The problem with ovarian functions tests
The chances of getting pregnant after IVF depend to a large extent on the quality of the woman's eggs, and this is why older women have lower pregnancy rates. This is why testing for ovarian reserve is so important, and we measure the AMH level as well as the antral follicle count , so we have some sense of how well the patient is going to respond to superovulation, and what her chances of getting good quality embryos is going to be.The trouble is that these numbers only provide an estimate of static ovarian reserve – they are not dynamic functional tests. What we really want to know is how the patient will resp...
Source: Dr.Malpani's Blog - August 14, 2018 Category: Reproduction Medicine Source Type: blogs

Test tube baby clinics – judging the quality of the clinic
Because patients are not sophisticated enough to be able to judge the technical competence of an IVF doctor , most of them use other alternatives to decide which doctor to select the best.This is why a lot of them will go to the busiest doctor , based on the assumption that if the doctor is busy , he must be good ! This is based on the concept of social proof , which is why a lot of follow a herd mentality when making a decision .The danger is that these clinics are so busy that they are completely impersonal, unless you happen to be a VIP or a celebrity. The doctor doesn't have enough time or energy to spend on you , as a...
Source: Dr.Malpani's Blog - August 14, 2018 Category: Reproduction Medicine Source Type: blogs

Why do patients do such a bad job of selecting IVF clinics
We all know that all IVF clinics are not created equal , and their success rates can be dramatically different !And some can be much more expensive than others !So how is the poor patient to decide who the right IVF doctor is ?Sadly, a lot of patients naively assume that all doctors provide the same high quality of care , and this is where they make a huge mistake , because they end up wasting a lot of time and money doing their treatments in low cost clinics, just because they are cheap and convenient!Typically, the doctors in these clinics talk very sweetly , because they want to sign up as many patients as possible. The...
Source: Dr.Malpani's Blog - August 13, 2018 Category: Reproduction Medicine Source Type: blogs

The biggest mistake which IVF patients make
in India is blindly trusting the IVF doctorIt ’s extremely important that you find a doctor you can trust – and it’s equally that you make sure that he earns that trust ! Trust is too important to be gifted to anyone .Sadly, the government does a poor job of regulating IVF clinics, which means there are many fly by night operators who just want to exploit patients. And it's easy to do this because infertile patients are ignorant and vulnerable.The trust equation , as defined by David Maister, says that the doctor must prove that he is reliable and credible – and you need to check this before signin...
Source: Dr.Malpani's Blog - August 13, 2018 Category: Reproduction Medicine Source Type: blogs

How doctors fool patients about the cost of test tube baby treatment.
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 - August 10, 2018 Category: Reproduction Medicine Source Type: blogs

How much does a test tube baby treatment cost ?
Before starting an IVF treatment cycle , one of the first questions the patient needs to know is how much it is all going to cost .They know that the success rate is not 100% and that they may have to repeat many cycles before getting pregnant.IVF is expensive, and it's a big drain on the budget . Because it's not covered by insurance and they need to pay out of pocket , this is something which they need to be very careful about.Now many IVF clinics take out a lot of ads , and in order to lure patients, they advertise a very low rate. However, they do not explain to the patient that this is just their initial sign up rate,...
Source: Dr.Malpani's Blog - August 9, 2018 Category: Reproduction Medicine Source Type: blogs

Treating women with a low AMH level
Treating women with poor ovarian reserve (as defined by a low AMH level and a low antral follicle count ) can be extremely difficult. A lot of these patients don't know what they should do because they get so much conflicting advice.Should they be trying IVF with their own eggs ? with aggressive superovulation ? or with minimal stimulation ? Or should they continue trying in their own bedroom ? or should they use donor eggs? Does it make sense to spend so much money on an IVF cycle if the success rate is going to be so poor? However, it ’s hard to accept that you will need to use donor eggs, becau...
Source: Dr.Malpani's Blog - August 8, 2018 Category: Reproduction Medicine Tags: low amh low AMH levels poor egg quality Poor ovarian reserve Source Type: blogs

Why does the cost of test tube baby treatment in India vary so much ?
Patients are often confused as to why the cost of a test tube treatment is so different from one Indian IVF clinic as compared to another. They understand that it ’s going to be more expensive in large cities like Mumbai, but there is still so much variation from clinic to clinic, that patients aren’t sure what the right cost should be .Is it that the really expensive ones are better ? Or is it that the expensive ones are greedy , and want to make more money because they want to make a larger profit? And are the cheaper ones low-cost because they cut corners , and have lower pregnancy rates?The problem is that ...
Source: Dr.Malpani's Blog - August 8, 2018 Category: Reproduction Medicine Source Type: blogs

