IVF This Podcast Episode 197: IVF & a Just World
Hello, hello, hello, my beautiful friends- we’re diving straight in today!
If effort guaranteed outcomes, everyone doing IVF would have a baby by now.
If showing up, taking the meds perfectly, advocating, researching clinics, eating the pineapple core, resting after transfer, doing acupuncture, staying hopeful, staying positive, staying strong —
If all of that worked like a formula…
You wouldn’t be listening to this episode.
(pause)
And yet here you are.
Still trying.
Still hoping.
Still doing everything you possibly can.
And somewhere — maybe quietly, maybe loudly — there’s that question:
What did I do wrong?
Today we’re going to talk about something that almost no one names in the IVF world, but it is everywhere.
The Just-World Fallacy.
And the way it absolutely shines — in the worst way — during IVF.
So what is the just world fallacy? That’s a great question, I’m so glad you asked!
The Just-World Fallacy is a cognitive distortion. A very common one. Not rare. Not pathological.
It’s the belief that:
Good things happen to good people.
Bad things happen for a reason.
If I do things right, life will reward me.
And I think this type of thinking comes so naturally to all of us — it feels so logical, so clean, so orderly — that we rarely stop to question it.
It fits beautifully into the black-and-white wiring of our brains.
Effort in. Outcome out.
Cause. Effect.
It’s structured. It’s reassuring. It feels safe.
But we do not live in a black-and-white world. We live in a gray, nuanced, probabilistic one.
And this distortion works beautifully in simple systems.
It just does not translate well to something as biologically complex and emotionally loaded as reproduction.
Just World thinking is a deeply ingrained mental shortcut most of us don’t even realize we’re using.
You’ve probably heard me talk about how our brains are wired for pattern and threat detection.
Your nervous system constantly scans:
What caused this?
How do I prevent it?
How do I stay safe?
Uncertainty feels unsafe. Randomness feels threatening. Lack of control feels vulnerable.
So our brains look for a cause.
And if it can’t find one externally… It WILL create one internally.
Because the brain prefers a painful explanation over no explanation at all.
Randomness leaves you exposed. Self-blame gives you something to hold.
And IVF — especially IVF — looks controllable.
It has protocols.
Dosages.
Embryo grades.
Lab reports.
Percentages.
Calendars.
It feels scientific. It feels measurable.
It feels like something that should respond to hard work.
So your brain quietly concludes: If I follow the steps correctly, I will earn the result.
And when the result doesn’t come…The belief flips inward.
Because the system can’t be wrong.
The protocol can’t be wrong.
The universe can’t be unfair.
So maybe I am. And THAT’S where we get into trouble and start doubling down on our pain.
Blaming yourself can actually feel more stabilizing than accepting randomness.
If it was my fault…then maybe I can fix it.
If I didn’t rest enough.
If I worked out too hard — or not enough.
If I should have cleaned up my diet sooner.
If I shouldn’t have had that glass of wine.
If I stressed too much.
If I didn’t meditate enough.
If I chose the wrong clinic.
If I didn’t advocate hard enough.
If I had done acupuncture. Or maybe I shouldn’t have done acupuncture.
If I waited too long.
Even that thought — as painful as it is — is your brain trying to convert probability into a moral mistake.
It’s hindsight pretending it was foresight. And hindsight does not mean you failed.
But when IVF doesn’t work, the just-world fallacy swoops in and says:
You should have known.
You should have seen this coming.
You should have prevented this.
Because if it was my fault…then maybe I can correct it.
Correction feels like control. And control feels like safety.
Randomness feels helpless. Self-blame feels active.
Even if it’s brutal. Even if it keeps you up at night replaying every detail.
There’s another layer. If this didn’t work because the world isn’t fair…
Then that means bad things can happen to responsible, loving, prepared, successful people.
People who followed the rules.
People who delayed gratification.
Women who built the career, got married, bought the house, did everything “right.”
That’s terrifying.
Because it means effort does not guarantee protection.
But if this didn’t work because I messed something up…Then the world is still fair. I just need to improve.
That is the just-world fallacy protecting itself. It preserves the illusion that life operates like a reward system.
Even if preserving that illusion requires you to turn against yourself.
And here is the truth:
When you keep scanning for what you did wrong, you are bargaining with chaos.
And chaos does not negotiate.
Now let’s hold nuance.
IVF is not pure chaos.
Repeated egg retrievals increase cumulative live birth rates.
Multiple euploid embryos increase overall probability.
Protocol adjustments can improve outcomes.
Treating uterine factors can improve the odds of implantation.
Donor eggs significantly shift statistics.
Medicine matters. Data matters. Each cycle teaches us something.
Effort can influence odds. But odds are not guarantees. And probability is not morality.
So, yes, continuing treatment often increases cumulative likelihood.
But people do not experience probability cumulatively.
We experience cycles sequentially.
Which means:
Each failure still feels absolute.
Even if the long-term math improves.
When a cycle fails, it does not feel like statistical progression.
It feels like a loss, because it is a loss. And that loss is real.
But it is not a verdict.
Not on your body.
Not on your effort.
Not on your worth.
Now, you know I love me some hope, and hope lives in probability
Hope says, “There’s still a chance.”
But when hope fuses with just-world thinking, it quietly becomes:
If I try hard enough…
If I believe correctly enough…
If I optimize perfectly enough…
I will get the baby.
That is not hope. That is pressure. Real hope is not a contract.
It is a willingness to keep showing up without guarantees.
It is staying willing—not because you are owed anything, but because you are brave enough to sit in uncertainty.
When you notice the self-blame creeping in — the replaying, the scanning, the “maybe if I had…” loop — try this.
Step one: Catch it.
“I’m in a what-did-I-do-wrong loop.”
Step two: Name it.
“This is my brain trying to create control.”
Step three: Reality check.
“Is this something I truly controlled, or am I turning probability into a moral verdict?”
Step four: Anchor yourself.
“This was biology, not punishment.”
“Self-blame is my nervous system looking for certainty.”
“I did not cause this with a thought, a meal, or a moment.”
“Unfair does not mean unworthy.”
“I can survive uncertainty without turning against myself.”
You do not have to solve the randomness. You just have to stop prosecuting yourself for normal, human things.
If IVF operated in a just world, effort would equal outcome.
And you wouldn’t be here. But reproduction is not a reward system.
It is biology layered on probability layered on complexity. Your outcome is not a moral report card.
You are not being graded. You are not being punished.
You are in something that is statistically real and emotionally brutal.
And you deserve compassion —not cross-examination.
My beautiful friends…
Unfair does not mean unworthy. And you are still worthy here.
Always.
And that is what I have for you this week. Be so gentle with yourself, and I will talk to you soon.