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Review from a patient about Malpani Infertility Clinic
After getting cheated by doctors at local IUI and IVF clinics, we had lost trust in doctors.But we took one chance and visited Malpani clinic for their opinion. When we met Dr Anirudha he was very patient and understanding. He spoke to us in a very friendly manner and asked us not to blame ourselves.He clearly explained the procedure at Malpani clinic and all the costs involved. He also explained that IVF takes time and we should not lose hope. He also explained the number of times we have to visit the clinic. This was very less as compared to other clinics and doctors which allowed us to go on with our usual lives. W...
Source: Dr.Malpani's Blog - February 21, 2018 Category: Reproduction Medicine Tags: dr malpani complaint Dr Malpani complaints dr malpani compliments dr malpani reviews Source Type: blogs

Why it's a pleasure treating well informed patients !
A patient sent me this emailWe are considering embarking upon IVF to have our 4th living child . We have a history of successful pregnancies (births 2008, 2010, 2012) mixed with miscarriages (3 in 2007, one in 2017). We want to expedite conception rather than trying for years more on our own. My AMH appears reasonable (21.6 pmol/l) and my CD3 FSH was 8.3; LH and estradiol, prolactin etc. were in normal range). We have approached two fertility clinics (one in Greece, one in the Czech republic, both well known) who have both recommended a hysteroscopy before proceeding. I do not feel that this is evidence-based practice. I h...
Source: Dr.Malpani's Blog - February 20, 2018 Category: Reproduction Medicine Source Type: blogs

I am 28 and my girl friend is 33.We want to get married. Will we able to have a baby ?
I am 28 and my girl friend is 33.We want to get married, but my mother is worried about her fertility, because she is older than I am Can you help ?While I can do some simple tests to check her fertility, I am very reluctant to do tests without  any good reason.If you are both healthy and active, then the odds are stacked in your favour that you will have  no problems at all - the human race has proved to be quite efficient at reproducing itself !If your girl friend is worried about her fertility because of her age, please share this with her.Please test your AMH level (  read more at http://www.dr...
Source: Dr.Malpani's Blog - February 20, 2018 Category: Reproduction Medicine Source Type: blogs

Can you suggest medications to enhance chances of conceiving ?
A patient sent me this emailCan you please check my semen analysis report  and confirm that this is normalI checked it,and since it was normal, I replied,Good, this is a normal report ! Read more athttp://www.drmalpani.com/knowledge-center/resources/book/chapter4bHe then emailed back, saying Can you suggest medications to enhance chances of conceiving ?I am confused !Instead of being pleased that everything is normal,  why do patients still want doctors to prescribe medicines for them ?Why can't they be patient and let Nature take its own course ?Too much meddling can cause problems - and medicines do have s...
Source: Dr.Malpani's Blog - February 18, 2018 Category: Reproduction Medicine Source Type: blogs

How do I calculate the age of my IVF pregnancy ?
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 - February 18, 2018 Category: Reproduction Medicine Source Type: blogs

Is your IVF doctor ordering too many tests ?
Most patients are understandably wary about signing up for any surgical treatment options which a doctor offers, because they understand that these treatments can be expensive and can have side effects. This is why they take a long time before providing consent for any invasive treatment. Unfortunately, they don't utilize the same skepticism when the doctor advises a panel of tests.It is this unwillingness to question the need for tests which causes so many problems today. The fact of the matter is that too many doctors these days order too many tests. A lot of these tests are unnecessary, because they don't provide a...
Source: Dr.Malpani's Blog - February 17, 2018 Category: Reproduction Medicine Source Type: blogs

Genetic testing and the confused IVF specialist
Genetics plays an important part in reproductive medicine , and it's well known that the commonest reason for failed implantation is a genetic defect in the embryo . This is why it's very tempting to tell patients who have failed an IVF cycle to undergo genetic tests , and this issomething which IVF doctors do all the time . Sadly, most of them are pretty clueless about reproductive genetics , and they order all kinds of unnecessary tests , which they don't know how to interpret . Not only are these tests very expensive , they are completely unhelpful, because they don't really change the patient's treatment options. And b...
Source: Dr.Malpani's Blog - February 16, 2018 Category: Reproduction Medicine Source Type: blogs

What entrepreneurs need to know about raising funds from angel investors
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 15, 2018 Category: Reproduction Medicine Source Type: blogs

