Join Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Abby Eblen from Nashville Fertility Center, and Dr. Susan Hudson from Texas Fertility Center as we delve into listener questions about the complexities of failed IVF cycles, offering insights and hope for young couples facing infertility challenges. We explore factors contributing to poor implantation after frozen embryo transfers and discuss advanced diagnostic tools like the ReceptivaDx, ALICE, and EMMA assays, which help identify underlying issues such as endometriosis and uterine microbiome imbalances. We also examine the sperm QT test to determine the necessity of ICSI in subsequent cycles. Our conversation covers the pros and cons of modified natural cycles versus programmed cycles, the role of laparoscopy in evaluating endometriosis, and strategies for managing PCOS, particularly when egg maturity is a concern. We provide guidance on treatment adjustments after one or multiple failed cycles, discuss the appropriateness of using Lovenox, and consider when hysteroscopy is indicated for detecting polyps. Join us for a comprehensive discussion aimed at empowering couples on their fertility journey. Have questions about infertility? Visit FertilityDocsUncensored.com to ask our docs. Selected questions will be answered anonymously in future episodes.