The need for transparency in the cost of test tube baby treatment
India is still a developing country and most patients are quite poor. Infertile patients find it very hard to afford test tube baby treatment , because insurance doesn't cover for it, and they need to pay for it out of their pocket. And since they're never really sure whether the IVF cycle is going to work or not , so mentally they have to be prepared for making maybe two, three, or more attempts, until they finally get a baby.This is why they worry a lot about the cost – can they afford it ?The trouble is that a lot of IVF clinics aren't very up-front, transparent, or open about this important issue, because th...
Source: Dr.Malpani's Blog - August 7, 2018 Category: Reproduction Medicine Source Type: blogs

Why do doctors waste the patient ’s money by doing a laparoscopy for infertile couples ?
Because infertility treatment can be so expensive, patients end up spending a lot of money on this.Part of the problem is because you're never sure whether the treatment is going to result in a baby or not, patients need to be very frugal. They will spend a lot of time searching for a doctor who does laparoscopies for infertility treatment for the least amount of money.The reality is you should not be doing a laparoscopy for infertility. Part of the problem is that laparoscopy has become “routine” , which means this has become a very over used, abused, and misused procedure.Most gynecologists do it ro...
Source: Dr.Malpani's Blog - August 5, 2018 Category: Reproduction Medicine Source Type: blogs

Why the government of India should offer free test tube baby treatment.
The Indian government has a Ministry of Health and Family Welfare, which is supposed to help citizens to plan their families. The government is the largest health care provider, and we pay taxes so that they can provide us with healthcare services.While the government provides a lot of free family planning ( FP) services, such as contraception , pregnancy termination and tubal ligation, family welfare doesn't just mean limiting the size of the family. It also means helping infertile couples who don't have a baby to have deeply loved babies – these will make great citizens for our country .This is why the department s...
Source: Dr.Malpani's Blog - August 4, 2018 Category: Reproduction Medicine Source Type: blogs

Free and low cost test tube baby treatment
Reducing the cost of test tube baby treatment in India is a major priority today.Lots of Indian couples would get pregnant if they could do IVF , but unfortunately they can't afford IVF treatment because it is so expensive.Unfortunately , IVF today it's only available at private clinics most of whom are profit making organizations , as a result of which they charge a lot of money . Poor patients just can't afford this.I think this is extremely unfair. It's high time that government hospitals started offering IVF to poor patients. After all they have medical staff and their junior doctors need to be trained in providing IVF...
Source: Dr.Malpani's Blog - August 4, 2018 Category: Reproduction Medicine Source Type: blogs

Cost of IVF treatment in India
One of the major constraints for taking IVF treatment for most Indian patients is the fact that IVF treatment is so costly.Now even if IVF treatment was expensive but they were sure they would get a baby, they would somehow scrounge up the money and go ahead and do it , but the problem is that you may end up spending a bomb and still get nothing in return.This is why it's very hard for them to take this step , and many get paralysed into inactivity.They will spend a lot of time doctor-shopping, and try to find the IVF clinic which provides the cheapest treatment .The problem is they don't understand that there's a world of...
Source: Dr.Malpani's Blog - August 4, 2018 Category: Reproduction Medicine Source Type: blogs

Why the cost of laparoscopy for infertile couples should be zero
A major problem with infertility treatment is that they can be so expensive. This is a major limiting factor for infertile patients , who are obviously going to try looking out for the most cost effective doctor.Thus, they will shop around and try to find out what the cost of a laparoscopy , so they can find the doctor who is cheapest and will do it for the lowest price.The problem is lots of doctors will do laparoscopies cheaply , but they will not do a good job. Thus, they will not do any video documentation , as a result of which the patient doesn't know what was done. There is no video record of the surgery, so th...
Source: Dr.Malpani's Blog - August 3, 2018 Category: Reproduction Medicine Source Type: blogs

