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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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A patient sent me this emailI had a query. I have conceived through IVF and ET was on Jan 6 th and my LMP was on Dec 20th.I got my ultrasound done on 16th Feb and in scan it showed the pregnancy is 5 weeks 6 days.If I calculate the growth of the baby from the date of the transfer, this seems fine, but if I calculate from the date of the LMP , it seems to be lagging behind.I am completely confused - can you please help ?This is a common problem, because IVF patients use their common sense and assume that doctors would calculate pregnancy dates based on the age of the embryo. Since they know the date of the embryo transfer, ...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
New study provides more evidence early pregnancy scans are not tied to the disorder -- Read more on ScientificAmerican.com
Source: Scientific American - Category: Science Authors: Tags: Health Biotech Mind Neurological Health Neuroscience Medical & Source Type: research
The incidence of autism spectrum disorder has dramatically increased in the...Read more on AuntMinnie.comRelated Reading: Teleultrasound is beneficial for assessing fetal health SDMS takes issue with ultrasound autism study MRI scans during 1st trimester of pregnancy are safe Can 1st-trimester ultrasound affect autism severity? Ultrasound shows autism risk after birth
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
A patient emailed me.I have had 2 miscarriages. My doctor advised to take a HSG test. The radiologist reported that my tubes are open, but I may have "peritubal disease " because there is "ampullary coiling" and the "fimbrial ends are clumped" . My doctor is insisting that I go for IVF . Can you please provide a second opinion about my case.This is has become a common racket. A HSG is a black and white shadow, and can only tell us if the tubes are open and closed. They cannot tell us if the tubes are working or not - and they definitely cannot tell us anything about what is happening outside t...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
A 36-yr-old woman, G5P2, who had a background history of systemic lupus erythematosus (SLE) was found to have placenta previa and placenta accreta on second trimester ultrasound scan. She had previous 3 spontaneous miscarriages but there was no history of gynecologic interventions. Apart from SLE, there was no other explanation for her recurrent miscarriage. The patient had ongoing thrombocytopenia in this pregnancy. The patient was taken for elective lower uterine segment cesarean section at 36 wk+5 d gestation. Balloon catheters were placed in the anterior branches of the internal iliac arteries before the operation. Des...
Source: International Journal of Gynecological Pathology - Category: Pathology Tags: Pathology of the Corpus: Case Report Source Type: research
The objective of our study was to assess the visualization of nasal bone in the first trimester and its credibility, by an experienced operator in a Tertiary Fetal Medicine Center. A total of 1245 women with singleton and multiple pregnancies, who were referred for routine first trimester ultrasound at 11 –14 weeks of gestation were assessed for the presence or absence of nasal bone in the fetus. The study was conducted at a Fetal Medicine Center in South India, by a highly experienced Fetal Medicine Consultant, during the period from October 2015 to December 2016. The fetal nasal bone was imaged in 1200 of thes...
Source: Journal of Fetal Medicine - Category: Perinatology & Neonatology Source Type: research
Conclusion Surgical management of caesarean scar ectopic pregnancy with total dehiscence of hysterotomy can be performed safely and efficiently under laparoscopy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Objectives We hypothesized that point-of-care ultrasound (POCUS) is as accurate as radiology-performed ultrasound in evaluating children with clinical concern for appendicitis. As part of a staged approach, we further hypothesized that POCUS could ultimately decrease computed tomography (CT) utilization. Methods This was a prospective, convenience sampling of patients aged 2 to 18 years presenting with abdominal pain to a pediatric emergency department. Those patients with prior abdominal imaging, pregnant, or unable to tolerate the examination were excluded. An algorithm was followed: POCUS was first performed, follo...
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Articles Source Type: research
ConclusionsCervical length at 37 weeks’ gestation is associated with intrapartum cesarean section.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Article Source Type: research
ConclusionsMaternal age, body mass index, bladder neck descent and family history of CS are antenatal predictors for levator trauma.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
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