There are some great clinics that do observation of a natural cycle and use minimum interventions, however when there are issues with a couple becoming pregnant it is extremely rare that they actually ask the question why?
They usually go ahead with multiple IVF cycles – if the woman’s age allows and I have seen couple spend tens of thousands of £/$ on their treatment without the clinic perhaps exploring more as to why they are not getting pregnant. It is not financially advantageous for the clinics to do this.
Of course I understand people want to have the much desired baby as soon as possible but the amount of extremely strong drugs which are taken without perhaps proper investigation into causes of infertility and lifestyle changes are opted for too quickly.
The individual or couple trying to get pregnant needs patience and so do the support team around that person or couple.
Infertility patients are often vulnerable, even desperate and they’re also extremely easy to persuade. Some clinics have taken advantage of this driving them towards a quick fix which put financial pressure on them and persuades a person to strong medications or drastic medical interventions.
In my opinion, it is more important to have a diagnosis and evaluate all the options available. I advocate the gentlest course of action starting with a full evaluation of where you are today, general health for the man and the woman and if it becomes necessary starting with low levels of drugs and the gentlest forms of assisted fertility treatment available.