Surrogacy center in Mumbai and India
Surrogacy is the best treatment option for infertile women whose uterus is absent ; or irreparably damaged .Now, this is an extremely expensive treatment and not something which should be taken lightly.However, it's often overused and abused because a lot of surrogacy treatment today is being done for patients who don't need it in the first place. This is typically women who have failed two or three IVF treatment cycles , and the doctor then advices them to do surrogacy.However, surrogacy is often the wrong treatment option for women with repeated implantation failure, but lots of surrogacy centers in Mumbai and in In...
Source: Dr.Malpani's Blog - August 3, 2018 Category: Reproduction Medicine Source Type: blogs

IUI versus IVF versus ICSI
Many infertile men get extremely poor quality treatment, and this is because most IVF specialists have no idea how to treat them. This is why there is so much confusion as to whether the right treatment for the man with a low sperm count is IUI, IVF or ICSI - and the tragedy is that often doctors are as confused as patients.For one thing, most gynecologists aren't able to interpret a sperm test report properly; and to make matters worse, the quality control in sperm testing laboratories is pretty abysmal. Many labs still don ’t even know that a normal sperm count is more than 15 million – and they still pr...
Source: Dr.Malpani's Blog - July 28, 2018 Category: Reproduction Medicine Source Type: blogs

Should I freeze my embryos ?
When patients have only two blastocysts, they're often not sure what to do. Should they transfer both of them as fresh blastocysts? Should they freeze both of them and then do frozen transfers, one at a time? Or should they transfer one and freeze one?To help you make the right decision, you need to remember that what you need to focus on is the cumulative pregnancy rate. This is not just the chance of getting pregnant in the first fresh cycle, but the overall chances over a period of time, after you have transferred all your blastocysts.Yes, it's true that the pregnancy rate after transferring two blastocysts at a time wi...
Source: Dr.Malpani's Blog - July 26, 2018 Category: Reproduction Medicine Source Type: blogs

Which is the best test tube baby center in India ?
Since IVF is such an expensive treatment, patients want to maximise their chances of getting pregnant by going to the best IVF center, which is why the quest for the best test tube baby center is such an important one !Now this is a difficult question to answer, because every IVF clinic is going to claim that they are the best.Sadly, most clinics lie about their IVF success rates, and because the Government does not regulate IVF clinics, they claim 80% success rates - even though their actual rates may be only 15%. The tragedy is that there is no way patients can trust these claims or verify them, because any one can claim...
Source: Dr.Malpani's Blog - July 23, 2018 Category: Reproduction Medicine Source Type: blogs

How doctors take advantage of IVF patient's ignorance
A patient sent me this email.-----Original Message-----From:To: Aniruddha MalpaniSubject: Re: Two ivf cycles failedSir,Can U pls suggest ivf success supplements?Next month I m going for third cycleCan I use mothers Horlicks?How to get good eggs and embryos?Any diet chart before, during and after embryo transfer?Sir, pls kindly suggest meLifelong I will be really thankful to youNow I m taking1. apcod sachets2. Metformin3. Normoz4. Ultra CoQ105. Folic acidMy previous ivf failure reasons are poor quality eggs and embryos, implantation failure and may be unexplained infertility reason Actually, the most likely reason for ...
Source: Dr.Malpani's Blog - July 21, 2018 Category: Reproduction Medicine Source Type: blogs

Thank you Dr Malpani !
Fertility treatments for me have never been an easy experience...unnecessary tests, lot of doubts, unsure about the doctors approach, too many strong hormones injected due to an assembly line approach and in the end ...an unsatisfactory feeling.We have been very impressed with Dr. Malpani's interactive and amazing website.  All our doubts were answered regularly by visiting and writing out our queries on the website. Our beginning itself was so easy and we could feel and appreciate the Doctors' expert knowledge in the field of infertility.We are blessed with a healthy and adorable baby, on my first try, inspite of my ...
Source: Dr.Malpani's Blog - July 21, 2018 Category: Reproduction Medicine Source Type: blogs

How confused IVF doctors mislead IVF patients
A patient sent me this emailI am 35year old  and my wife is 30yrs with type 2 DM,first IVF (ICSI) done 2yrs back under short protocol,got 7 eggs,in that they got three grade 1embryos,transferred all three but failed,second IVF done 6months later in other center under long protocol, got 16eggs,in that they got 12 grade one embryos, 2 transferred but failed, for next month they planned to transfer blastocyst out of 10 remaining embryos but only one morula they got,transferred morula but failed,during these days AMH was 4.5,my sperm motility was 20%,then dr told it could be because of egg factor and suggested for donor e...
Source: Dr.Malpani's Blog - July 18, 2018 Category: Reproduction Medicine Source Type: blogs