Why IVF treatment does not increase your risk of getting cancer
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2018 Category: Reproduction Medicine Source Type: blogs

Selecting a good IVF clinic
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2018 Category: Reproduction Medicine Source Type: blogs

Making sense of your IVF blood results
A patient sent me this emailI am doing an IVF cycle, and my Day 6 results are as follows: E2- 1776 (great result) PO- 0.6 nmol/l LH 1.6 mIU/mL I am wondering if LH or Progesterone can be too low and should the cycle be cancelled. I am on Puregon- 300iu Menopur- 1 vial Orgalutran- 1 syringe ThanksI am very pleased when patients are well-informed, and take an active and intelligent interest in their treatment !Yes, the medical jargon can be quite confusing, and doctors don't make it easier, because they rarely bother to explain what's happening.This is why the internet can be such a valuable resource for infertile women, who...
Source: Dr.Malpani's Blog - February 14, 2018 Category: Reproduction Medicine Source Type: blogs

Why Hospitals need to prescribe Information Therapy to their patients?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2018 Category: Reproduction Medicine Source Type: blogs

My doctor is insisting that I do IVF
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 - February 11, 2018 Category: Reproduction Medicine Source Type: blogs

Thank you Dr Malpani !
                                                                                 Febuary 8, 2018Dear Dr. Malpani,The following is my testimonial to how you and your lovely wife and staff were instrumental in transforming my life b...
Source: Dr.Malpani's Blog - February 10, 2018 Category: Reproduction Medicine Source Type: blogs

Dr Malpani, thanks for your website !
I just received this emailLet me tell you what a tremendously helpful website you have created. It gives HOPE to those who are in the same path. In fact I have read through most of your blogs and success as well as failure stories. Your blogs helped me logically understand what my own Gynac is following and empowered me with knowledge to ask the right questions and take INFORMED DECISIONS.I now understand that the uterus usually is very receptive and readily accepts an embryo whether good or bad. It all depends now on how good the embryo is. So in my case if only I can manage at least one good embryo with other things rema...
Source: Dr.Malpani's Blog - February 9, 2018 Category: Reproduction Medicine Source Type: blogs

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 unnecessaril...
Source: Dr.Malpani's Blog - February 8, 2018 Category: Reproduction Medicine Source Type: blogs

We have 2 Day 3 frozen embryos. Should we do a Day 3 transfer ? or a Day 5 transfer ?
A patient send me this emailHi , We are trying our best to absorb the emotional trauma after going thru 1st failed IVF cycle.  We have gone for ICSI . All 5 eggs fertilised all are of grade A . The lab took 3 of them to blastocyst stage. 2 reached Day 5 and were transferred in a frozen cycle. Unfortunately this resulted in a BFN. We are left with 2 day 3 8-cell grade A embryos, and we are going for FET this month.. Should we try to take them to blasto stage , or should we transfer them as day 3 embryos. We are very confused now and upset - please help , as I love reading your articles.. I feel you should grow the...
Source: Dr.Malpani's Blog - February 7, 2018 Category: Reproduction Medicine Source Type: blogs

Why is it that my HCG always positive after IVF treatment , but I still don't have a baby ?
A patient sent me this emailI have had several IVF treatments since the last 2 years . Each time my pregnancy result was positive after 14 days , but thereafter it became negative.  My doctor says the embryos were Grade A each time, and calls this is a chemical pregnancy. Please advise if you have new methods or technologies where the  uterus can hold the embryos for longer . Or should I consider surrogacy ?  Repeated positive pregnancy tests in many IVF cycles raises a red flag that the doctor is taking the patient for a ride.The commonest trick is to give the patient HCG injections after the transfer,...
Source: Dr.Malpani's Blog - February 6, 2018 Category: Reproduction Medicine Source Type: blogs

There's a lot we don't understand about IVF !
IVF is seen to be a modern medical marvel  of scientific technology, and while it has allowed us to delight millions of infertile couples, the truth is also that there's lots about the IVF process which we cannot control, because we don't understand it very well.Patients need to understand the limitations of IVF, so that they have realistic expectations of what we can do for them. Otherwise, every IVF cycle which fails causes needless heartburn,Thus, we still cannot predict- how a patient will respond to superovulation- which egg will fertilise- which embryo will cleave normally , and which will arrest;or- which embry...
Source: Dr.Malpani's Blog - February 5, 2018 Category: Reproduction Medicine Source Type: blogs

