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The primary reason for many failed cycles is an incorrect diagnosis of the underlying cause of your infertility. By correctly identifying the reasons, a proper treatment plan can be made. This could include selecting a healthy embryo and transferring the embryo to a correctly prepared uterus. This can avoid multiple transfers and failures in most cases. Focusing on the medical staff (training, experience), understanding the importance of the embryology lab (infrastructure) and embryologists. Have you considered these issues more than the cost when you compared different clinics? All clinics and doctors are not the same. Cycles done at below-average clinics will typically lead to poor results.