Why do IVF success rates vary so much from clinic to clinic?
One reason why IVF success rates vary is because some clinics are much better than others, because of their superior expertise and depth of experience. Remember, the success rates don ’t depend upon just the doctor’s clinical skills – they are also affected by how good the embryologist is, and the coordination between the laboratory and the clinical team. Sadly, many IVF clinics depend upon “travelling embryologists”, and they don’t have a full-time embryologist. What ’s even worse is that patients are clueless about the fact that such a key professional is missing !The other reaso...
Source: Dr.Malpani's Blog - July 16, 2018 Category: Reproduction Medicine Source Type: blogs

What are my chances of getting pregnant with IVF ?
The commonest question which a patient asks their IVF doctor is, "What are my chances of getting pregnant?" Now this is a deceptively simple question , but the answer can be surprisingly complicated, which is why most doctors will take one of two approaches to answer this.Most will provide a highly inflated figure , because their only purpose is to make sure that the patient comes to them for treatment. So they'll say state some outrageous figure like 70% per cycle — an arbitrary number they pull out of their hat—and they have no way of being able to prove that this is the right number. Unfortunately ...
Source: Dr.Malpani's Blog - July 15, 2018 Category: Reproduction Medicine Source Type: blogs

Why do patients have such unrealistic expectations of IVF treatment ?
A huge problem today is that corporate IVF clinics have started claiming highly inflated success rates, because they want to attract patients. This harms patients, who have very unreasonable hopes of what at IVF clinic can do for them. This is why when their cycle fails they're extremely unhappy and feel they have been cheated. These clinics want to maximize their profits, which is why they strategy is to overpromise – and they end up under delivering.                          &n...
Source: Dr.Malpani's Blog - July 14, 2018 Category: Reproduction Medicine Source Type: blogs

Why do IVF patients feel cheated ?
One of the things which irritates a lot of patients about IVF clinics is that they get inconsistent information from their clinic. Different doctors in the same clinic give them completely different advice. Because there's so much turnover among junior doctors in these clinics, no one says the same thing at different visits, as a result of which patients get completely confused , and don't know whom to believe or trust.This is one of the reasons why there are so many last-minute changes in their treatment protocol, without any adequate explanation. There ’s a complete lack of transparency and the treatment is deliver...
Source: Dr.Malpani's Blog - July 13, 2018 Category: Reproduction Medicine Source Type: blogs

The problem with IVF corporate clinic chains
Practically every newspaper these days has ads for IVF clinics,  and you will also see these ads on large billboards all over the town as well. There's a lot of competition in the field, because lots of financiers believe that there is a lot of money to be made by opening IVF clinics. IVF is thought of being a high-profit business, and they want to make the most of this opportunity. However, their focus is then on how much money they can make by opening as many clinics as quickly as possible, rather than paying attention to making sure that the pregnancy rates are high by providing high quality treatment to their pati...
Source: Dr.Malpani's Blog - July 12, 2018 Category: Reproduction Medicine Tags: ivf ivf clinics IVF in India Source Type: blogs

The fate of the poorly informed IVF patient
A patient sent me this emailI am married to my husband since 2011 Still now i havent conceived .Nor been pregnant or any abortion happend.I first went to a local hospital near my house.my FSH ,LH,prolactin,and all other hormones are at good level So they said me to try normal.Antral follicle was 5/6 in left and 6/6 in right.We tried for 6 months but it didn't gave result.we went to another hospital.From there I was told that my husbands sperm is with low molitility so when we went for scan found varicocele and husband had varioelectomy for varicocele.after surgery also I failed to conceive. i also had minor fibroid issue b...
Source: Dr.Malpani's Blog - July 11, 2018 Category: Reproduction Medicine Source Type: blogs

Excited to be pregnant after doing IVF at Malpani Infertility Clinic !
We had made the decision to meet Dr.Malpani Sir as we had read on the website that all the queries and procedure is handled by Sir and Ma ’am.We  received prompt reply to all our queries and Dr.Malpani sir was very supportive ,for us he is like a father figure.Our parenthood journey got delayed due to multiple factors but we were open to options to achieve our dreams.Our first cycle was a chemical pregnancy but with the expertise of embryo preservation and a smoot embryo transfer by Dr.Anjali Ma ’am and Dr.Sai the embryologist our second cycle is successful and we are enjoying the new joy in our life.Dr.Ma...
Source: Dr.Malpani's Blog - July 6, 2018 Category: Reproduction Medicine Source Type: blogs

