No privacy in your IVF clinic?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 22, 2019 Category: Reproduction Medicine Source Type: blogs

Making sense of your IVF medications !
Many patients get confused by all the medicines and injections which are used in an IVF cycle, and this is partly because doctors themselves are very confused.You need to step back and look at the big picture to make sense of the technical minutiae.All we're trying do when we super-ovulate you is to help you to grow lots of mature eggs. We want you a synchronous cohort of follicles, all of which are roughly the same size.In order to do this, we have to give you hormones to stimulate your ovaries, which normally produce only one mature follicle ( which contains only one mature egg) every month. These could be by bumpin...
Source: Dr.Malpani's Blog - February 22, 2019 Category: Reproduction Medicine Source Type: blogs

Which hormone injection works best in IVF ?
There's still a lot of confusion as to whether we should use urinary gonadotropins or recombinant gonadotropins in IVF for superovulation ( = helping patients grow lots of follicles).Historically, we used urinary gonadotropins for many years. These are biological products , extracted from the urine of menopausal women , and they still work very well.The problem is that there is a lot of batch to batch variation , because the quality of the extracted hormones is not always consistent, and this can create a lot of problems, because patients don't respond well to the superovulation. This is why it's so important for doctors t...
Source: Dr.Malpani's Blog - February 21, 2019 Category: Reproduction Medicine Source Type: blogs

Embryo pooling for patients with poor ovarian response
Lots of patients who have a poor ovarian response end up getting only one or two embryos in an IVF cycle . Their options are to transfer the fresh embryo in the IVF cycle; or to freeze them, one at a time , store and pool them, and then transfer them later on, one at a time, after thawing them.The reason this is a better option is because time is at a premium for patients with poor ovarian reserve. Transferring an embryo and then waiting to see whether a pregnancy occurs or not ends up consuming a lot of time. It makes more sense to do 3-4 egg collection cycles , back to back , and therefore collect lots of eggs , and...
Source: Dr.Malpani's Blog - February 20, 2019 Category: Reproduction Medicine Source Type: blogs

Are you fed up of being treated as a number in your IVF clinic?
Does your IVF clinic seem to be an assembly line where they're more interested in extracting your money rather than treating you as a human being?Do you feel that there's no overall treatment plan or continuity, and that every time you go to the clinic you meet a different doctor - usually an assistant or a junior - who has no idea what's happening?Do you find that you have to wait for hours on end with no clarity at all?Do you find that no one is willing to share medical records with you or give you any details as to how your treatment is progressing?Do you find that there always seem to be last-minute changes in your tre...
Source: Dr.Malpani's Blog - February 19, 2019 Category: Reproduction Medicine Source Type: blogs

No privacy in your IVF clinic ?
IVF can be a very personal touchy, sensitive issue.When you go to an IVF clinic, you expect your doctor to respect your privacy and talk to you one-on-one, because you want to share things which you're not comfortable sharing with other people.Unfortunately in most IVF clinics, this privacy is sacrificed. There is a rush of patients , which means there are often two or three patients crowding around the doctor at the same time. Often, the consulting room door is wide open, which means other patients can hear the conversation you are having with the doctor, when he says thinks like, "Yes, you need to use donor sperm&qu...
Source: Dr.Malpani's Blog - February 18, 2019 Category: Reproduction Medicine Source Type: blogs

Which kind of IVF patients are we the best doctors for?
A single IVF clinic cannot possibly be right for all IVF patients . This means patients need to make a trade-off when selecting an IVF clinic !Should they go to the cheapest ? the nearest ? the most well known one ? the one who advertises the most ? the one who holds free camps ? the one who their GP sends them to ?I believe every doctor gets the patient they deserve, and every patient gets the doctor they deserve.This is why it's very important that the patients who come to us are those who appreciate the unique value which we add to IVF treatment.What makes us special is we have a lot of experience and expertise, and bec...
Source: Dr.Malpani's Blog - February 17, 2019 Category: Reproduction Medicine Source Type: blogs