Mind games during the 2ww
A patient sent me this queryThis is our first icsi cycle and am on 5th day of embryo transfer. Initially had cramps and it raised a bit more but since yesterday night I see no symptom and I am worried. Plus sometime bloating, my breasts has been so hard and am feeling I have been bit more aggressive than usual , am not on complete bed rest but tend to roam in home only . Medicines include progynova, ecoflora , folic acid and vitamin tablets , progesterone injection- aquagest alternative days and some progesterone vaginally daily two times. My skin is so so dry . I heard people saying tat u should get lower back pain or leg...
Source: Dr.Malpani's Blog - January 31, 2018 Category: Reproduction Medicine Source Type: blogs

I am glad patients are learning to say No !
A patient send me this emailSir, I m having a chocolate cyst in my left ovary of 3.6*2.8 CM and a normal right ovary . My first doctor advice me for immediate laparoscopy. I am trying for around 10 months. I changed my doc as I was scared of surgery. Can you help ?I am glad patients are speaking up and refusing to subject themselves to unnecessary surgery !With today's technology, infertile patients do not need a laparoscopy, but doctors continue to do this for them, without any good reason. Read more athttp://www.drmalpani.com/knowledge-center/infertility-testing/laparoscopy-and-infertilitySuch a tiny chocolate cyst will ...
Source: Dr.Malpani's Blog - January 30, 2018 Category: Reproduction Medicine Source Type: blogs

How not to get ripped off by IVF doctors
This is a great article, at http://www.conceptionadvice.com/how-not-to-be-ripped-off-by-fertility-clinics/Please do read it  - a lot of these malpractices are rampant in Indian IVF clinics as well.I especially love the following paragraph !Blinded by Pseudo ScienceIf a stranger down the pub told you the best way to get pregnant was to get a cheap bit of plastic and waggle it around inside your womb, would you believe them? Probably not. But if that advice came from a doctor and was given a fancy scientific sounding name, would you believe them?Some fertility clinics offer add-on services as a supplement to the co...
Source: Dr.Malpani's Blog - January 29, 2018 Category: Reproduction Medicine Source Type: blogs

Should I use donor eggs ? or do surrogacy ?
A PCOD patient asked me for a second opinion after failing an IVF cycle at another clinic.Here is the summary in response to your questions,1. I donot have pics of embroyos.18 oocytes were retrived; MII oocytes 16+2ICSI DONE16 EMBRYOS DAY 2DAY OF CRYOPERSERVATION Day 3Cell grade 8X8A,3X6A;2X5B3grade C embryos dizcardedFIRST fet 1early stage and 2 compaction gradeResult negativeSecond fet 1blastocystand 2 early stage embroys tranfered result negativeUterus is arcurate and both tubes patentQueryAre the embryos okay..? or donor eggs suggested since AMH is very high ie 24OrIs it that uterus is arcuate and implantation not poss...
Source: Dr.Malpani's Blog - January 29, 2018 Category: Reproduction Medicine Source Type: blogs

How doctors add stress to the poor IVF patient's life
Being infertile is bad enough, and an IVF cycle is stressful because you are never sure whether it's going to work or not. Not only is the uncertainty difficult to handle, the fact that it's so expensive just adds to your anxiety. While we can't reduce the uncertainty which plagues IVF , the tragedy is that IVF doctors often add insult to injury , by making the treatment unnecessarily stressful .For one thing, they subject patients to lots of useless tests, which are completely unnecessary , because they don't change the treatment options we can offer to patients. They justify these by doing it under the garb of being &quo...
Source: Dr.Malpani's Blog - January 28, 2018 Category: Reproduction Medicine Source Type: blogs

Why do patients allow IVF clinics to get away poor medical care ?
IVF treatment is expensive, and since it is a planned treatment, patients have the luxury of being able to choose the best clinic, to maximise their chances of getting pregnant.A patient sent me an email after she had failed 2 IVF cycles at the "best IVF clinic" in Chennai, and when I asked her for more details about her treatment, this was her answer.I apologize as I would not be able send the printed treatment summary as this clinic does not share any treatment summary with the patients nor the picture of the embryos.It's high time patients learned to be more assertive, and to demand photos of their embryos fro...
Source: Dr.Malpani's Blog - January 27, 2018 Category: Reproduction Medicine Source Type: blogs

