Why I Tell My IVF Patients to Expect the Unexpected—And Teach Founders the Same

Why I Tell My IVF Patients to Expect the Unexpected—And Teach Founders the Same
4 min read

I sat across from a couple last week in my clinic, their eyes filled with a mixture of hope and trepidation. They were embarking on their first IVF cycle and, like all my patients, were brimming with questions about success rates, procedures, and the emotional rollercoaster they were about to board. I’ve learned through years of experience that while I can provide them with statistics and meticulously crafted plans, the most honest piece of advice I can offer is simple yet profound: Expect the unexpected.

This mantra isn’t just applicable to the realm of IVF; it resonates deeply within my other passion—angel investing. Both fields, though seemingly disparate, share the unpredictability and the necessity for resilience, patience, and adaptability. Whether it’s the unpredictable response of a patient to a fertility protocol or a startup pivoting from its original business model, the capacity to embrace uncertainty can be the defining factor between success and failure.

IVF is a domain where the science is precise, but the outcomes are anything but. A patient may respond perfectly to stimulation, yet the embryos may not develop as anticipated. Conversely, a cycle that seems to be faltering can suddenly yield a viable pregnancy. This unpredictability is not a flaw of the system but a reflection of the complex interplay of biological variables we are yet to fully understand. Much like the startups I invest in, where a promising business plan can falter due to market dynamics or unforeseen competition, IVF treatments remind us that control is often an illusion.

As an angel investor, I have encountered founders who, like my IVF patients, are navigating a labyrinth of unknowns. They come armed with projections and forecasts, yet the reality of running a startup is often far removed from the Excel sheets they present. The market doesn’t always behave as predicted, and consumer behavior can be as fickle as a hormone level during an IVF cycle. This is why I’ve learned to value founders who, rather than clinging rigidly to their original plans, are willing to pivot, iterate, and learn from each twist and turn.

In both my clinic and my investment practice, I advocate for a mindset that prepares for surprises. For my IVF patients, this means understanding that while we aim for a successful outcome, the path may be nonlinear. It’s about staying informed, asking questions, and being an active participant in their treatment journey. For founders, it’s about being open to feedback, adjusting strategies, and sometimes reimagining their vision in the face of new information. This adaptability is crucial in both domains, as it allows one to not just survive uncertainty but to thrive because of it.

One might argue that the stakes in IVF are more personal, often involving deeply cherished dreams of parenthood. Yet, the emotional investment in a startup can be equally profound, driven by a founder’s vision and the desire to make a meaningful impact. In both cases, the journey is peppered with hopes and fears, triumphs and setbacks. The key is to remain grounded, resilient, and prepared for the unexpected.

It’s not just about expecting surprises but learning to manage them. In IVF, this could mean preparing for the possibility of multiple cycles or exploring alternative options like egg donation or surrogacy. In the startup world, it might involve diversifying revenue streams or identifying new market segments. Both fields demand a proactive approach to risk management, as I’ve discussed in my post “IVF Patients Teach Me More About Risk Management Than Any Investor”.

As I reflect on the parallels between these two worlds, I’m reminded that embracing uncertainty is not about relinquishing control but about finding empowerment within it. For my patients and the founders I mentor, this means acknowledging that while they can’t predict every outcome, they can influence their journey through informed decisions and resilience. It’s about finding strength in vulnerability and courage in the face of the unknown.

In conclusion, whether you’re a patient hoping for a family or a founder striving to build a successful startup, expect the unexpected. It’s a lesson that transcends both the clinic and the boardroom, reminding us that while the future is uncertain, our capacity to adapt and persevere remains our greatest asset.

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