Despite high success rates, it’s crucial to maintain realistic expectations. Fertility treatment can significantly increase your chances of conceiving, but there are no guarantees. Just like natural conception, fertility treatment doesn’t always result in a live birth. Occasionally, there may not be enough good eggs harvested, or fertilization may fail. The risk of miscarriage, especially in older women, can be as high as 15%. The live birth rate is lower than the clinical pregnancy rate, which is when a fetal heartbeat is detected via ultrasound. Additionally, there is a risk that implanted embryos may lodge in the fallopian tube, leading to an ectopic pregnancy.