Why testing for failed embryo implantation in IVF patients is useless
One of the big problems with IVF is the uncertainty which surrounds it – no one knows which cycle will work, or why perfect cycles fail.What makes a bad problem even worse is that patients have unrealistic expectations of the technology. Sadly, doctors compound the problem by pandering to the patient's demands. They offer to provide answers by running many expensive, complex, exotic and esoteric tests, even though they know the reality is that these don ’t provide any useful information.This is because embryo implantation is a complex biological process, which we cannot control and we cannot monitor, and we sti...
Source: Dr.Malpani's Blog - February 17, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Empiric therapy in IVF
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Why are IVF patients scared of finding out more about IVF ?
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Treatment for recurrent pregnancy loss
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : The donor egg IVF option
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Third party reproduction and the movie, Good Newwz
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Please ask your IVF doctor questions!
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Why eggs are more important than the sperm or the uterus in IVF treatment
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF VIdeo : Why the IVF hormones don't cause cancer or early menopause !
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video :" How IVF failure can lead to success !
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Making sense of the semen analysis report
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Why young professional women should explore the option of egg freezing
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Blastocyst transfers maximise IVF pregnancy rates
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Should infertile couples go to gynecologists ? or IVF specialists ?
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video :Is your IVF clinic a full-service IVF clinic?
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : What infertile women need to know about their AMH levels
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : The AMH blood test can help women to track their fertility
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Frozen eggs are a better option for donor egg IVF
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Why single embryo transfers ( SET) have a higher pregnancy rate
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Day 3 or Day 5 Embryo Transfer. Which is better?
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Self Inflicted Infertility
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : IUI क्या होता है ? | Intra-Uterine Insemination Explained in Hindi
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : HOW TO GRADE EMBYOS in (hindi)
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Learning from a failed IVF CYCLE
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Donor Egg Vs Surrogacy
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF Video : Preimplantation Genetic Diagnosis and Preimplantation Genetic Screening Explained in Hindi
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Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs

Why IVF doctors disagree
Infertile couples are often very confused when they go to IVF doctors , because they get so many different opinions , and they're not sure whom they can trust.There are multiple reasons for why IVF doctors will often give widely varying opinions.For one thing, a lot of our technology is still not perfect, which means we cannot make an accurate diagnosis in reproductive medicine. This is why two different doctors will interpret the same test result in diametrically opposite ways !Also, we need to remember that making babies involves a couple, which means the fertility of a couple will be the sum of the fertility potential o...
Source: Dr.Malpani's Blog - February 11, 2020 Category: Reproduction Medicine Source Type: blogs

The problem with IVF tests
A big problem with IVF is the uncertainty which surrounds it, because no one knows which cycle is going to work.Patients have unrealistic expectations of IVF technology, and when the cycle fails, they demand scientific answers for why it failed !  And doctors compound the problem by running even more tests, in order to "diagnose" the cause of the failure.However, the reality is that they're not able to do this because embryo implantation is a complex biological process, which we cannot control and we cannot monitor. After all, there is no way of being able to track the fate of a microscopic ball of cells onc...
Source: Dr.Malpani's Blog - February 10, 2020 Category: Reproduction Medicine Source Type: blogs

If you have only two embryos, should you transfer both of them ? or should you transfer one and freeze the other one?
This is a common quandary for patients with a poor ovarian response !If you have 2 top-quality blastocysts, what should your strategy be ? Should you transfer one and freeze the other ? Or transfer both together?If you put both together, you increase your chance of getting pregnant in that cycle - but this is an unfair comparison - after all, you shouldn't compare apples to oranges !You should compare transferring two embryos at one time , with transferring one embryo at a time in two consecutive cycles.And the pregnancy rate with transferring a single embryo in two consecutive cycles - a sequential single embryo transfer ...
Source: Dr.Malpani's Blog - February 7, 2020 Category: Reproduction Medicine Source Type: blogs

Should you do a Day 3 or a Day 5 transfer if you only have a single embryo ?
 If you have lots of embryos, then it makes sense to grow them up toDay 5 ( blastocyststage) because the embryologist can then select the ones which are growing the best , and transfer these, to maximise your chances of implantation.Suppose you only have a single embryo on Day 3? Should you transfer on Day 3 ? Or should be willing to wait till day five? Now, this is a dilemma, because if you wait till Day 5 and it arrests in the lab, you'll have no embryos to transfer. Many patients - and doctors - will say, "A bird in the hand is worth two in the bush," so we might as well put it back inside the uterus...
Source: Dr.Malpani's Blog - February 6, 2020 Category: Reproduction Medicine Source Type: blogs