Making sense of IVF treatment
One of the problems with IVF treatment is that patients still don't understand what the process involves. Not only doctors love complexifying the process ( so they can charge more for it !), there are so many myths and misconceptions floating around - both online and in the real world, that they don't know whom to trust.Most of them assume that it's too complicated for them to understand, and are happy to leave everything upto their doctor. This is why they are very vulnerable, and it's easy for unscrupulous doctors to tale them for ride, by using tons of jargon - and using this as a pretext to charge more for ev...
Source: Dr.Malpani's Blog - February 15, 2019 Category: Reproduction Medicine Source Type: blogs

What will my donor egg IVF baby look like?
One of the biggest concerns which patients who do donor egg IVF have is - What will my baby look like?They have to take a major leap of faith, because they don't get a chance to see what the donor looks like. They major worry is - Will my baby resemble me , or will people know that I've used donor eggs? Will my baby be intelligent ? Will my baby behave the way I do?It's normal to have lots of concerns, ICMR rules in India don't allow us to show photographs of egg donors, because egg donation in India has to be confidential and anonymous.That's why we reassure patients, and tell them that by using frozen donor eggs, we can ...
Source: Dr.Malpani's Blog - February 14, 2019 Category: Reproduction Medicine Source Type: blogs

When doctors cause infertility !
The biggest tragedy in reproductive medicine is when patients are made infertile as a result of the doctor's treatment !This hurts , because when you go to a doctor , you want him to help you to have a baby . However, when instead of doing so , he actually makes you infertile by doing the wrong treatment, this just adds insult to injury and makes you bitter and angry !A classic example is women who have a missed abortion .The standard method in the past for treating this was by doing a D&C . Today, thanks to advances in medicine, it's possible to terminate this pregnancy medically , using medicines such as Mifegest and...
Source: Dr.Malpani's Blog - February 7, 2019 Category: Reproduction Medicine Source Type: blogs

Iatrogenic infertility
Being infertile is bad enough, but when the infertility is caused by an infertility specialist, this makes it much worse !Sadly, we continue to see lots of patients, whose fertility has been damaged because of poor quality treatment.Here is an example ( names withheld to protect the guilty !)I have a very low amh of 1.16. I have undergone 3 cycles of IUI from Dr G, a gynecologist, none of which were successful. After that, I underwent laparoscopic  surgery by Dr H, an IVF specialist, for removal of endometriosis cyst. During the procedure , the doctor discovered I had a hydrosalpinx in both my fallopian tubes , so the...
Source: Dr.Malpani's Blog - February 6, 2019 Category: Reproduction Medicine Source Type: blogs

आईवीएफ़ के फेल होने के बाद के जवाब
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 4, 2019 Category: Reproduction Medicine Source Type: blogs

आईवीएफ़ के असफ़ल होने की कीमत
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 4, 2019 Category: Reproduction Medicine Source Type: blogs

Simplifying IVF !
I have found that patients are intimidated by the concept of IVF, and think of it as being a very complex treatment. This is also partly because doctors love adding a lot of medical jargon such as ICSI, PGT, blastocyst transfer and vitrification to the treatment. Perhaps this is also because they can charge an arm and a leg for it, because  the more complex patients think the treatment is , the more they can charge for it! However, the basics of IVF are very simple ! All we are doing is helping to kick-start a pregnancy , so that we imitate in the test tube in the IVF lab what would normally happen in the bedroom...
Source: Dr.Malpani's Blog - January 28, 2019 Category: Reproduction Medicine Source Type: blogs

एक फेल आईवीएफ साइकल के बाद मरीज़ ये सवाल पूछते हैं
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 27, 2019 Category: Reproduction Medicine Source Type: blogs

