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

How do gynecologists decide which IVF clinic to refer patients to ?
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 commi...
Source: Dr.Malpani's Blog - December 24, 2018 Category: Reproduction Medicine Source Type: blogs

How cuts, kickbacks, and commissions harm IVF patients
It's a well known fact that most doctors today are on the take, and will take cuts, kickbacks, and commissions for referring patients to a specialist. This is especially true for corporate chains of IVF clinics, which want to maximise thei revenue.Medical kickbacks are an open secret, and they end up hurting IVF patients like you.Thus, your family doctor or gynecologist will often refer you to the IVF clinic which gives them the biggest proportion of their fees as a cut or a kickback. They do this in order to maximize their income, rather than to maximise your chances of having a baby.Ideally, they should send you to the I...
Source: Dr.Malpani's Blog - December 23, 2018 Category: Reproduction Medicine Source Type: blogs

Are you sure your gynecologist is referring you to the best IVF doctor?
Most patients depend on their gynecologist or family doctor or GP to refer them to the right IVF doctor. After all, family physicians are meant to be gatekeepers, and patients expect they will send them to be best specialist when they need advanced medical treatment.This was true in the past, but it's no longer a reliable method , today given the fact that cuts, kickbacks, and commissions have become so prevalent in the medical profession.This means that today it's quite likely that a family doctor will refer you to an IVF clinic, not because it's the best clinic with the highest pregnancy rate , or the one which is r...
Source: Dr.Malpani's Blog - December 22, 2018 Category: Reproduction Medicine Source Type: blogs

When the sperm are a bottleneck for pregnancy
Men with a low sperm count can't get their wives pregnant in the bedroom. This is called male factor infertility, and the technical term for this is oligoastenospermia. This means that it ’s it's the low sperm count which is the bottleneck in the bedroom, and this is a common cause for infertility.Interestingly, the problem gets flipped when we move from the bedroom to the lab, because in-vivo is not the same as in-vitro.When we use IVF for treating these infertile couples, the bottleneck is no longer the sperm, because we do ICSI for them, where we inject a single sperm inside an egg. This means that no matter ...
Source: Dr.Malpani's Blog - December 21, 2018 Category: Reproduction Medicine Source Type: blogs

Welcome to Parenthood: Positive Parenting When You Have a Disability
Parenthood is a gift. There ’s a little person whom you get to love with every fiber of your being. You are his world, and he is your light. You get to watch him grow and develop into the person that he is meant to be. Your days are spent nurturing him, teaching him, and watching him play with curiosity and delight. He is yo ur source of joy.But what is parenting like when you have a disability that could limit your physical ability to care for your child? Parenting is already complex on its own, but it shouldn ’t have to be further complicated by having physical limitations. Before you begin raising a family, ...
Source: Dr.Malpani's Blog - December 21, 2018 Category: Reproduction Medicine Source Type: blogs

Finding the right IVF doctor
How do you identify a good doctor? A very common question which patients ask us is- How do I find a good IVF doctor .Many of them cannot come all the way to Mumbai for their treatment , and want a referral to a reliable and trusted local clinic.We are very reluctant to identify a particular doctor by name , because it's very hard to take responsibility for someone else's professional competence.I tell them they need to do their own homework , and that it ’s not very hard to differentiate between a good doctor and a bad doctor.You need to create a shortlist, and interview all the doctors. In order to do so , you need ...
Source: Dr.Malpani's Blog - December 20, 2018 Category: Reproduction Medicine Source Type: blogs

What is the difference between an infertility specialist and an IVF spec...
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 19, 2018 Category: Reproduction Medicine Source Type: blogs

आपको कब iui/आईयूआई से ivf/आईवीएफ़ के लिए जाना चाहिए?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 17, 2018 Category: Reproduction Medicine Source Type: blogs

इन्फर्टाइल जोड़े iui/आईयूआई साईकल्स दोहराकर पैसे क्यों बर्बाद करते हैं?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 17, 2018 Category: Reproduction Medicine Source Type: blogs

भरोसेमंद ivf डॉक्टर कैसे चुनें?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 17, 2018 Category: Reproduction Medicine Source Type: blogs

