Spontaneous pregnancy after 8.5 years of infertility and 4 years of IVF
My background: started TTC at 24 years old, currently 33. Always had textbook ovulation and regular cycles. Preliminary fertility testing after a year of trying showed slightly low AMH for my age but no other issues with myself or my husband. After several years and 2 egg retrievals with abysmal results, I was eventually diagnosed with silent endo and underwent laparoscopic excision in 2023, after which I tried naturally for another 6 months before heading back into the IVF world.
My next cycle of IVF yielded transferable embryos, and my first FET resulted in my first ever positive pregnancy test! This was in November 2024. Unfortunately, my betas did not double, and I experienced a chemical pregnancy loss at 5 weeks 2 days.
I underwent 2 more egg retrievals to try to bank some embryos before doing my second FET in November 2025, which failed to implant.
After this, my RE sent me to a reproductive immunologist, and the testing he did yielded no immune issues. So that was a dead end.
My RE then suggested a hysteroscopy with endometrial scratch in preparation for my next FET. I had the procedure in early January 2026. We gave a month for my body to recover from the procedure, and the plan was to start the FET process with my next cycle. Except my period never came! After 8.5 years of trying and never once seeing a spontaneous positive pregnancy test, I was unexpectedly pregnant. I am currently 23 weeks with what seems to be a perfectly healthy baby girl!
It’s unclear to myself or my doctor what can explain this success after so many years, but our best guess is that the hysteroscopy (in which she removed a small fibroid) and endometrial scratch brought my uterus to an optimal state, and everything else aligned with sperm and egg for a healthy embryo creation that month. But truly, it’s a crapshoot. I was told so many times before that a procedure or circumstance can increase chances: people are more fertile after an HSG, or after a pregnancy loss, or after excision surgery for endo… but none of those things made a difference for me. And I am sure there are many others who have underwent hysteroscopy/endometrial scratch and still not gotten pregnant. So I don’t want to suggest my experience is some sort of magical fertility pill; but if it’s been a while and you’ve exhausted other options, perhaps this is something to talk to with your RE. If it increases your chances by even a little, it might be worth a shot!