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Other reasons could include repeated implantation failures or miscarriages or being in a relationship where there is no female partner.
Repeated implantation failure is a problem for every IVF clinic because the unsuccessful IVF/ET attempts impose a significant psychological, emotional and financial burden on the infertile couples and are frustrating for the doctors trying to help them.
Martins said the study also included all women undergoing ART, not just those with repeated implantation failure, although the majority of participants had had at least two previous, unsuccessful embryo transfers.