Does your life feel empty without a child?
Most of us imagine that we will have our own children when we grow up.After all, the happiest memories we have is when we were children , and just like we are grateful to our parents for bringing us up, we want to be parents too , so that we can bring our children up , and pass on the family traditions we've inherited.This is a deep biological urge , and it can come as a rude shock when you find that you can't have a baby. Infertility can create a huge void in your life – and the impact is similar to that of a death in the family – the death of your hopes and dreams.The good news is that technology exists to so...
Source: Dr.Malpani's Blog - December 17, 2018 Category: Reproduction Medicine Source Type: blogs

Why a shared risk option can be so valuable for patients who failed an IVF cycle.
Patients do an IVF treatment with lots of hope and expectations .This is especially true when IVF doctors promise them the moon , and are extremely optimistic when they want them to sign up for treatment.However, when the cycle fails, their hopes come crashing down.Not only are they depressed and frustrated, they lose confidence in doctors - especially when the doctor abandons them , and refuses to answer their calls or provide them any information as to why the cycle failed, and what they can do differently next time.Patients feel cheated and will not trust any other IVF doctor.This is why a shared risk option can be so v...
Source: Dr.Malpani's Blog - December 15, 2018 Category: Reproduction Medicine Source Type: blogs

The new and improved kinder IVF treatment plan
                 In the past , standard IVF protocols for superovulation would use down-regulation with GnRH agonists      ( such as Lupron) , and these were known as either the short or the long protocols. Long protocols would start 7 days before the cycle started, which meant that patients would end up having to take shots for 20 days – a daunting prospect for most women, and because this put them off, they refused to explore the option of doing IVF          &nbs...
Source: Dr.Malpani's Blog - December 13, 2018 Category: Reproduction Medicine Source Type: blogs

आपको कब iui/आईयूआई से ivf/आईवीएफ़ के लिए जाना चाहिए?
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 13, 2018 Category: Reproduction Medicine Source Type: blogs

The Ovarian Rejuvenation Scam
Patients with ovarian failure can be very depressed and disheartened when they learn that they can't have a baby with their own eggs .Lots of them are not prepared to accept this harsh truth, and are not willing to use donor eggs , even though this has a very high success rate, either for psychological or religious reasons. As a result of their desperation, they are emotionally very vulnerable , and are happy to clutch at straws. Because they're willing to do anything in order to have a baby, it ’s easy for crooked doctors to cheat them . In the past , doctors would take them for a ride, by “treating” the...
Source: Dr.Malpani's Blog - December 12, 2018 Category: Reproduction Medicine Source Type: blogs

False despair can be as harmful as false hope for IVF patients
It can be difficult to treat infertile patients, especially when they have very unrealistic expectations of what medicine can do for them.This is because their feelings range wildly all the way from one end of the pendulum - false hope, to the other end - false despair.False hope is the expectation that I'm going to get pregnant if I do IVF ; or that IVF has a 100% success rate .Patients who do IVF treatment with this false hope will often go to pieces when their cycle fails , because they're not able to build up the courage to try again . Because they had such high (unrealistic) expectations , they cannot deal with the fr...
Source: Dr.Malpani's Blog - December 11, 2018 Category: Reproduction Medicine Source Type: blogs

Answers after IVF failure
(Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - December 11, 2018 Category: Reproduction Medicine Source Type: blogs

Why is this IVF patient so unhappy?
No, it's not because her pregnancy test has come back negative, because she is still in her 2ww, and hasn't got her result as yet . It's because she's been very disillusioned and disappointed by the quality of medical care which she has received during her IVF treatment.Her IVF doctor has not shared any information with her - in fact, she hasn't even seen the same doctor twice ! The only time she met the doctor was at the time of the first consultation, when everyone was very sweet, and wanted her to pay her fees, so they could start her treatment as soon as possible . Sadly, they were more interested in collecting her fee...
Source: Dr.Malpani's Blog - December 10, 2018 Category: Reproduction Medicine Source Type: blogs

What is the difference between these two IVF clinics?
These two IVF clinics look very similar. Their equipment seems to be the same, and their websites seem to have the same text ( since one of them has copied and pasted the content from the other!)So how are patients going to differentiate between the two clinics ? How do they know which one is good, and which one is not?This is a huge problem, and it ’s very hard for patients to identify a good clinic.It ’s not just the equipment which a clinic has – after all, they can all buy the same hardware !In reality, it ’s the experience and the expertise of the team members which makes a world ofdifference !...
Source: Dr.Malpani's Blog - December 9, 2018 Category: Reproduction Medicine Source Type: blogs