Misusing PRP ( Platelet Rich Plasma) treatment for "treating" infertility
Infertile couples are desperate, and many IVF doctors are happy to take undue advantage of this, in order to maximise their income.The latest racket is the use of PRP, or platelet rich plasma. This is supposed to contain stem cells, which have " miraculous " properties, which can treat anything and everything ! After all, stems cells are magical - they can transform themselves into any kind of cell in the body, because they are the original progenitor   cells !This is why andrologists now inject PRP into the testes of hapless infertile men with testicular failure, to " help them" to produce sp...
Source: Dr.Malpani's Blog - January 26, 2018 Category: Reproduction Medicine Source Type: blogs

How to waste money on your IVF treatment
Infertile patients can be quite desperate, and sadly many IVF doctors exploit their ignorance.They make them do lots of useless tests - and subject them to unproven and expensive treatments, which are of no clinical value !The only way patients can protect themselves is by investing in Information Therapy - ignorance can be expensive !You can read about this at http://www.drmalpani.com/knowledge-center/infertility-testing/wasteful-infertility-tests (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 26, 2018 Category: Reproduction Medicine Source Type: blogs

Are you fed up of going to disorganised IVF clinics ?
Because you are so desperate to have a baby, you will move heaven and earth to achieve your goal. You know that IVF is your best option, but you are completely confused as to which IVF clinic to select, because they all seem to be the same when you read their ads or visit their websites.You start checking them out, and this is when you get disillusioned.Most clinics are highly disorganised, and refuse to share any information . You are made to wait unnecessarily for hours on end; and finally only get to talk to a junior doctor, who seems to be completely clueless. You are offered a generic plan, and they refuse your answer...
Source: Dr.Malpani's Blog - January 21, 2018 Category: Reproduction Medicine Source Type: blogs

Why are couples so poorly informed about fertility ?
I just got this email .I recently got married 2 months back on 26th November 2017 and we had intercourse and was eagerly waiting for a happy news as I ’m 30 yrs and my wife is 25yrs old. Unfortunately she got her periods on time on 17th Jan and we consulted gynecologist on 18th. Doctor suggested to do semen analysis without having contact for 3 days.It's disappointing that even well educated people have such a poor understanding how inefficient human reproduction can be. It takes time to make a baby, and it's sad to see them panicking needlessly when they don't get pregnant in a few monthsWhat's even worse is that in...
Source: Dr.Malpani's Blog - January 21, 2018 Category: Reproduction Medicine Source Type: blogs

Why is IVF so Expensive ?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 20, 2018 Category: Reproduction Medicine Source Type: blogs

Free iOS app so you can add voice to your photos !
Want to make your photos talk ?Download the free MakeMyPhotoTalk iOS app at https://itunes.apple.com/in/app/makemyphototalk/id1173195634?mt=8 (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 20, 2018 Category: Reproduction Medicine Source Type: blogs

Do you really need IVF ?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 19, 2018 Category: Reproduction Medicine Source Type: blogs

Using WhatsApp to improve Doctor patient communication.
WhatsApp is one of those apps which practically every doctor uses routinely in India. Most doctors use it for personal reasons , and many have also started utilising it to connect with their patients as well. Unfortunately, they do it in a disorganized and haphazard fashion, which means they are not making the best possible use of this very versatile platform !Here's one way of making sure that WhatsApp can be used effectively to help improve medical care.The doctor needs a dedicated mobile just for his clinic, which is used exclusively for this purpose , so he doesn't get troubled at all odd hours because of patients cont...
Source: Dr.Malpani's Blog - January 18, 2018 Category: Reproduction Medicine Source Type: blogs

Bursting Myths about IVF
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 17, 2018 Category: Reproduction Medicine Source Type: blogs

How do you differentiate between a good and bad IVF clinic ?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 16, 2018 Category: Reproduction Medicine Source Type: blogs

Why do IVF doctors lie to patients?
We often see IVF patients who are quite unhappy with the quality of information they've received from their doctors. The one thing which bothers them a lot is that doctors change what they tell them, and this is why they don't trust them anymore .A common example is that at the time of the embryo transfer, the doctor is very optimistic and hopeful. He gushes about the high quality of the embryos he has created in the lab, and says things like, " Of course you will get pregnant ! You have a 90% chance, because your uterus is perfect, and your embryos are beautiful. These are  grade A embryos and because your trans...
Source: Dr.Malpani's Blog - January 16, 2018 Category: Reproduction Medicine Source Type: blogs

