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

Why are IVF patients so reluctant to get a second opinion ?
If you are not happy with your IVF doctor, it's very logical that the next step should be to get a second opinion. However, most patients are extremely reluctant to do this .For one, they have an existing relationship with their doctor , and they feel they will be disloyal and unfaithful to that doctor if they look for a second opinion - especially if they go behind his back ! (  Incidentally, this is not true. Every good doctor will encourage a second opinion because they want their patients to be happy with the care they are providing. They are confident that what they're doing is correct, and are quite pleased to a...
Source: Dr.Malpani's Blog - December 8, 2017 Category: Reproduction Medicine Source Type: blogs

How many IVF cycles should I do?
This is one of the commonest questions patients who have failed an IVF cycle ask when they come to me for a second opinion.Is it worth doing another IVF cycle? What should I change ? Do I need to do anymore tests ? Should I expect to do three ? or four? How much stamina do I need? How much will this deplete my bank balance? Will multiple IVF cycles damage my health ?Sometimes, with a lot of patients, you know that repeating the IVF treatment is futile, but many patients continue clutching at straws , because they're not willing to accept the truth.Often they read about some fancy new research ( either in the news...
Source: Dr.Malpani's Blog - December 6, 2017 Category: Reproduction Medicine Source Type: blogs

How confusing sperm test reports end up confusing patients
A patient just sent me his sperm test report, and he was feeling very guilty that he had not been able to get his wife pregnant, because his report was so abnormal !This is a great example of a bad report, because the doctor is providing a clinical opinion based on a lab report - something which a good pathologist will never do ! After all, interpreting the report and explaining it to the patient is the clinician's job !Sadly, most gynecologists are completely clueless when it comes to making sense of a semen analysis report, and they also get confused with all the medical jargon this pathologist has stuffed his report wit...
Source: Dr.Malpani's Blog - December 5, 2017 Category: Reproduction Medicine Source Type: blogs

Why PCO patients should induce a period every month
Polycystic ovarian disease ( PCOD) is a common cause of infertility. Typically, most of these patients have irregular cycles because they don't ovulate regularly. Now, because they don't ovulate, they don't get pregnant , and they don't get regular periods either . This is because they produce a lot of estrogen, but there's no progesterone production at all, because of the lack of ovulation.Now, this means that every time they miss a period, they're very hopeful that this time they could be pregnant. They wait and they wait, and after two months or three months they don't get a period, they finally go to a doctor who does ...
Source: Dr.Malpani's Blog - December 5, 2017 Category: Reproduction Medicine Source Type: blogs

Poor quality IVF treatment
I received this tearful email from a patient.I have a very sad medical history .  I used to get extremely painful periods (I got my first periods at the age of around 14-15 years) where medical help was always required by me. The doctors in my home town could not understand the problem and we were completely relying on the best doctors of our city. I was treated for depression, epilepsy, abdominal TB, hormones, etc. etc. because they believed that my symptoms were similar to any of these ailments.After years of treatment but no relief (around 11 years of treatment with no solid diagnosis, no reports nothing), I got ma...
Source: Dr.Malpani's Blog - December 1, 2017 Category: Reproduction Medicine Source Type: blogs

Why pregnancy rates are better with single Day 5 embryo ( blastocyst) transfers
Logically, one would expect that the pregnancy rate would be better if we transferred two embryos at a time, as compared to putting back only  one .  Yes, this is true if you calculate the success rate per transfer, but not true when you calculate the cumulative pregnancy rate - the total chances of getting pregnant after transferring all the embryos back.Let's assume you have 2 top quality blastocysts, and that each blastocyst has has a 30% chance of implanting if we transfer it in an optimally receptive endometrium.Now if we put two embryos back at the same time, each of them has that 30% chance,  and the ...
Source: Dr.Malpani's Blog - December 1, 2017 Category: Reproduction Medicine Source Type: blogs