Did I harm my embryos?
A patient sent me this email .I had my FET yesterday, I have voiding  dysfunction and soon after the transfer I peed , I was really really uncomfortable but due to my problem I had difficulty peeing and I stressed my bladder and peed,soon after I was so worried that due to the pressure I applied on my bladder and lower abdomen I might have expelled my embryos 😢 and after coming home I forgetfully sat on Indian toilet in squatting position to urinate.does this in any way effect or dislodge my embryos. I'm very remorseful of my irresponsible actions.Most IVF patients are petrified that their actions will harm their&n...
Source: Dr.Malpani's Blog - June 19, 2018 Category: Reproduction Medicine Source Type: blogs

Finding answers to your IVF queries
IVF patients have lots of questions about IVF, and this is natural. After all, the success rate is not 100%, and you are investing a lot of time , money and energy in the process. How do you know whether you're on the right track ? Whether you are taking the right treatment at the right clinic ? Are the doctors using the right protocol for you? There is a lot at stake, and it can be hard to find answers , because there are so many questions.What makes it even harder is that because there are so many conflicting opinions, you don't know whom to trust. Should you depend on your family doctor? Or is he referring you to a...
Source: Dr.Malpani's Blog - June 9, 2018 Category: Reproduction Medicine Tags: infertility chatbot IVF chatbot Source Type: blogs

The Intelligent IVF Chatbot
IVF patients have lots of questions about IVF. What are the risks? What are the complications? What can I do to increase my chance of success? How do I find the right doctor?Unfortunately , they don't know where to get these answers from. There are lots of myths and misconceptions which surround IVF, and these come from friends or family members who have done an IVF cycle - or even from someone whose relative did an IVF cycle ! A lot of this second-hand information is inaccurate , and creates a lot more confusion in the patient's mind , because she doesn't know whom to trust. Is there any need to reast after IVF ? or ...
Source: Dr.Malpani's Blog - June 8, 2018 Category: Reproduction Medicine Tags: infertility chatbot IVF chatbot Source Type: blogs

What every IVF patient needs to know
It always worries me when I see patients who have done IVF cycles in other clinics, but have no idea about what the doctor did; why did he did it; how many eggs they grew; and how many embryos were transferred. This bothers me , because we all know that the success rate of an IVF cycle is not 100%, but the more the patient knows about the IVF treatment, the better their chances of getting the right treatment . If they are armed with the right information, they will be able to select the right doctor; ask the right questions; choose the treatment option which is correct for them, rather than blindly accepting everything the...
Source: Dr.Malpani's Blog - June 7, 2018 Category: Reproduction Medicine Tags: infertility chatbot IVF chatbot Source Type: blogs

Ignorance harms infertile couples !
A patient I saw today was crying bitterly because a doctor had told her she was suffering from "secondary " infertility.She thought that secondary meant it was a more advanced and complicated form of infertility, which meant that her chances of getting pregnant would be very low.I had to explain to her that secondary simply meant an infertile patient who had been pregnant in the past, and did not refer to the "stage" of the disease !Doctors need to explain medical terms to patients - and patients need to do some research before jumping to the wrong conclusion !Need help in making sense of medical jargon...
Source: Dr.Malpani's Blog - June 6, 2018 Category: Reproduction Medicine Source Type: blogs

Our IVF success story
We would like to share our wonderful experience with Drs. Anjali and Aniruddha Malpani. We have just begun our journey of parenthood and are thankful to Dr. Malpani for it. We had been married for 3.5 yrs at the time we met Dr. Malpani. We live in Delhi and had already consulted a few IVF specialists and undergone treatment in Bangalore as per their advice, but we didn't get any success with the treatment. We were very disappointed as it is a physically and mentally exhausting process. We were not sure about what to do next and whether to continue with the same doctor.We got to know about Dr. Malpani through some acqu...
Source: Dr.Malpani's Blog - June 4, 2018 Category: Reproduction Medicine Source Type: blogs

