More often than not, IVF takes repeated, costly and heart-wrenching attempts.

试管婴儿往往需要经过反复的、昂贵的而且是心痛的尝试。

youdao

There’s nothing more heart-wrenching—and, let’s face it, sometimes nerve-wracking—than a wailing infant.

我们必须正视一个事实，没有什么事情比哭闹的婴儿更加让人心疼，有时甚至伤透脑筋。

youdao

And that is what has happened in southern Somalia, where people have had to make heart-wrenching choices simply to stay alive.

这就是发生在索马里南部的情况：人们仅仅为了存活下去，就不得不作出痛彻心扉的选择。

youdao

"The reports and images that we have seen of collapsed hospitals, crumbled homes,and men and women carrying their injured neighbors through the streets are truly heart-wrenching,"

VOA: standard.2010.01.13

"Maybe we won't agree on abortion, but we can still agree that this heart-wrenching decision for any woman is not made casually, it has both moral and spiritual dimensions,"

VOA: standard.2009.05.17

So it is really heart-wrenching.

VOA: standard.2010.06.07

The news of the shooting at a spa in Brookfield, Wisconsin yesterday was heart-wrenching.

FORBES: The Brookfield Shooting is Part of a Rising Tide of Domestic Violence

After suffering a heart-wrenching decline of over 61%, Guess? shares are back in fashion.

FORBES: Fashionable Time To Buy Guess?

He said the decision to support the rise in university tuition fees was "the most heart-wrenching for me".

BBC: Nick Clegg warns of 'long, hard road' on economy