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 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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Many infertile patients get major heartburn when they realize that they aren't able to afford test tube baby treatments because they are so expensive. They can't understand why IVF doctors charge so much, and lots of patients end up thinking of IVF clinics as being greedy.Patients need to understand that part of test tube baby treatment is clinical – and this is what the patient sees. This includes: consultations, blood tests, ultrasound scans, egg collection, and embryo transfer.However, the heart of the IVF treatment is the IVF laboratory, and the patient doesn ’t get to see what goes on behind the scenes in ...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Because test tube baby treatment is so expensive, patients will often doctor shop and go from clinic to clinic in order to find out who the cheapest clinic is, so that they can afford the treatment .This is where some unethical clinics will take them for a ride.They will take out full page ad in a newspaper and advertise an extremely low price to lure patients.Then, in very small print, they'll say that medications cost extra; or ultrasound scans and lab procedures will need an additional fee.This means that by the time the patient has completed the treatment cycle , they'll end up paying much more than they budgeted for ,...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Conclusion: FKL can serve as an additional reliable parameter for accurate dating of GA during obstetric scan.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Conclusion: In a primary care setting, global fetal anatomical assessment at first-trimester scan without following a standardized protocol detects about 30% of all structural anomalies and most of the severe anomalies, with an extremely low false-positive rate. We hypothesize that additional training and use of a systematic protocol would improve early detection of structural anomalies.Fetal Diagn Ther
Source: Fetal Diagnosis and Therapy - Category: Perinatology & Neonatology Source Type: research
Which is the superior imaging study to exclude pulmonary embolism (PE) in pregnant...Read more on AuntMinnie.comRelated Reading: MRA tops CTA for pulmonary embolism evaluation French find no need for CT to rule out PE CT use for pulmonary embolism rises despite low yield Doctors who order fewer CTPA scans detect more PE Ultrasound elevates diagnosis of pulmonary embolism
Source: Headlines - Category: Radiology Source Type: news
This article is protected by copyright. All rights reserved. PMID: 30039641 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
CONCLUSION: Women with an underlying ectopic pregnancy tended to have higher hCGs, whichever assay was used. However, the current study does not support a role for a single measurement of hCG-H in the diagnosis of ectopic pregnancy within the PUL population. PMID: 29999275 [PubMed - in process]
Source: Journal of Reproductive Medicine - Category: Reproduction Medicine Tags: J Reprod Med Source Type: research
​BY GREGORY TAYLOR, DO, &JACKLYN MCPARLANE​, DOA 31-year-old woman with a significant medical history for one ectopic pregnancy and five spontaneous abortions presented with abdominal pain and vaginal bleeding. Her symptoms started abruptly two days earlier, and the pain was located in the right lower quadrant, which had become diffuse and she described as sharp. She was also experiencing nausea, vomiting, and vaginal bleeding.She stated she had been spotting for five days and soaking up to four pads a day. Her last menstrual period was two months before, and a home pregnancy test was positive. Her presentation was...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
Publication date: Available online 11 May 2018Source: The Egyptian Journal of Radiology and Nuclear MedicineAuthor(s): Susan Adil Ali, Mohamed Gamal El-Din Mansour, Omar Farouk, Walid E. MohammedAbstractPurposeto evaluate the role of three dimentional power doppler ultrasonography (3D PDUS) of the uteroplacental circulation in early pregnancy as a screening tool for prediction of preeclampsia.Patients and methods50 pregnant women who came to do routine ultrasound scan between 11 and 13.6 weeks of pregnancy during the period from February 2016 to April 2016. Placental volume and vascularization indices were obtained, and ...
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research
We report the case of a 28-year-old nulliparous female with unexplained infertility who underwent freeze-all vaginal oocyte retrieval. Twenty-one days later she presented with vaginal bleeding (similar to menstruation) and right lower-quadrant pain. The results of ultrasound scanning and a laboratory work-up were consistent with an ectopic pregnancy. She underwent laparoscopic right salpingectomy for a tubal ectopic pregnancy. We recommend sexual abstinence during assisted reproduction to lower the risk of multiple pregnancy and especially of heterotopic pregnancy.
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
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