आईवीएफ से मेरे प्रेग्नेंट होने के क्या चांसेज हैं?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 23, 2019 Category: Reproduction Medicine Source Type: blogs

Does your IVF doctor respect you?
Most IVF clinics aren't very open or transparent about the IVF treatment which they offer to their patients. Doctors - and even their assistants - are often very patronizing , and most Indian doctors are still quite patriarchal . They believe they should decide for the patient what is right for them, which is why they don't discuss options or explain alternatives. They will often railroad the patient into doing IVF treatment, and will even hide details about how the treatment is progressing.Some of them will even use donor gametes , without bothering to inform the patient !Ideally, you want a doctor who will treat you like...
Source: Dr.Malpani's Blog - January 23, 2019 Category: Reproduction Medicine Source Type: blogs

How many IVF cycles should I do?
Every patient starts an IVF cycle with the hope that it's going to be their first and the last. After all, if they didn't think so in their heart of hearts, very few would have the courage to actually start the cycle , because this can really be an emotional roller coaster ride which can be hard to cope with.When an IVF cycle fails, your heart breaks and you often go to pieces, which is why it's a good idea to take a physical break and then reassess your situation. Are you happy that you don't have to go back to the clinic? That means your heart is signalling that you have had enough ! On the other hand, are you looki...
Source: Dr.Malpani's Blog - January 22, 2019 Category: Reproduction Medicine Source Type: blogs

The infertility camp scam
Corporate chains of IVF clinics need to generate a profit, and in order to do so they need to drum up business.Rather than wait for infertile couples to come to them, they go out into the community in order to attract infertile couples to come to them !The best way of doing this is by holding free medical camps, and this is why infertility camps have become extremely popular - especially in tier two and tier three cities, where new IVF clinics want to grab as much market share as possible.They offer a free camp with a free consultation with an IVF specialist, but the purpose of the consultation is not really to help the in...
Source: Dr.Malpani's Blog - January 21, 2019 Category: Reproduction Medicine Source Type: blogs

Cross referrals between urologist and gynecologist for IUI treatment
Lots of patients with a low sperm count are seen by a gynecologist , who then advises them to do an IUI treatment because they don't have anything better to offer them.However, because their sperm count is poor, they refer the patient to an andrologist/ urologist .Many urologists are clueless about male infertility treatment , because they specialize in doing other things , such as removing prostates and treating kidney stones. This is why most of them aren't very interested in treating the infertile man, because they are primarily surgeons who like operating. And honest urologists know there is little they can offer ...
Source: Dr.Malpani's Blog - January 20, 2019 Category: Reproduction Medicine Source Type: blogs

The misdiagnosis of PCO
We see lots of patients who are misdiagnosed as having PCO (polycystic ovarian disease) , and this is partly because lots of sonographers aren't good at making the diagnosis properly.When they see a few ovarian follicles on an ultrasound scan, they interpret these as being small cysts, and any time they see a few cysts in the ovaries, they say that the patient has PCO.This is completely incorrect, because there are very strict criteria laid down for how to make a diagnosis of PCO on an ultrasound scan. The antral follicle count needs to be high; the ovaries need to be large; and the ovarian stroma needs to be increased. Un...
Source: Dr.Malpani's Blog - January 19, 2019 Category: Reproduction Medicine Source Type: blogs

A free solution for reducing IVF stress !
Many people think of IVF as being stressful, but the reality is that one of the reasons for this stress is ignorance - and this is avoidable !Many patients haven't been counseled adequately, and don't know enough about the treatment plan, because the IVF doctor has not bothered to define this clearly. This is why there's a lot of uncertainty and confusion in their head ! They don't know what's going to happen next and they have no idea whether their cycle's going well or not. The assistants are very unhelpful and the senior doctor is never available, which means they don't even know how many follicles they are growing...
Source: Dr.Malpani's Blog - January 17, 2019 Category: Reproduction Medicine Source Type: blogs