CAREER VS BABY - the Professional Woman's Dilemma
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Source: Dr.Malpani's Blog - February 6, 2020 Category: Reproduction Medicine Source Type: blogs

Learning from a failed IVF CYCLE !
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Source: Dr.Malpani's Blog - February 3, 2020 Category: Reproduction Medicine Source Type: blogs

More proof that PGT for aneuploidy testing reduces IVF pregnancy rates
Outcome of in vitro fertilization cycles with preimplantation genetic testing for aneuploidies: let ’s be honest with one anotherRichard J. Paulson, M.D., M.S.The process is, unfortunately, quite inefficient, and 50% of potential implantations are lost, even by clinics that have experience with PGT-A and are good enough to be chosen for the STAR trial. In an intention-to-treat analysis, the pregnancy rate is not increased. The time to pregnancy is not shortened and there is no decrease in miscarriage rates.If 50% of potential implantations are lost, under what circumstances can we justify the use of PGT-A? We sh...
Source: Dr.Malpani's Blog - January 31, 2020 Category: Reproduction Medicine Source Type: blogs

Many IVF "add-on" procedures are of no value at all !
A definitive review article from the world's leading IVF journal, Fertility Sterility, Dec 2019 issue, which proves that many IVF-add on procedures which IVF doctors recommend do not improve IVF success rates !These include  immune therapies, endometrial scratching, endometrial receptivity array, uterine artery vasodilation and human chorionic gonadotropin instillation. Doctors advice these to earn more money for themselves - not to help you !Read this article, and share this with your doctor if he suggests these treatment options to you. Many will tout these as being the "latest and...
Source: Dr.Malpani's Blog - January 31, 2020 Category: Reproduction Medicine Source Type: blogs

The Second IVF Cycle ! IVF video
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Source: Dr.Malpani's Blog - January 28, 2020 Category: Reproduction Medicine Source Type: blogs

Reducing the Stress of IVF - IVF video
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Source: Dr.Malpani's Blog - January 28, 2020 Category: Reproduction Medicine Source Type: blogs

IVF as a safety net
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Source: Dr.Malpani's Blog - January 27, 2020 Category: Reproduction Medicine Source Type: blogs

Day 3 or Day 5 Embryo Transfer. Which is better? IVF video
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 22, 2020 Category: Reproduction Medicine Source Type: blogs

Self Inflicted Infertility
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 18, 2020 Category: Reproduction Medicine Source Type: blogs

The AMH blood test can help women to track their fertility
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 18, 2020 Category: Reproduction Medicine Source Type: blogs

Why single embryo transfers ( SET) have a higher pregnancy rate - IVF video
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 18, 2020 Category: Reproduction Medicine Source Type: blogs

IVF video : अशुक्राणुता क्या है ? | What is Azoospermia (in Hindi)
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Source: Dr.Malpani's Blog - January 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF video : DAY 3 OR DAY 5 EMBRYO TRANSFER - WHAT'S BETTER?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 14, 2020 Category: Reproduction Medicine Source Type: blogs

IVF video : IUI क्या होता है ? | Intra-Uterine Insemination Explained in Hindi
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 14, 2020 Category: Reproduction Medicine Source Type: blogs

How IVF failure can lead to success !
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 13, 2020 Category: Reproduction Medicine Source Type: blogs

Making sense of the semen analysis report - video
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 13, 2020 Category: Reproduction Medicine Source Type: blogs

Why the IVF hormones don't cause cancer or early menopause !
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 13, 2020 Category: Reproduction Medicine Source Type: blogs

Why IVF is the best treatment option for couples with unexplained infertility
Unexplained infertility ( also known as idiopathic infertility) is a diagnosis we label about 10% of infertile couples with. This just means that our technology is not good enough for us to be able to identify why they are not being able to get pregnant in their own bedroom.For example, the sperm count and motility maybe normal, but the sperm maybe functionally incompetent, and unable to fertilise the eggs !This is why IVF is so useful. Not only is it a great diagnostic tool, because it allows us to document whether or not the sperm an fertilise the egg in the lab .Much more importantly, IVF is a very effective option for ...
Source: Dr.Malpani's Blog - January 8, 2020 Category: Reproduction Medicine Source Type: blogs

Why are IVF patients scared of finding out more about IVF ?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 7, 2020 Category: Reproduction Medicine Source Type: blogs

Empiric therapy in IVF
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 7, 2020 Category: Reproduction Medicine Source Type: blogs