Who Really Needs IVF—and Who Doesn’t

The couple that didn’t need IVF. Not everyone does.

A young couple came to see me, both in their early thirties, anxious after a year of trying to conceive. They had already looked up IVF clinics online and were convinced something must be “wrong.” A standard work-up had shown that his sperm analysis was normal, her ovulation was regular every 27 days, hormone tests were normal, her fallopian tubes were …