What is your IVF commission rate?
Gynecologists refer infertile patients for IVF treatment to specialist IVF clinics ,because they can not offer this treatment themselves.One would logically expect them to send their patients to the IVF clinic with the best pregnancy rate because they want all their patients to get pregnant.This is why you would expect that when gynecologists meet IVF specialists, the question they would ask is, "What's your success rate?" or "How do you tackle with patients with a particular complex problem?"But interestingly, the commonest question gynecologists ask IVF doctors these days is, "What is your commis...
Source: Dr.Malpani's Blog - January 16, 2019 Category: Reproduction Medicine Source Type: blogs

When Freezing Embryos is a Bad Idea.
In the past, the pregnancy rate with frozen embryos was poor, because a lot of these embryos would die as a result of the freezing and thawing process. The standard method was called slow freezing, and when the embryos were thawed, the ice crystals in the cytoplasm would kill the embryos. However, today, with flash freezing or vitrification, the survival rate is 100% in good clinics.However, the reality is that not all clinics are good clinics , and lots of them don't have the experience or the expertise to be able to vitrify embryos well. As a result of this, a lot of these frozen embryos get damaged during the thaw proce...
Source: Dr.Malpani's Blog - January 15, 2019 Category: Reproduction Medicine Source Type: blogs

Why sophisticated IVF patients love technology - and how this can hurt them
We treat IVF patients who come from different backgrounds , and it's interesting to see that the ones who are engineers and MBAs want to use the latest advanced technology in order to solve their problems . These are the patients who want us to do all kinds of tests, such as ERA ( endometrial receptivity assay) , PGT ( preimplantation genetic testing) and sperm DNA fragmentation, because they've read about these newest tests on Dr Google. They believe that the more the technology we use, the better their chances of getting pregnant with IVF. They know that IVF success rates are not 100%, and their belief is that ...
Source: Dr.Malpani's Blog - January 14, 2019 Category: Reproduction Medicine Source Type: blogs

What IVF patients need to do when they are not sure what to do !
We treat many challenging patients, and because their treatment is complex , they are often unsure what to do next. For example, they have failed 2 IVF cycles elsewhere, and have grown only 3 follicles in the current cycle, even though we have superovulated them aggressively.They are not sure whether they should cancel the cycle , or whether they should continue because they know that we may or may not get an egg; the egg may or may not be mature; it may or may not fertilize; and it may or may not form a good quality blastocyst.If they go ahead, they will end up spending a lot of money , and if they don't get to the stage ...
Source: Dr.Malpani's Blog - January 13, 2019 Category: Reproduction Medicine Source Type: blogs

The three things you need to bring to an IVF cycle.
When patients come to us for an IVF treatment , we request them to bring three things with them - and no, money is not one of them !First is lots of follicles, because obviously the more the follicles you have, the more the eggs, and the better your chances of getting pregnant. Now I understand that patients can't control how many follicles they will grow, because this is a biological variable, but it's a good idea to visualise that lots of them are growing !Second is lots of smiles, because being optimistic and hopeful helps ! IVF treatment is thought of as being stressful, but it should actually be a stress bus...
Source: Dr.Malpani's Blog - January 12, 2019 Category: Reproduction Medicine Source Type: blogs

Are you fed up of being treated as a number in your IVF clinic
Does your IVF clinic seem to be an assembly line , where they're more interested in extracting your money rather than treating you as a human being?Do you feel that there's no overall treatment plan or continuity, and that every time you go to the clinic, you meet a different doctor ( usually an assistant or a junior ) who has no idea what's happening to you ?Do you find that you have to wait for hours on end , with no clarity at all?Do you find that no one is willing to share your medical records with you , or give you any details as to how your treatment is progressing?Do you find that there always seem to be last-minute...
Source: Dr.Malpani's Blog - January 11, 2019 Category: Reproduction Medicine Source Type: blogs