Was your IVF failure because of bad luck ? or because of a bad clinic ?
We all know that IVF does not have a 100% success rate, but when an IVF cycle fails, you are never sure what the reason for the failure was.Was it because of plain bad luck ? After all, why good looking embryos do not implant is still one of those things we do not understand - it is one of medicine's unsolved mysteries ! We know that human reproduction is not very efficient, and even fertile couples take time to make a baby in their bedroom, which means sometimes all patients need to do is be patient and try again.Or was it because the IVF clinic was not good enough ?How is the poor patient meant to decide what to do next ...
Source: Dr.Malpani's Blog - November 30, 2017 Category: Reproduction Medicine Source Type: blogs

Why didn't my egg fertilise after ICSI ?
A patient just sent me this email.We had our 1st cycle in July this year with ICSI as I had just turned 45 years and my partner is same age, we had a very good grade 1 embryo put back but didn't implant.So we have just now had another cycle on the 24th November this month, I had a mature egg follicle size was 19 mm sperm was good they done ICSI again but this time they said it didn't fertilize ?They told us the egg was good and the sperm was good but it just didn't happen.How can I have a good egg and sperm but didn't fertilize using ICSI . I could understand it if the egg wasn't a good one or sperm, and how come we had a ...
Source: Dr.Malpani's Blog - November 26, 2017 Category: Reproduction Medicine Source Type: blogs

What can you do when your IVF doctor does not agree with you ?
Infertility presents a number of unusual challenges .  It is caused by a medical problem -  for example, blocked fallopian tubes,  or a low sperm count - and this means we can offer medical treatment for it, but the truth is that childlessness is a social label. This is why treatment for infertility is elective - and patients have to decide for themselves if they want to do IVF or not. This is why there really is no right answer or wrong answer as to what kind of treatment IVF patients should be taking. For example, the medical treatment which would give the highest chances of success for an older ...
Source: Dr.Malpani's Blog - November 26, 2017 Category: Reproduction Medicine Source Type: blogs

Is it safe for me to postpone having children for the next 4 years ?
I just received this email from a young 31 year old woman." I have an exciting job in a bank, and want to pursue by career. I am married, but want to postpone having a child for the next 3-4 years, as I am on a the fast track to cracking the glass ceiling. However, my mother is insisting that I put my career on hold, and have a baby  now. She is worried that I will find it hard to conceive if I put this off any further - and that I won't be able to enjoy my baby if I get older. What are my options ?"This has become an increasingly common dilemma for young professional women today. Like their male colleagues ...
Source: Dr.Malpani's Blog - November 23, 2017 Category: Reproduction Medicine Source Type: blogs

Please share your favourite doctor story !
Most of us trust our doctors, and are grateful to them when they help us to get better.However, we rarely get a chance to express our thanks.Please share your story about your favourite doctor atwww.mydoctormyhero.com!We are offering a prize of Rs 1000 for the best story of the week ! (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - November 23, 2017 Category: Reproduction Medicine Source Type: blogs

Why you should transfer only a single blastocyst !
Today, our standard practice is to freeze all your embryos at a blastocyst ( Day 5) stage, and then transfer them after thawing them in the next cycle, one at a time. Here's why we think this is the best method for optimizing your chances of having a healthy baby.Let's start off with why we don't advise doing fresh transfers.  The chances of getting pregnant depend on two variables - 1. the quality of the embryo, and 2. endometrial receptivity.In a natural cycle, endometrial receptivity and the embryo are synchronized perfectly, which is why fertile women  get pregnant in the bedroom so easily. However, in a fres...
Source: Dr.Malpani's Blog - November 23, 2017 Category: Reproduction Medicine Source Type: blogs

