How to identify a bad IVF doctor

A patient just sent me this email.This is my first IVf cycle. ET was done on 15.01.2018.. after that bhcg result on 29th jan was 112.. doctor did a repeat bhcg on 31st jan which was 144..again they called us on 6th feb the bhcg was 122 and in tvs no embryo sac was found.. doctor has asked to stop all medicines and wait for the periods..Please suggest what could be the possible reason for it and if i will go for second IVf will it be successful..This was my replyThe fact that the HCG did not double after 2 days means your pregnancy was not viable.The doctor should not have given you false hope and make you wait unnecessarily like this.Did the doctor give you a HCG injection after the transfer ? This can fool you !Sadly, many IVF doctors continue to exploit the patient's ignorance, and the only way to protect yourself against this is by being better informed !1. Once the HCG is positive, the doctor should repeat it again after 3 days, at which point it should double.. If it does not  do so, this means the pregnancy is not healthy.Read more atwww.drmalpani.com/knowledge-center/articles/hcg2. The doctor should not give a HCG injection after doing the embryo transfer. This HCG will appear in the blood and the urine, and will fool the patient into thinking she is pregnant !3. The doctor should not ask for a vaginal ultrasound scan until the HCG crosses 1000 mIU/ml. If the scan is done before this, it will not provide any useful information, as the pregnancy sac is too small to...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs

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Conclusion 3D PDUS can be used as an effective screening tool to predict preeclampsia in early pregnancy.
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research
Lots of IVF doctors are very trigger happy, and make a diagnosis which is completely inaccurate. For example, they will do an ultrasound scan for a patient on the fifth or sixth day of the cycle and notice at that time that the follicles are small or the endometrium is thin , and then tell her, "Oh, your thin endometrium means that you most probably have endometrial tuberculosis, and you need investigation and treatment for this." This is plainly ridiculous ! On Day 6, most fertile women will have small follicles , because they haven't started growing yet , as a result of which their estrogen levels are goin...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Tags: IVF diagnosis IVF misdiagnosis IVF overdiagnosis IVF tests Source Type: blogs
ConclusionOur large study cohort of pregnant patients confirms MRI to be of high diagnostic value in the workup of acute appendicitis with 100% NPV and sensitivity and 99.5% specificity. Furthermore, an alternative diagnosis for abdominal pain in this patient population can be made in nearly half of MRI exams which are deemed negative for appendicitis.
Source: Abdominal Imaging - Category: Radiology Source Type: research
Vaginal ultrasound is an extremely useful tool when evaluating an infertile woman, but it often bothers me because there are some sonographers who over interpret the scan images. Now, I like the fact that they are careful and systematic, and document everything they see by taking lots of images. However, I hate the fact that draw clinical conclusions based on the black and white images they see on the screen - and they shouldn't be doing this.Their reports will say things like, " There are adhesions between the ovary and the uterus"; " There is a 3 cm endometriotic cyst"; the fallopian tubes a...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Authors: Zhu L, Cao Y, Wei O Abstract An extrauterine abdominal pregnancy is a very rare form of ectopic pregnancy in which implantation occurs within the peritoneal cavity, and outside the fallopian tube and ovary. It easily causes misdiagnosis and is closely related to maternal health. Only a few reported cases have been treated using laparoscopy. The authors report a case involving an extrauterine abdominal pregnancy diagnosed during laparoscopy located near the rectum. A 39-year-old gravida 3 para 1 who had a cesarean delivery 16 years ago was referred to the present department for evaluation of vaginal bleedin...
Source: Clinical and Experimental Obstetrics and Gynecology - Category: OBGYN Tags: Clin Exp Obstet Gynecol Source Type: research
Conclusion: CAs remain a major contributor to perinatal morbidity and mortality in Nigeria. Since most are idiopathic, early prenatal detection with ultrasound may facilitate improved diagnosis and the reduction of overall perinatal morbidity and mortality in the Nigerian setting.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
We present Mrs. EC, a 27-year-old G1P0 + 0 with a family history of multiple gestations who had a heterotopic pregnancy at a gestational age of 7 weeks. She presented with features of threatened miscarriage at early pregnancy with an ultrasound confirmation of intrauterine pregnancy. The diagnosis of ruptured ectopic pregnancy coexisting with intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Thereafter, pregnancy was carried to term, and she delivered a live male baby that weighed 3.0 kg. Heterotopic pregnancy should be sort for in all ...
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Abstract The presence of smooth endoplasmic reticulum aggregates (SERa) in the ooplasm is considered as the most severe oocyte dysmorphism due to its serious and potentially lethal outcomes in offspring. In the present case report, a couple underwent their first intracytoplasmic sperm injection (ICSI) cycle using a gonadotrophin releasing hormone (GnRH) antagonist protocol, followed by fetal ultrasound scanning and amniocentesis. SERa were observed in all oocytes retrieved. A singleton pregnancy was established. The second trimester fetal ultrasound scan revealed a female fetus with overlapping fingers in both han...
Source: Systems Biology in Reproductive Medicine - Category: Reproduction Medicine Authors: Tags: Syst Biol Reprod Med Source Type: research
CONCLUSIONS: There is currently a lack of RCT evidence regarding the effectiveness of interventions for investigating and identifying the causes of stillbirth. Seeking to determine the causes of stillbirth is an essential component of quality maternity care, but it remains unclear what impact these interventions have on the psychosocial outcomes of parents and families, the rates of diagnosis of the causes of stillbirth, and the care and management of subsequent pregnancies following stillbirth. Due to the absence of trials, this review is unable to inform clinical practice regarding the investigation of stillbirths, and t...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSION: We established a BW chart for the population of all babies at a given gestational age, including those still in utero, which overcomes the problem of underestimation of growth restriction in preterm births. The BW and EFW charts have a common median but they differ in the levels of spread from the median. PMID: 29696704 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
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