Making difficult decisions - a guide for IVF couples
While most IVF cycles are straight-forward, sometimes we come to a cross-roads when it's not always clear what the next step should be .For example, if have poor ovarian reserve, and have grown only 2 follicles after aggressive superovulation, should you cancel the cycle? Or should you continue?These decisions can be difficult to make, and it's especially when patients find they have to make a difficult decision that they expect their doctors to tell them what to do. After all, doctors are professional experts, and they have the experience and the skills to decide. How can a patient decide for herself ? She has never done ...
Source: Dr.Malpani's Blog - January 10, 2019 Category: Reproduction Medicine Source Type: blogs

The IVF doctor's dilemma
As an IVF doctor, I try to be non-directive in my counseling , and help patients to make their own decisions for themselves. It's easy to be judgmental and patriarchal , but we want our patients to feel that they have the ability to make their own decisions , and we want to respect their preferences.Therefore, we explain all their choices to them , and tell them that they should make a decision which feels right for them. After all, IVF treatment is elective, and patients have many options.Sadly, this backfires, because lots of Indian patients aren't very happy with this approach . They want a doctor who will decide for th...
Source: Dr.Malpani's Blog - January 9, 2019 Category: Reproduction Medicine Source Type: blogs

Busy IVF clinics vs efficient IVF clinics !
Going through an IVF treatment is stressful, and we try to reduce the stress of our IVF patients by managing their medical treatment remotely as far as possible , so they have to make fewer trips to the clinic .Thus, for out of Mumbai patients, we encourage them to do their tests locally; we share the treatment plan by email ; and answer questions by email and WhatsApp. This way, they can start the treatment directly, instead of having to come to Mumbai first for a consultation, and then to come back again for their actual treatment.We encourage our patients to take their injections by themselves , which means they need to...
Source: Dr.Malpani's Blog - January 8, 2019 Category: Reproduction Medicine Source Type: blogs

आईवीएफ़/ivf के मरीज़ों को अपने फ़ैसले खुद क्यों लेने पड़ते हैं?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 8, 2019 Category: Reproduction Medicine Source Type: blogs

आई वी एफ का फैसला लेना क्यों इतना मुश्किल हो सकता है
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 7, 2019 Category: Reproduction Medicine Source Type: blogs

डोनर एग का फैसला
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 6, 2019 Category: Reproduction Medicine Source Type: blogs

Why are you better than other IVF clinics?
When patients have failed in IVF cycle at another clinic they lose confidence in all doctors .They are naturally quite reluctant to try a cycle in another clinic, because the implicit question they're asking is, "What makes you better? Why will the outcome be better in your clinic as compared to the earlier clinic ?After all, that IVF doctor was also a specialist, and they had a great looking clinic, with a very attractive website. At the time of the consultation, they claimed a high success rate, but the cycle failed , so why will you be any different?"          ...
Source: Dr.Malpani's Blog - January 6, 2019 Category: Reproduction Medicine Source Type: blogs

ज़्यादा उम्र के मरीज़ और ivf
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 5, 2019 Category: Reproduction Medicine Source Type: blogs

Have you failed a donor egg IVF cycle?
Patients do donor egg IVF with a lot of hopes , because they know that using healthy eggs from a young egg donor maximises their chances of getting pregnant - provided they receive lots of eggs , so they can transfer top quality blastocysts.Unfortunately lots of IVF clinics in India aren't able to do a good job with doing donor egg IVF treatment.For one thing, finding good egg donors is very difficult . Secondly, because they do not have the ability to freeze these donor eggs, they are forced to super ovulate egg donors and use fresh eggs for their donor egg IVF cycles.The problem is that it's very hard to synchronize the ...
Source: Dr.Malpani's Blog - January 5, 2019 Category: Reproduction Medicine Source Type: blogs