How can we make IVF more affordable
1.      We need to make IVF more affordable , because there are millions of Indian infertile couples who require IVF, but can't pay for it , because it's become so expensive . Health insurers should cover for IVF treatment, because infertility is the commonest medical problem which affects young adults in the prime of their life. The return on investment for this treatment is enormous, because IVF babies become highly productive citizens in the future , since their parents lavish so much love and care on them. However, until large corporate ( such as TCS and Infosys) which employ thousands of ...
Source: Dr.Malpani's Blog - June 2, 2018 Category: Reproduction Medicine Source Type: blogs

Dr Anjali Malpani has been honoured with the Times Healthcare Achiever Award 2018 in Mumbai
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - May 31, 2018 Category: Reproduction Medicine Source Type: blogs

The IVF hurdle race !
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - May 31, 2018 Category: Reproduction Medicine Source Type: blogs

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The IVF lab is the heart of IVF treatment, where we keep the eggs and sperms safely and allow the embryos to grow until they form good quality blastocyst, which are ready to either be frozen or to be transferred into the uterus. Now, the most important thing an IVF lab does, is make sure there are no toxic elements within the culture medium, within the laboratory which could damage the embryo growth.But the fact of the matter is that there is very little we can do to actually facilitate or accelerate or enhance embryo growth. After all, the growth of the embryo depends on the energy which is provided by the egg itself, and...
Source: Dr.Malpani's Blog - May 30, 2018 Category: Reproduction Medicine Source Type: blogs

Certifying the quality of an IVF lab
Patients know that there is a lot of variability between the success rates of IVF clinics, and they are not sure how to make sure that they one they select is a good clinic or not.Should they go by their family doctor's advice ? or the size of the advertisement the clinic pays for in the newspaper ?  How reliable is word of mouth ?I wish there was a Hallmark for IVF clinics, which patients could use to ensure that they are taking treatment at a high quality clinic. Sadly, the Indian government has done a poor job with regulating IVF clinics, which means any one can call themselves an IVF specialist,  even if thei...
Source: Dr.Malpani's Blog - May 29, 2018 Category: Reproduction Medicine Source Type: blogs

Sperm DNA fragmentation does not affect your fertility !
A patient just send me this emailI have had a sperm test done and my Sperm DNA Fragmentation ( DFI) index count is 40 %. My doctor says my wife will require a sperm donor. This is a classic example of how over-testing leads to poor medical care and harms patients.Doctors don't understand the limitations of the newer medical tests, and are quite happy to order the "latest and most expensive " tests when treating their patients - especially when they have no idea what's going on ! They cloak their ignorance with the garb of sophisticated scientific test results - and the poor patient gets misled !The reality i...
Source: Dr.Malpani's Blog - May 27, 2018 Category: Reproduction Medicine Source Type: blogs

Is there any connection between Grade C embryos and the risk of birth defects ?
A patient asked me this question.Can Grade A embryos result in abnormalities in the baby ? Or do only Grade C results in abnormalities ? Sadly, there is still a lot of misunderstanding  about embryo grading . Most embryologists are not skilled enough to be able to grade embryos properly, and because many IVF specialists have never set foot in the lab , they don't really understand what embryo grades mean. And if the IVF doctor is so confused, it's hardly surprising that patients are completely in the dark.Embryo grades are basically lab shorthand for describing the appearance of the embryo - how it looks under th...
Source: Dr.Malpani's Blog - May 26, 2018 Category: Reproduction Medicine Source Type: blogs

The limits of IVF technology
The IVF lab is the heart of IVF treatment. We keep your eggs and sperms safely in the incubator, and your embryos grow in the IVF culture medium in vitro, until they form good quality blastocysts, which are ready to either be frozen , or to be transferred into your uterus.The most important thing an IVF lab does is make sure there are no toxic elements within the culture medium or the laboratory , as these could damage the growth of your embryos. We want to keep them happy, so they thrive in vitro, until they are ready to go back into your uterus !However, sadly there is very little we can do to actually enhance the growth...
Source: Dr.Malpani's Blog - May 25, 2018 Category: Reproduction Medicine Source Type: blogs

World's first infertility Chatbot !
We have created the world's first infertility chatbot, to help infertile patients learn more about their problem.Naima is an intelligent digital medical assistant, who will help you find what you need to know !Check her out atwww.ivfindia.comThis is a beta release, and your feedback will help us enormously in improving how she answers your  queries ! Please be kind - this is a work in progress (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - May 25, 2018 Category: Reproduction Medicine Source Type: blogs

