-quality embryos or using genetic screening. However, despite the added layers of support, nature is still involved, and miscarriage remains a possibility. It’s important to remember that miscarriage is rarely the result of something you did or didn’t do—it’s often simply nature’s way of ending a pregnancy that was not progressing as it should.

Emotional Support During IVF Miscarriage Risks

Facing the possibility of miscarriage during IVF can be emotionally taxing. You’ve likely invested so much—physically, emotionally, and financially—into this process. It’s essential to have a support system in place, whether that’s a partner, family, friends, or a support group for others going through IVF. Many fertility clinics also offer counseling services, helping you process your emotions in a safe, supportive environment. 

Conclusion

While there is a slight increase in the risk of miscarriage for IVF pregnancies, this is often related to factors like age and embryo quality, not the IVF process itself. It’s essential to be informed, prepared, and supported as you navigate the IVF journey. Remember, miscarriage is not a reflection of your body’s ability or your worth as a person. Every step you take brings you closer to building the family you dream of, and we are here for you—no matter what. 

FAQs:

1. How does age affect the risk of miscarriage in IVF?

Age is a significant factor. Women over the age of 35 have a higher risk of miscarriage, whether conceiving naturally or through IVF. Egg quality declines with age, increasing the chances of chromosomal abnormalities in embryos. The risk of miscarriage in a young woman aged 20- 24yrs is around 11%, this increases to 50% in women aged 40 yrs and above!

2. Can genetic testing lower the miscarriage risk in IVF? 

Yes, Preimplantation Genetic Testing (PGT) can screen embryos for chromosomal abnormalities, helping to select the healthiest ones for transfer. This can reduce the risk of miscarriage by ensuring only viable embryos are implanted.

3. What should I do if I experience a miscarriage during IVF?  

If you experience a miscarriage, reach out to your fertility clinic for emotional and medical support. Many clinics offer counseling services and can guide you through the next steps, whether it’s trying again or considering other options.

4. Is there anything I can do to prevent a miscarriage in IVF?  

While certain factors are beyond your control, following your doctor’s advice on medications and lifestyle can help. Avoiding smoking, excessive alcohol, maintaining a healthy diet and weight and taking your medications on time can support a healthy pregnancy.