Why are pregnancy rates with donor egg IVF so low in India?
Older women with poor ovarian reserve are often told to use donor eggs, because getting eggs from a young, healthy, fertile egg donor will increase their chances of getting pregnant.This makes sense - provided they get a sufficient number of good quality eggs from the egg donor.But the trouble is that most Indian IVF clinics don't have good donor egg programs. They super ovulate fresh egg donors, and then end up splitting these precious eggs amongst lots of recipients, whom they put on a waiting list.This often means that they cannot synchronize the egg collection of the donor with the endometrial receptive of the rec...
Source: Dr.Malpani's Blog - January 4, 2019 Category: Reproduction Medicine Source Type: blogs

The donor egg farce in India
For older women with poor ovarian reserve, donor egg IVF is a great option, because it increases their chance of getting pregnant considerably.The problem is that it's hard to find good quality egg donors - and because response to superovulation is an unpredictable biological variable, often the number of eggs the clinic is able to collect from an egg donor is uncertain.Tragically, lots of clinics continue to use eggs from a fresh egg donor , and this means that often the egg donor doesn't grow many eggs in the treatment cycle, or they're not able to synchronize the cycles of the donor and recipient properly.This means the...
Source: Dr.Malpani's Blog - January 3, 2019 Category: Reproduction Medicine Source Type: blogs

The PCO misdiagnosis epidemic.
There seems to be an epidemic of PCO ( polycystic ovarian disease) today, but I think this is a myth.This is because making the diagnosis has become so easy today - all you need to do is order a "PCO panel of blood tests" from a medical lab. In fact, lots of online portals will allow you to self-diagnose yourself, and order the tests yourself ( through their portal of course, where their preferred partners are happy to give them a kickback for the tests).Also, these labs spend so much money on "creating awareness" about this "disease", that every second teenager has started believing she has P...
Source: Dr.Malpani's Blog - January 2, 2019 Category: Reproduction Medicine Source Type: blogs

The IVF Checklist
IVF can seem to be a demanding and complex treatment, which is why it helps if you are well   organised !1. Make sure you have completed all your testsWife□ Ovarian reserve testing ( AMH, prolactin, TSH, antral follicle count)□ Infectious disease screen: HIV, Hepatitis, RPR , Rubella□ Vaginal ultrasound scanHusband□ Semen analysisInfectious disease screen: HIV, Hepatitis, RPR/VDRLPlease note how short this list is !Don't waste your money on useless and unnecessary tests such as sperm DNA fragmentation, TB testing, ERA, genetic testing or hysteroscopy !2. Make sure you know how much you have to p...
Source: Dr.Malpani's Blog - January 1, 2019 Category: Reproduction Medicine Source Type: blogs

PGS/PGD/PGT testing can reduce pregnancy rates
Many IVF-clinic websites are selling PGS / PGD/ PGT - preimplantation genetic testing to their patients , by claiming that : It increases pregnancy success rates, lowers the risk of miscarriage, and avoids the time (and expense) of multiple IVF cycles. However, the website of Britain ’s Human Fertilisation and Embryology Authority, which regulates IVF medicine in the U.K., clearly states - that there is “limited evidence” for those claims.The dilemma posed by mosaic embryos has muddied the water so much that Pasquale Patrizio, head of fertility medicine at Yale University, and Sherman Silber of St. L...
Source: Dr.Malpani's Blog - December 31, 2018 Category: Reproduction Medicine Source Type: blogs

Preimplantation genetic testing/ diagnosis - PGS/PGT-A should be banned outside of clinical study frameworks.
Embryo biopsy for doing PGS/PGT-A is still being promoted in leading journals of reproductive medicine.It is our view that, to some degree, professional societies and journals should acknowledge a shared responsibility with the PGS/PGT-A laboratory community for having promoted PGS/PGT-A and that prominent members of the PGS/PGT-A laboratory community, with clear and not always disclosed commercial interests, have for years been cross-referencing and cross-reviewing each other's studies.We feel that journal editors have not only allowed that to happen but have also fostered biased reporting in the literature by promoting m...
Source: Dr.Malpani's Blog - December 30, 2018 Category: Reproduction Medicine Source Type: blogs

