What Happens If an IVF Cycle Doesn’t Work?

Dr. Eliran Mor And The IVF Journey: What Patients Should Know

Fertility care is about more than medication. There are two-week waits and constant appointments, and you have to trust a Doctor with something deeply personal.




For more than twenty years, Dr. Eliran Mor, a Southern California reproductive endocrinologist, has treated fertility patients, including with in vitro fertilization (IVF).

A Closer Look At Dr. Mor

His training path crosses two continents. Dr. Mor earned his medical degree in 1997 at the Sackler School of Medicine at Tel Aviv University, then moved to Brooklyn for a four-year obstetrics and gynecology residency at New York Methodist Hospital. He arrived in Los Angeles in 2001 for a three-year fellowship in reproductive endocrinology and infertility at the University of Southern California, which he finished in 2004.

Dr. Mor holds board certification in reproductive endocrinology and infertility as well as in obstetrics and gynecology. People often overlook the second credential, yet it means he is also trained in surgery and obstetrics, which helps when a fertility problem has a structural cause, such as fibroids or an unusually shaped uterus.

His professional memberships include the American Society for Reproductive Medicine, the Pacific Coast Reproductive Society, the Society of Laparoendoscopic Surgeons, and the American College of Obstetricians and Gynecologists. He is still a clinical instructor at USC, so he teaches while he treats patients. His command of English, Hebrew, French, and Spanish is useful in a city as linguistically diverse as Los Angeles.

His research interests include polycystic ovary syndrome (PCOS), male factor infertility, blocked or damaged fallopian tubes, IVF stimulation protocols, congenital uterine differences, and pregnancy at advanced reproductive age. More people now start families later in life, and they benefit from a Doctor who understands what the research really shows about age.

Age and IVF: What the Research SaysAge and IVF: What the Research Says

IVF Explained In Plain English

In a typical menstrual cycle, the body usually produces one mature egg. IVF tries to collect several, because more eggs means more chances at healthy embryos. The first phase is ovarian stimulation, which involves a week or two of hormone injections along with frequent ultrasounds and blood tests that track how the follicles are developing. Doses often get adjusted along the way.

When the follicles are ready, a final “trigger” shot prepares the eggs for release. Roughly thirty-six hours after that, a short outpatient procedure under sedation retrieves the eggs. Most patients head home the same day.

After retrieval, the work moves to the laboratory. The lab combines eggs and sperm, either by letting them meet in a dish or by using intracytoplasmic sperm injection (ICSI), in which an embryologist places a single sperm directly into an egg. Doctors often use ICSI when sperm count or movement is a concern. Over the following days the fertilized eggs develop into embryos.

The next step is the embryo transfer. In some cycles a fresh embryo is transferred right away, and in others the embryos are frozen and one is transferred later in a frozen embryo transfer (FET). The transfer itself is quick, often taking only minutes and usually done without anesthesia. Then comes a wait of roughly two weeks before a pregnancy test. Many people describe that wait as the most stressful part of the whole process.

Details vary from patient to patient, including which medication protocol to use, how many embryos to transfer, whether to freeze first, and whether genetic testing makes sense. An experienced physician matters most in those decisions.

Continuity Of Care

Dr. Mor’s own description of his practice puts continuity front and center. According to him, he personally handles the major steps of a patient’s care, from consultations and after-hours questions to pelvic exams, ultrasounds, egg retrievals, embryo transfers, and any surgery that is needed.

At many fertility clinics, a rotating team means a patient may see a different physician at almost every visit. When you’re anxious and running on little sleep, explaining your history for the fourth time to someone new can feel exhausting. One Doctor who already knows your history and your last cycle can notice patterns that a changing group of providers might overlook.

Reviews from patients on his Healthgrades profile point the same way. Reviewers call him warm and honest and say he answers every question without rushing them. A few also praise his staff as helpful and easy to reach. Online reviews are personal stories, not guarantees, and fertility outcomes depend on many things no Doctor controls.

Evidence Before Novelty

The fertility industry loves add-ons. New lab techniques and add-on procedures are marketed constantly, and a few of them have real evidence behind them. Many others do not. If you’re a patient, it’s hard to tell the difference, especially when you’re paying out of pocket and hoping for any edge.