When IVF Patients Make Irrational Decisions
Infertility presents a number of unusual challenges for doctors.  It is caused by a medical problem -  for example, blocked fallopian tubes,  or a low sperm out - and this means we can offer medical treatment for it, but the truth is that childlessness is a social label. This is why treatment for infertility is elective - and patients have to decide for themselves if they want to do IVF or not.This is why there really is no right answer or wrong answer as to what kind of treatment IVF patients should be taking. For example, the medical treatment which would give the highest chances of success for an older wo...
Source: Dr.Malpani's Blog - November 22, 2017 Category: Reproduction Medicine Source Type: blogs

Egg freezing - how old is too old ? The limits of IVF technology
While the Times of India article about a celebrity carrying a twin pregnancy after egg freezing will help increase awareness about the option of social egg freezing as a method for preserving fertility in older women, I am very concerned about the misleading message this is going to  send to most  women!They are going to start believing that IVF specialists are magicians  who can get anyone pregnant - and that a woman's biological age does not affect her fertility. Women will delude themselves that they can happily postpone having a baby for as long as they like , but this is false ! There is a price you pay...
Source: Dr.Malpani's Blog - November 18, 2017 Category: Reproduction Medicine Source Type: blogs

Please don't do a laparoscopy !
Many doctors routinely do a laparoscopy and hysteroscopy for all infertile women.They justify this by saying it's a simple diagnostic procedure, which will allow them to confirm that there is no anatomical problem.They also say it's "minor surgery", which just involves a "small cut" and a few hours stay in a hospital.What they don't tell the patient that there's absolutely no need to do a laparoscopy at all ! Let's not forget that the safest surgery is the one you don't need to do !The truth is that laparoscopy does not provide us with any useful information which we cannot obtain with simpler non-invas...
Source: Dr.Malpani's Blog - November 15, 2017 Category: Reproduction Medicine Source Type: blogs

IVF failure - what next ?
After an IVF cycle fails, the first question patients ask is - What do we do differently the next time ?The answer to this question depends upon analysing the failed cycle systematically. After all, in order to move forwards, we first need to look backwards, so we can plan the next IVF cycle more intelligently.This is why it's so important that you insist that your doctor give you photos of your embryos and your medical records at the time of the transfer ! This information is worth its weight in gold  (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - November 8, 2017 Category: Reproduction Medicine Source Type: blogs

How to judge the quality of your IVF doctor at the time of your first consultation
Most patients naively assume that all IVF doctors are equally good, but this is completely false.There is a world of a difference between a good doctor and a bad doctor, and this affects your chances of getting pregnant enormously !Please don't get misled by advertisements - you need to do your own research to make a well-informed decision.The good news is that it's easy to assess the quality of an IVF doctor the first time you meet him, provided you have done your homework properly.Is the doctor well-organised ? systematic ? Does he have a well-defined process ? Is he happy to answer your questions ? Does he spend time ta...
Source: Dr.Malpani's Blog - November 6, 2017 Category: Reproduction Medicine Source Type: blogs

What are my chances of getting pregnant with IVF ?
This is one of the commonest questions patients ask, but it's actually not a very helpful question for many reasons.1. While clinics can share their success rate. remember that this percentage figure applies to a group of patients they have treated in the past, and this is not something you really care about. What you really want to know is what your chances of getting pregnant are  - and it's impossible for anyone to predict this for an individual patient !2. For an individual patient, the percentage figure is meaningless, because the outcome for you is binary  - you either get a baby or you don't, which means t...
Source: Dr.Malpani's Blog - November 6, 2017 Category: Reproduction Medicine Source Type: blogs

Has your IVF cycle failed ?
Instead of allowing your doctor to subject you to a battery of useless tests which will just send you off on  wild goose chase, first make sure you review your medical records, and photos of your embryos.This is invaluable information, which will guide you what to do next !Need help in getting pregnant ? Please send me your medical details by filling in the form atwww.drmalpani.com/free-second-opinion so that I can guide you ! (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - November 4, 2017 Category: Reproduction Medicine Source Type: blogs

