For many individuals and couples, trying to conceive can raise unexpected questions and concerns. When pregnancy doesn’t happen as planned, terms like IVF often come up—but what does IVF really involve, and when is it recommended?
In this guide, Dr. Sreelatha Gopalakrishnan, fertility specialist at Almond Blossoms, explains IVF in clear, simple terms and helps you understand what to expect before starting treatment.
What Is IVF and How Does It Work?
IVF (In Vitro Fertilisation) is a fertility treatment where an egg and sperm are fertilised outside the body in a laboratory, and the resulting embryo is transferred into the uterus to help achieve pregnancy.
IVF is commonly recommended when natural conception or simpler fertility treatments are unlikely to succeed.
Who Needs IVF Treatment?
IVF may be recommended for individuals or couples who:
- Have been trying to conceive for over 12 months (or 6 months if over 35)
- Have blocked or damaged fallopian tubes
- Experience male factor infertility
- Have conditions such as PCOS or endometriosis
- Have unexplained infertility
- Have not had success with other fertility treatments
According to Dr. Sreelatha, the decision to proceed with IVF is always individualized and based on careful medical evaluation.
Is IVF the First Step in Fertility Treatment?
No, IVF is not always the first step.
Many patients benefit from evaluation, lifestyle guidance, or less invasive treatments before IVF is considered. IVF is recommended only when it offers the best chance of success based on medical findings.
What to Expect Before Starting IVF
Before beginning IVF, a fertility assessment helps identify the cause of infertility and guides treatment planning. This may include:
- Hormonal blood tests
- Ultrasound scans
- Semen analysis (if applicable)
- Review of medical history and lifestyle factors
This step ensures that treatment is personalized rather than one-size-fits-all.
The IVF Process: Step by Step

Although IVF may sound complex, it generally follows these stages:
- Ovarian stimulation – Medications help the ovaries produce multiple eggs
- Egg retrieval – Eggs are collected using a minor procedure
- Fertilisation – Eggs and sperm are combined in the laboratory
- Embryo development – Fertilised embryos are monitored for growth
- Embryo transfer – A healthy embryo is placed into the uterus
Each step is carefully monitored to prioritize safety and effectiveness.
Is IVF Painful?
IVF is generally not painful, though some steps may cause mild discomfort. Most procedures are well-tolerated, and patients typically return to normal activities quickly with proper guidance and care.
How Long Does the IVF Process Take?
The IVF process usually takes 4 to 6 weeks from ovarian stimulation to embryo transfer. Timelines may vary depending on individual treatment plans and response to medication.
Emotional Support During IVF

IVF is both a medical and emotional journey. Feelings of stress, hope, and uncertainty are completely normal.
Dr. Sreelatha emphasizes:
- Clear and honest communication
- Realistic expectations
- Compassionate, patient-centered care
Emotional well-being plays an important role in the overall treatment experience.
How Successful Is IVF?
IVF success depends on several factors, including:
- Age
- Underlying fertility conditions
- Overall health
- Embryo quality
Rather than focusing only on statistics, treatment planning is centered on individual circumstances and achievable outcomes.
When Should You See a Fertility Specialist?
If you’ve been trying to conceive without success or have known reproductive health concerns, seeking guidance early can help clarify your options. A fertility consultation doesn’t always mean IVF—it means understanding the right next step for you.
What age is best for IVF?
IVF can be done at many ages, but success rates are generally higher in younger patients. Age is one of several factors considered during treatment planning.
Can IVF guarantee pregnancy?
No fertility treatment can guarantee pregnancy. IVF improves the chances of conception, but outcomes depend on individual medical factors.
How many IVF cycles are usually needed?
Some patients conceive in one cycle, while others may need more. The number of cycles varies based on age, diagnosis, and response to treatment.
Is IVF emotionally stressful?
IVF can be emotionally challenging for some patients. Support, clear communication, and realistic expectations can make the process more manageable.
When should I consult a fertility specialist?
If conception has not occurred after a year of trying (or six months if over 35), or if there are known reproductive concerns, consulting a fertility specialist is recommended.
Final Thoughts
Understanding fertility and IVF can feel overwhelming, but accurate information and compassionate guidance make the journey clearer. With personalized care and expert support, many patients find clarity and confidence in their next steps.
Consulting an experienced specialist like Dr. Sreelatha Gopalakrishnan can help you better understand your fertility options and plan the right path forward.