In Conversation with Dr. Aniruddha Malpani - Overcoming the social stigma of infertility
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 12, 2018 Category: Reproduction Medicine Source Type: blogs

How doctors add stress to the poor IVF patient's life
IVF treatment is stressful as it is , and many doctors make it even more stressful. Being infertile is bad enough, and an IVF cycle is stressful because you are never sure whether it's going to work or not. Not only is the uncertainty difficult to handle, the fact that it's so expensive just adds to your anxiety.While we can't reduce the uncertainty which plagues IVF , the tragedy is that IVF doctors often add insult to injury , by making the treatment unnecessarily stressful .For one thing, they subject patients to lots of useless tests, which are completely unnecessary , because they don't change the treatment options we...
Source: Dr.Malpani's Blog - January 11, 2018 Category: Reproduction Medicine Source Type: blogs

Why infertile couples need to make some tricky decisions for themselves !
I received this email from a patient. My husband and I have been trying to conceive for more than a year. I have low AMH which is 0.2 ng/ml and my FSH fluctuates from a value of 7 to 18 IU. I have been through one hysteroscopy for polyp removal. We did one IUI and now we are going through Natural cycle IVF. My question is related to a lesion in my uterus. My current doctor thinks it could be a fibroid or a polyp but more likely a fibroid. It is on the fundus of the uterus and on the left side. It is 5mm in to the cavity so it is not likely to affect implantation of an embryo. She thinks that if it is a fibroid and we ...
Source: Dr.Malpani's Blog - January 10, 2018 Category: Reproduction Medicine Source Type: blogs

How do I boost up my low sperm count ?
This is one of the commonest questions I am asked.I first have to request the patient to send me their semen analysis report. Lots of labs do a very poor job of reporting a semen analysis - and many doctors still don't know that a count of more than 15 million per ml is considered to be quite normal !They label a man whose sperm count is 30 million per ml as being infertile, and start "treating" him for his low sperm count ! No wonder so many of them get pregnant after the " treatment"  - they never needed this in the first place !Many men do have a low sperm count, and then I need to educate them...
Source: Dr.Malpani's Blog - January 7, 2018 Category: Reproduction Medicine Source Type: blogs

Why infertile couples need to make some tricky decisions for themselves !
I received this email from a patient My husband and I have been trying to conceive for more than a year. I have low AMH which is 0.2 ng/ml and my FSH fluctuates from a value of 7 to 18 IU. I have been through one hysteroscopy for polyp removal. We did one IUI and now we are going through Natural cycle IVF. My question is related to a lesion in my uterus. My current doctor thinks it could be a fibroid or a polyp but more likely a fibroid. It is on the fundus of the uterus and on the left side. It is 5mm in to the cavity so it is not likely to affect implantation of an embryo. She thinks that if it is a fibroid and we t...
Source: Dr.Malpani's Blog - January 6, 2018 Category: Reproduction Medicine Source Type: blogs

Unnecessary D & C after a miscarriage can reduce your fertility
It's not uncommon for women who get pregnant after IVF to have a miscarriage. After all, the miscarriage rate is about 15% in all pregnancies, and IVF does not protect against a miscarriage. While this can cause a lot of heartache, doctors often add insult to injury by suggesting that patients do a D&C ( dilatation and curettage) to surgically evacuate the pregnancy. They justify this by saying that the surgery is a quick and simply minor procedure; and that they can send the pregnancy tissue ( aka POC, or products of conception ) for genetic testing, so they can find out why the miscarriage occurred. However, not...
Source: Dr.Malpani's Blog - January 5, 2018 Category: Reproduction Medicine Source Type: blogs

Why embryo pooling improves IVF pregnancy rates
The most frustrating problem in IVF today is that of failed implantation. While we have become very good at creating top-quality embryos in the lab and transferring them into the uterus, we still cannot ensure they will implant. This is because implantation is a biological process over which we have not control. Because we can't track what happens in the uterine cavity after we transfer the embryos, we really don't have a very good answer for why embryos don't implant for a particular patient, which means we are groping in the dark.One of the options which can help to improve the probability of success is called embryo- po...
Source: Dr.Malpani's Blog - January 2, 2018 Category: Reproduction Medicine Source Type: blogs