Should I use donor eggs to have a baby ?
It's hard to have to accept that you may need to use donor eggs in order to have a baby - after all, we all want to pass on our genes to our children !You might find this classic poem by Kahlil Gibran useful in guiding your decision !On Children Kahlil GibranYour children are not your children.They are the sons and daughters of Life's longing for itself.They come through you but not from you,And though they are with you yet they belong not to you.You may give them your love but not your thoughts,For they have their own thoughts.You may house their bodies but not their souls,For their souls dwell in the house of tomorr...
Source: Dr.Malpani's Blog - November 3, 2017 Category: Reproduction Medicine Source Type: blogs

Why is it so hard to interpret a semen analysis test?
The sperm test is the simplest and commonest test done for evaluating an infertile couple. It allows us to evaluate a man's fertility, and because it's cheap, it's the one which is done first.However, its apparent simplicity conceals how complex interpreting this test really is !Because it's a routine test, one of the biggest problem is that lots of laboratories do it , and most of them have no idea how to do the test properly ! The technician does not have enough experience, and will often not have the right equipment ( such as a phase contrast microscope; or calibrate sperm counting chambers) .This is why a lot of men en...
Source: Dr.Malpani's Blog - October 29, 2017 Category: Reproduction Medicine Source Type: blogs

Prenatal Testing: What is a Nonstress Test?
Expectant mothers always have this constant worry about their baby ’s health, especially since congenital birth defects can possibly happen to some. Good thing there are prenatal screening tests that can be done, usually within the first and second trimesters, to rule out this possibility. Once a screening test shows a positive result, diagnostic tests will then provide a conclusive answer.Some prenatal tests may be required for pregnant mothers as routine procedures, while others may be offered additional screening exams, especially those with higher risk of bearing a child with certain health conditions. One of the...
Source: Dr.Malpani's Blog - October 26, 2017 Category: Reproduction Medicine Source Type: blogs

Why IVF patients need to be optimistic !
Most IVF patients are extremely optimistic that their IVF cycle is going to work for them. If every patient didn't think in their heart of hearts that the cycle was going to be successful, no one would ever have the courage to start one. After all, a failed cycle causes a lot of heartache and heartburn . Patients are putting a lot on the line when doing IVF - not just in terms of money, but also in the form of hope, time and energy .  They know that a lot rides on the outcome of the cycle , and because IVF gives them the best chance of having a baby , they're gather up all their courage and start off on a cycle. ...
Source: Dr.Malpani's Blog - October 7, 2017 Category: Reproduction Medicine Source Type: blogs

Unnecessary testicular surgery for the infertile man
A common fashion these days in some IVF clinics is to do TESE-ICSI for men with severeoligoasthenospermia ( low sperm count).This is justified by saying that these men with " abnormal sperm"  have  high sperm DNA fragmentation, and this will result in poor fertilisation and poor quality embryos.The solution they propose is extracting sperm directly from the testes, by doing a TESE, the theory presumably being that testicular sperm will not have as much DNA fragmentation because they are "fresh".Of course, it also goes without saying that doing an additional procedure allows the IVF clinic to c...
Source: Dr.Malpani's Blog - October 7, 2017 Category: Reproduction Medicine Source Type: blogs

IVF scams never seem to end !
I am always impressed by how creative IVF clinics are - at cheating their patients !The latest scam is " Biologically Active Peptide Concentrate or BAPC , to improve athin uterine lining ! This is completely untested and unproven, but is being "sold" to patients as the latest and most advanced treatment !It's scary how easy it is to take advantage of a gullible infertile patient's emotional vulnerability. All you need to do is to coin a clever new acronym, and start selling your product ! Pay the doctor a hefty kickback, and he'll be happy to "treat" his patients using your clever new inn...
Source: Dr.Malpani's Blog - October 7, 2017 Category: Reproduction Medicine Source Type: blogs

