Why I Trust a Gut Feeling Over Algorithms in Both IVF and Investment Decisions

Why I Trust a Gut Feeling Over Algorithms in Both IVF and Investment Decisions
5 min read

Last week, a couple walked into my office, anxious and hopeful, clutching their dreams of parenthood. As an IVF specialist, I’ve been in this room countless times, yet every encounter remains unique. We talked, examined reports, and discussed options, but I found myself relying on something beyond the numbers and probabilities — my gut feeling. This isn’t just instinct; it’s a synthesis of years of experience, the nuances of patient interaction, and the subtle cues that guide my decisions. It’s an approach I’ve found invaluable not only in medicine but also in my role as an angel investor.

In the world of IVF, algorithms and data-driven decisions are vital, no doubt. They guide us, provide a framework, and help us chart the best course of action. But there’s a point where the data ends and the human element begins. For instance, embryo grading, a critical step in IVF, is often shrouded in confusion. The lab results are crucial, but they don’t tell the whole story. I’ve written about this before in “Embryo Grading Confusion: Why I Trust My Gut Over Labs”. Sometimes, the most promising-looking embryo on paper might not be the best choice. It’s the gut feeling, honed by experience, that guides us to the right decision.

Similarly, in the realm of investing, especially at the early stages where I operate, the data is often speculative at best. Founders present forecasts and market analyses, yet these are, more often than not, products of hopeful optimism rather than hard facts. Here too, my gut plays a pivotal role. It’s not about disregarding data; it’s about knowing when to trust your instincts. I’ve backed startups that others might have overlooked because something in my gut told me there was potential there. And yes, sometimes I’ve been wrong, but the wins — the home runs — have validated my approach.

Laura Huang’s research at Wharton resonates deeply with me. She talks about investors who rely on their gut feel, and it’s not some mystical sixth sense. It’s built on the foundation of experience, much like in medicine. In entrepreneurial investment, particularly at the seed stage, you’re often investing in a glimmer of an idea. The hard data available is based on estimates and dreams. Yet, the gut feel, cultivated through years of experience, becomes a more reliable indicator of where this venture might head in the future.

This isn’t to say that intuition is infallible. Far from it. But it’s a critical piece of the puzzle that complements the data. In both medicine and investing, decisions aren’t binary. There’s no absolute right or wrong. It’s about playing the averages and understanding that being wrong is a part of the journey. In fact, in the entrepreneurial context, being wrong on several investments is acceptable if one turns out to be a significant success.

In medicine, intuition often surfaces as a gut feeling during patient interactions — a sense of alarm or reassurance. Stolper et al. describe this in their work, noting that these feelings often arise early in a clinical encounter and are influenced by emotions and experience. It’s a sentiment I relate to. Each patient interaction is a dance between analytical reasoning and intuition. I trust my gut when it tells me something’s off, even if the initial data doesn’t support it, and often, further tests reveal that my instinct was correct.

The same applies to investing. You meet a founder, and within moments, you might get a sense of their authenticity, passion, and potential. It’s not foolproof, but it’s a start. I remember a particular founder who walked into my office with nothing but a prototype and a dream. The data didn’t look promising, and many would have walked away. But there was something in his conviction, his understanding of the market, that made me take the leap. That startup is now one of my most successful investments.

Critics might argue that relying on gut feelings opens the door to bias, and they’re not entirely wrong. There’s a risk of letting personal biases cloud judgment, but awareness and experience can mitigate this. It’s about balancing intuition with data, about knowing when to trust your gut and when to step back and analyze more rigorously.

In both IVF and investing, human connection is paramount. In my clinic, we prioritize human connection over technology, as I discussed in “Why My IVF Clinic Prioritizes Human Connection Over Cutting-Edge Tech”. The same principle applies to investing. The connection you establish with a founder can tell you more than any business plan. It’s about seeing beyond the pitch and understanding the person behind the idea.

At the end of the day, trusting your gut is about embracing uncertainty. It’s about acknowledging that you don’t have all the answers and that sometimes, the best decisions come from a place of instinct rather than analysis. In both medicine and investing, the stakes are high, and the outcomes can be life-changing. But it’s the willingness to trust in your experience and intuition that often leads to the most rewarding results.

As I continue to navigate these two worlds, I remain convinced that my gut feeling is one of my most valuable assets. It’s a compass that has guided me through complex decisions, a tool that complements the data and analysis. And in a world where uncertainty is the only certainty, I’ll continue to trust it.

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