Written by Dr. Namrata Raikar
“We’ve been trying for a few months — do we need IVF?”
If you’ve asked this question recently, you’re not alone. As a gynaecologist, it’s something I hear all the time — especially from anxious couples in their 20s and 30s.
And the honest answer? No, not everyone who isn’t conceiving needs IVF.
Why the rush?
In today’s digital world, with social media filled with IVF success stories and influencers documenting every injection and ultrasound, it’s easy to think IVF is the default solution.
But the truth is far less dramatic — and far more hopeful.
When Should You Start Worrying?
If you’re under 35 and otherwise healthy, we recommend trying to conceive naturally for 12 months before seeking medical advice. If you’re over 35, that timeframe shortens to 6 months.
Why? Because conception isn’t instant — it takes time, patience, and the right timing.
Small Tweaks. Big Results.
Many couples conceive without needing high-tech treatments.
Simple steps can make a huge difference:
- Tracking ovulation more accurately
- Making lifestyle changes (diet, sleep, stress)
- Addressing minor hormonal imbalances
- Treating infections or irregular cycles
Sometimes, low-intervention treatments like ovulation-inducing medications or IUI (intrauterine insemination) can help.
When is IVF Actually Needed?
IVF is incredible, no doubt. But it’s usually reserved for specific situations like:
- Blocked fallopian tubes
- Very low sperm count
- Endometriosis or severe PCOS
- Recurrent failed IUI or unexplained infertility
- Genetic conditions
The Bottom Line
Not conceiving immediately doesn’t mean something is wrong.
Most couples don’t jump to IVF — and many don’t need to.
What you do need is a structured, step-by-step approach with a fertility specialist who listens.
If you’re feeling uncertain, don’t panic — start with a conversation.
With patience, the right guidance, and clarity, your journey can begin calmly and confidently.
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