Why an IVF doctor is an active angel investor
I am a full time practising IVF specialist, which is why people sometimes wonder why I am investing in startups so actively. Why do I want to wear a new hat at this stage of my life ?There are many reasons why I am very glad I have gone down this path.I believe you remain young as long as you keep on learning new stuff, and while I know a lot about IVF, there's lots of stuff I don't know about many other fields. I am curious and I like learning more, and a great way of learning is by investing in start-ups . These founders are domain experts, who have the courage to have a contrarian point of view. They think they can...
Source: Dr.Malpani's Blog - October 3, 2017 Category: Reproduction Medicine Source Type: blogs

The poor infertile man
Male infertility is common, and is usually responsible for about 40% of all infertile cases. The commonest reason is the low sperm count, also known as oligospermia.What breaks my heart is the poor quality of treatment which these men get. Typically, they go to a gynecologist who has no clue about how to deal with men , because all they do is deal with women. However, when confronted with something they don't understand, like most doctors, they mindlessly tick off lots of boxes on a laboratory order form, to "investigate" so they can make a "diagnosis". They usually order a panel of tests , including ho...
Source: Dr.Malpani's Blog - October 2, 2017 Category: Reproduction Medicine Source Type: blogs

Empirical therapy in IVF - good , bad and ugly
Doctors are very fond of prescribing treatments, and a lot of these are empirical - based on their personal clinical experience. This is especially true in IVF , because there's so much we don't understand about reproductive medicine. Thus, when we say someone has failed an IVF cycle because of " failed implantation" , this is just a label to disguise our ignorance , because we cannot study embryo implantation in utero.The truth is that we have no idea why the embryo failed to implant, but patients don't want to hear the truth. This is why doctors don't want to admit that we are clueless ! The patient is very anx...
Source: Dr.Malpani's Blog - September 30, 2017 Category: Reproduction Medicine Source Type: blogs

TB PCR testing is a waste of time and money, and causes harm
A patient just sent me this emailSir I have 5 year baby girl...I have started treatment for conceive second baby before 4 year. ...but unfortunately I m not getting result... doctor give mi advice for doing laparoscopy because of both tubes are blocked.i have done laproscopy in april. after laproscopy I have try natural conceive for but result was not getting gud....I forgot to take report of tbpcr ...I was called the report in august.and unfortunately my tbpcr is come positive.and I was take AKT4 near about 15 days.but this medicine not suit to me.i stop medicine...and same month I conceive baby....I confused .....what I ...
Source: Dr.Malpani's Blog - September 30, 2017 Category: Reproduction Medicine Source Type: blogs

The futile quest for certainty in IVF treatment.
Every couple who does IVF wants to get pregnant in the first cycle, and of course, every IVF doctor wants their patients to get pregnant in the first cycle as well ! It's very fulfilling to be able to add so much happiness to your patients' life by giving them a deeply loved baby, and if we had a 100% success rate, our life would be much easier !Unfortunately, our IVF technology still has a long way to go .While we're good at doing certain things, there are lots of gaps in our knowledge . This is especially true after we've transferred an embryo back into the uterus. This is literally a black box , and we have no idea what...
Source: Dr.Malpani's Blog - September 28, 2017 Category: Reproduction Medicine Source Type: blogs

The ovarian rejuvenation scam using PRP
I had this email conversation with a patient recentlyGreetings. Writing to you from Mumbai. I am 40 years old with an extremely low AMH and regular periods. Wanted to find out if you are doing ovarian rejuvenation using PRP ( platelet rich plasma) ? If yes, how do I go about getting in touch with your team ? I know doctors are doing it in Gujarat, Hyderabad and Chennai but not sure if anyone is doing this in Mumbai. Kindly revert at the earliest. I wrote back to her :This is now the latest scam in IVF and reproductive medicine. Doctors offer to inject autologous "stem cells" ( derived from the pati...
Source: Dr.Malpani's Blog - September 26, 2017 Category: Reproduction Medicine Source Type: blogs