Dr. Mor describes his approach as conservative. In his practice, he adopts new interventions only after they’ve held up in multiple good studies. To keep up with the field, he takes part in monthly journal club sessions and educational seminars, and he attends at least two major reproductive medicine conferences each year.

A conservative approach cannot guarantee a better outcome, though it can reduce the chance that a patient pays for an expensive treatment without solid evidence behind it.

Beyond Infertility: Genetic Testing And More

Not everyone who uses IVF has trouble conceiving. Some patients choose it to lower the risk of passing on an inherited condition through preimplantation genetic testing, which is often still called PGD. Before transfer, a few cells are taken from each embryo and analyzed, which allows embryos without a specific genetic variant to be selected.

Dr. Mor’s listed procedures include PGD, and one patient on his profile describes coming to him for exactly that reason: they carried a hereditary gene mutation and wanted to keep it from their children. Another review comes from a patient who says they froze eggs at age 34 and later used them in an IVF cycle with a partner.

His profile also lists a range of other procedures, including assisted hatching, intrauterine insemination, ovulation induction, hysteroscopy, and robotic-assisted surgery, which shows how broad fertility care can be. Not everyone needs IVF. Many people begin with simpler steps, and a good specialist should tell you honestly which path fits, even when that means a less intensive option.

Who Typically Needs IVF?

Blocked fallopian tubes are the classic example, because the egg and sperm cannot meet inside the body. Many people also turn to IVF because of endometriosis, PCOS that does not respond to milder treatment, or low ovarian reserve. So does male factor infertility. Others get a diagnosis of unexplained infertility, in which every test comes back normal and there is still no pregnancy.

Age matters a great deal. Both egg quantity and egg quality decline over time, and the decline speeds up in the late thirties. Waiting is not always a mistake, but an early evaluation shows you what your options are.

Same-sex couples and single parents by choice also rely on IVF, often with donor eggs, donor sperm, or a gestational carrier.

Cost, Insurance, And Choosing A Clinic

In the United States, one IVF cycle often costs well into five figures once medications and monitoring are included, and many patients need more than one cycle. Coverage varies enormously by state, employer, and plan. California has been widening its fertility coverage requirements, but what applies to you depends on the kind of plan you have, so call your insurer with specific questions before you start.

Several major carriers appear on Dr. Mor’s public profile, including Aetna, Anthem Blue Cross, Blue Cross Blue Shield, Cigna, and UnitedHealthcare. Provider networks change, and fertility benefits are often handled separately from regular medical coverage, so treat any online list as a starting point and confirm with both the office and your insurer.

Before choosing any specialist, consider asking these questions:

  • Does the physician hold board certification in reproductive endocrinology and infertility?
  • Will one Doctor handle my care from start to finish, or will I see a rotating team?
  • How does the clinic decide which add-ons to recommend?
  • Will I get a clear breakdown of costs before I commit?
  • Who do I call with an urgent question at 10 p.m.?

It’s also reasonable to check a Doctor’s background. Dr. Mor’s Healthgrades listing shows no malpractice claims, no sanctions, and no board actions.

The Emotional Toll Of IVF

IVF is physically demanding, and the emotional load can be just as heavy. Injections, appointments, bills, and uncertainty pile up, and together they can strain even solid relationships. Needing more than one attempt is common and normal, but that doesn’t make it easy.

Reviews of Dr. Mor often come back to how he and his staff treated patients. One couple describes a three-year journey with him that led to a second pregnancy. Another patient writes of “graduating” from his office at eleven weeks of pregnancy and already expecting to miss the staff.

Picking A Fertility Specialist

IVF has helped millions of people become parents. It is also expensive and emotionally demanding, and the process is complex enough that the choice of Doctor matters a great deal.

Dr. Mor is board certified in two specialties, trained at USC, still teaches there, and describes a practice built on personal involvement and evidence-based choices. For anyone considering IVF in the Los Angeles area, the questions listed above make a useful starting point for a consultation.

This article is for general informational purposes only and is not medical advice. Because every situation is different, please speak with a qualified healthcare provider about your own circumstances.