The difference between IVF outputs and IVF outcomes - what every patient needs to know !
What every patient ( and every doctor) wants from every IVF cycle is a happy ending -  a baby. It's great when we can achieve this happy outcome, but sadly IVF does not have a 100% pregnancy rate, which means many IVF cycles fail.While this is heartbreaking, the patient then needs to plan what to do next, and this is why it's so important to differentiate between output and outcome.The output is the end-result of the IVF treatment , and this is something which a doctor can control. This is tangible, in the form of top quality blastocysts.However, once we transfer the blastocyst back into the uterus, we have no control...
Source: Dr.Malpani's Blog - May 24, 2018 Category: Reproduction Medicine Source Type: blogs

How can we make IVF more affordable in India ?
I often see lots of infertile patients who could get pregnant if they did IVF treatment. Unfortunately, they just cannot afford to do an IVF cycle for financial reasons, and they end up without a baby. It fair to say  that  this causes them a significant amount of  frustration and heartburn when you know that IVF can help you get pregnant; but you can ’t, because you just can’t afford the treatment.Can this be changed? But it ’s not just the patients who are affected; IVF specialists also go through a lot of anguish when this happens. It’s very difficult to come to terms with the...
Source: Dr.Malpani's Blog - May 19, 2018 Category: Reproduction Medicine Source Type: blogs

Why didn't this blastocyst implant ?
The truthful answer is - We don't know !This doesn't mean we are stupid or ignorant - it just means medical technology has its limitations, and we need to learn to live with them, by having realistic expectations of what IVF treatment can accomplish - and what it can't !So what do we know ?We know that human reproduction is not a very efficient process, and that most embryos will not implant because they have genetic abnormalities we still cannot test for. This is the limitation of IVF technology today, and we need to come to terms with it.The problem is that patients are unhappy when the doctor tells them the truth, becau...
Source: Dr.Malpani's Blog - May 18, 2018 Category: Reproduction Medicine Source Type: blogs

What do we need to change for our next IVF cycle
After her IVF cycle failed, a patient sent me this emailIn retrospect what do you think could have gone wrong? Is there anything I need to improve or change ? It's important to learn from each IVF cycle by analysing what went, and what didn't. The right time to do this is at the time of embryo transfer, because it is only until this point that we have any control. We can only three tangible variables -embryo qualityendometrial ( receptivity) thickness and texturethe ease of the transferOnce the embryos have been transferred into the uterus, we have no ability to check what happens inside the uterus. All we know is tha...
Source: Dr.Malpani's Blog - May 17, 2018 Category: Reproduction Medicine Source Type: blogs

IVF failure - incompetence ? or bad luck ?
IVF failure can be the result of bad luck , or sometimes the result of the IVF doctor's incompetence . The key question the patient wants an answer to is - How do I differentiate between the two ? Did my cycle fail in spite of the fact that the doctor did everything right " Or did it fail because the doctor wasn't able to make good embryos in the lab ?The only way to answer this question is by getting photos of your embryos , and doing enough homework so you are able to interpret the images of your embryos . The good news is that this is easy to do - and if you need help, please feel free to email me !You can see...
Source: Dr.Malpani's Blog - May 16, 2018 Category: Reproduction Medicine Source Type: blogs

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IVF failure can be the result of bad luck , or sometimes the result of the IVF doctor's incompetence . The key question the patient wants an answer to is - How do I differentiate between the two ? Did my cycle fail in spite of the fact that the doctor did everything right " Or did it fail because the doctor wasn't able to make good embryos in the lab ?The only way to answer this question is by getting photos of your embryos , and doing enough homework so you are able to interpret the images of your embryos . The good news is that this is easy to do - and if you need help, please feel free to email me !You can see...
Source: Dr.Malpani's Blog - May 16, 2018 Category: Reproduction Medicine Source Type: blogs

How to prevent errors in IVF - what every patient needs to know !
The biggest nightmare for any IVF patient is that the lab may mix up their eggs and sperms with another patients. This has happened in many clinics, and IVF is as prone to errors as any other treatment because it is provided by a host of people working together – doctors, nurses, receptionist, ultrasonographers, lab technicians and embryologists. It requires lots of coordination, and there are few treatment processes for which a team approach is more important than for assisted reproduction. Close, continuous communication is required at many levels to e nsure everything goes as planned.Communication mattersAll of th...
Source: Dr.Malpani's Blog - May 15, 2018 Category: Reproduction Medicine Tags: IVF error IVF mistakes Source Type: blogs