Why are we seeing an epidemic of new IVF clinics in India?
There seems to be a new IVF clinic starting in practically every nook and corner in every town in India. Why this sudden spurt of IVF clinics coming up all over the place? Is it that the number of infertile couples has increased so dramatically that the requirement for IVF has gone up so sharply?The reason is actually far more crass and commercial. Senior obstetricians and gynecologists who are tired of delivering babies and hysterectomies want to do something new and different and cutting-edge. Many think IVF is a very lucrative field, and rather than referring their patients to an IVF specialist and losing all that ...
Source: Dr.Malpani's Blog - September 25, 2017 Category: Reproduction Medicine Source Type: blogs

Patient reviews about Malpani Infertility Clinic
We are thrilled when our patients have nice things to say about us !https://www.tellofy.com/brand/mumbai/malpani-infertility-clinic-shahid-bhagat-singh-road-colaba (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - September 23, 2017 Category: Reproduction Medicine Source Type: blogs

Is it worth transferring poor quality Day 3 embryos into the uterus?
Some patients will end up with all their embryos being of poor quality on Day 3, and then they're not certain what to do. Traditionally , most doctors will want to put all of their embryos back into the uterus as quickly as possible , no matter what their quality.After all, once they've done an embryo transfer, they can tell the patient, "Look , I completed your IVF treatment, and have done everything humanly possible " , so the patient is happy that the doctor did a good job. Of course, it's highly likely that the cycle will fail, but then they can say - Yes, your embryo didn't implant, but that's your bad luck/...
Source: Dr.Malpani's Blog - September 21, 2017 Category: Reproduction Medicine Source Type: blogs

The stem cell therapy racket in India
fromDr Aniruddha MalpaniThis is the presentation I gave at the Academy of Clinical Embryologists of India Conference held recently in Hyderabad, India (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - September 17, 2017 Category: Reproduction Medicine Source Type: blogs

Indians in the Gulf and infertility
One major problem which confronts Indian labourers in the Middle East is that of involuntary childlessness. Because they are forced to leave their wife behind in India, many of them get to spend only 1-2 months every year with their spouse. This obviously means that their chances of getting pregnant are very slim, as a result of which they are often labelled as being infertile. Now while they may not have any medical problems, this childlessness causes major social issues.The wife feels inadequate, lonely and incomplete; and has to suffer all the taunts of her neighbours, because she doesn't have any children. The poor hus...
Source: Dr.Malpani's Blog - August 30, 2017 Category: Reproduction Medicine Source Type: blogs

Infertility is not your fault!
Lots of infertile  women are depressed  because they think life is being very unkind to them. The fact that beggars can have children at the drop of a hat, but they can't even perform such a basic biological function ( which millions of others can perform effortlessly ) hurts their self-esteem. This spills over into other parts of their life, and affects their personal relationships and their professional productivity as well.Their unspoken plea is – ‘Why me?  After all , I haven't hurt anyone, and am likely to be a good mother, so why is God punishing me ?'They start blaming themselves, and beli...
Source: Dr.Malpani's Blog - August 29, 2017 Category: Reproduction Medicine Source Type: blogs

Why don't gynecologists provide the right treatment to infertile women with endometriosis ?
Overtreating endometriosis fromDr Aniruddha Malpani (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - August 28, 2017 Category: Reproduction Medicine Source Type: blogs

Dr Anjali Malpani interviewed in Mid-Day on problem of rising infertility in Mumbai
In this city of dreams, conceiving a child seems to have become a nightmare for more and more couples, data procured through the RTI Act has revealed.Statistics show that in the last five years, since 2012, more than 32,000 people have opted for in vitro fertilization, pushing worried doctors to sound the alarm - changes in lifestyle is to be blamed for the rise in infertility among Mumbaikars.http://www.mid-day.com/articles/32864-mumbaikars-have-sought-ivf-treatment-between-2012-to-2016-mumbai-news/18520162 (Source: Dr.Malpani's Blog)
Source: Dr.Malpani's Blog - August 22, 2017 Category: Reproduction Medicine Source Type: blogs