PGT/PGS - preimplantation genetic testing - is a waste of money and should not be used in clinical practice !
After more than 10 years of increasing evidence that the initially promised effects of PGS/PGT-A on IVF outcomes (improved pregnancy, live birth and diminished miscarriage rates) are unachievable (Practice Committees of the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology, 2018), PGS/PGT-A remains a costly procedure in search of a clinical application. The time appears to have come to put an end to the clinical utilization of PGS/PGT-A outside of clinical trials, given that the procedure has not only failed to fulfill promises but has also has caused harm to many patients...
Source: Dr.Malpani's Blog - December 29, 2018 Category: Reproduction Medicine Source Type: blogs

Why using fresh donor eggs is dangerous
Why do we continue using fresh donor eggs when doing donor egg IVF treatment ?It's now standard practice all over the world to use only frozen sperm for donor insemination, because we know that fresh sperm carries the hazards of HIV transmission.Now, this is true for donor eggs as well, yet we continue to use fresh eggs from fresh donors. However this is completely unacceptable, especially when the technology for freezing eggs has become so mature. When eggs are vitrified, the survival rate is 100% in a good clinic with an experienced embryologist, who has the required expertise.Just like we quarantine frozen sperm sa...
Source: Dr.Malpani's Blog - December 29, 2018 Category: Reproduction Medicine Source Type: blogs

Why IVF Genetic Screening of embryos should not be used in clinical practice
Sadly, many IVF doctors are selling PGT/ PGS to their IVF patients, claiming that this will improve their IVF success rates. They charge a lot more money for doing this unproven experimental procedure.Don't let your doctor use you as a guinea paig ! (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 28, 2018 Category: Reproduction Medicine Source Type: blogs

IVF mistreatment - fooling IVF patients the Indian way.
It breaks my heart when I see how badly IVF patients in India are treated. Here's a typical path many older women are misled into following by their doctors.Older women have poor egg quality , and are advised to do IVF. They get poor quality embryos - partly because of their poor ovarian reserve, and partly because the IVF lab is not very good, which is why they are advised to use donor eggs.Now, these clinics don't have the expertise to be able to freeze donor eggs, which is they have to depend on fresh egg donors. The problem is that the ovarian response of egg donors can be unpredictable , because this is a biologi...
Source: Dr.Malpani's Blog - December 28, 2018 Category: Reproduction Medicine Source Type: blogs

What genetic tests does an egg donor need ?
Accepting eggs from an anonymous donor can be extremely difficult, and it involves a major leap of faith ! You have to trust that your doctor that will select the right donor for you - someone who is healthy, fertile and is a good physical match.One of the concerns which a lot of patients have is that they don't know the family history or the genetic history of the donor. Their worry is that if their child has an illness, will this ignorance impact the quality of medical care the child receives?The truth is is that it will not, because no matter what your family history is, your pediatrician will be do whatever is needed f...
Source: Dr.Malpani's Blog - December 27, 2018 Category: Reproduction Medicine Source Type: blogs

Scared of going to an IVF doctor?
Lots of infertile couples know that the right treatment for them is IVF because it maximizes the chance of getting pregnant, but they're very scared of going to an IVF doctor.For one thing, they're worried that they'll be pushed into doing IVF even though they may not need it, and there may be simpler treatment options available.After all, the general belief is that doctors are out to make money , and are likely to push treatments which are expensive because it's more profitable for them , rather than because the patient needs them.Also, they're worried about all the side effects and risks which IVF has, and doctors don &r...
Source: Dr.Malpani's Blog - December 25, 2018 Category: Reproduction Medicine Source Type: blogs

Free Second Opinion for IVF patients
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 24, 2018 Category: Reproduction Medicine Source Type: blogs