Why we specialise in treating patients who have failed IVF treatment
Most IVF clinics prefer treating patients who are coming to them for their first IVF cycle , because these are patients who have the highest chance of getting pregnant. Most clinics don't like treating patients who have failed an IVF cycle earlier, because the very fact that they failed in another clinic means that their chances of getting pregnant in their second cycle are lower as compared to someone who is doing their first IVF cycle, because they often have an underlying medical problem which is not easy to tackle.However, we actually prefer treating patients who have failed an IVF cycle done in another clinic. For one...
Source: Dr.Malpani's Blog - December 26, 2017 Category: Reproduction Medicine Source Type: blogs

How the leaders of the medical profession have let both doctors and patients down.
One would expect that the leaders of the Indian medical associations and the medical councils would serve as wise elders. They would stand up for doctors, and represent the public face of doctors to society. They would be the voice of the medical profession, so that they could ensure that the doctor-patient relationship was based on mutual respect and trust.When society offers doctors the privilege of being professionals, they also give them the duty and obligation of self-regulation.  Doctors are meant to control and regulate each other, because they have access to specialized  medical knowledge which lay-people...
Source: Dr.Malpani's Blog - December 24, 2017 Category: Reproduction Medicine Source Type: blogs

The sexless marriage as a cause of infertility
A surprisingly common reason for the inability to have a child in today's modern world is infrequent sex. Now, this may seem surprising in this day and age when you expect everyone to be so sexually aware. However, people living in large metropolises are so stressed out that they simply don't have time to have sex ! They spend three hours or four hours commuting everyday, so that by the time they come back home , they are dead tired. Thanks to the mobile, they are always " on call", and have tons of work which they have brought from the office to complete, along with replying to emails and returning calls. Y...
Source: Dr.Malpani's Blog - December 23, 2017 Category: Reproduction Medicine Source Type: blogs

Why do patients find it so hard to repeat an IVF cycle ?
Patients know that the success rate in a single IVF cycle is not 100% and they may require 3 - 4 cycles to get pregnant. However, lots of them drop out after one cycle , and are very reluctant to do a second . I sometimes wonder why this happens !After all, an IVF cycle is a fairly straightforward treatment, which doesn't need hospitalisation or surgery, and requires only 4-5 visits to the clinic. In a good clinic, the treatment shouldn't be stressful at all.However, unfortunately, the reality is that the way IVF is done in a lot of clinics does add a lot of unnecessary burden to the patient for multiple reasons.Often ther...
Source: Dr.Malpani's Blog - December 19, 2017 Category: Reproduction Medicine Source Type: blogs

Taking the infertile man ( and his IVF doctor) for a ride !
All doctors know that asemen analysishas a number of limitations. While it can tell us how many sperm a man has, and how well they are swimming, they cannot answer they key question the infertile man is asking - Can I get my wife pregnant with my sperm or not ?Now the right thing to do is to acknowledge the limitations of our sperm tests, and then move on with helping them to have a baby ! The beauty is that while the ability of our technology to test male infertility is poor, our technology for treating it is amazingly good, because we can bypass all the in vivo hurdles by doing IVF with ICSI. . This means  we can do...
Source: Dr.Malpani's Blog - December 17, 2017 Category: Reproduction Medicine Source Type: blogs

No wonder US healthcare costs are going through the roof !
Conclusions and Relevance : In a population of diverse races and ethnicities, expanded carrier screening may increase the detection of carrier status for a variety of potentially serious genetic conditions compared with current recommendations from professional societies. Prospective studies comparing current standard-of-care carrier screening with expanded carrier screening in at-risk populations are warranted before expanded screening is adopted."However, on their website, their marketing department has spun this as - The increased detection of affected pregnancies demonstrates the value of offering ECS to all patie...
Source: Dr.Malpani's Blog - December 17, 2017 Category: Reproduction Medicine Source Type: blogs

The caring doctor
Patients often criticize doctors for being unemotional and distant . Because we are taught to maintain a professional barrier , we may seem to be cold and uncaring, but the reality is that doctors have a heart too - we're human after all !Ironically, sometimes it's this humanness which backfires. Thus, we will often identify with some of our patients - especially when they're of the same age group, or come from a similar background. We sometimes need to break bad news to them , and when they start crying on hearing this, we get emotionally upset as well.  We may then end up saying things to try to console the patient,...
Source: Dr.Malpani's Blog - December 13, 2017 Category: Reproduction Medicine Source Type: blogs