IVF Video : HOW TO GRADE EMBYOS in (hindi)
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs
IVF Video : Learning from a failed IVF CYCLE
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 14, 2020 Category: Reproduction Medicine Source Type: blogs
IVF Video : Donor Egg Vs Surrogacy
(Source: Dr.Malpani's Blog)
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
(Source: Dr.Malpani's Blog)
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 once we put i...
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 , even th...
Source: Dr.Malpani's Blog - February 6, 2020 Category: Reproduction Medicine Source Type: blogs
CAREER VS BABY - the Professional Woman's Dilemma
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - February 6, 2020 Category: Reproduction Medicine Source Type: blogs
Learning from a failed IVF CYCLE !
(Source: Dr.Malpani's Blog)
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 should...
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 most...
Source: Dr.Malpani's Blog - January 31, 2020 Category: Reproduction Medicine Source Type: blogs
The Second IVF Cycle ! IVF video
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 28, 2020 Category: Reproduction Medicine Source Type: blogs
Reducing the Stress of IVF - IVF video
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 28, 2020 Category: Reproduction Medicine Source Type: blogs
IVF as a safety net
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - January 27, 2020 Category: Reproduction Medicine Source Type: blogs
