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When a patient’s IVF cycle fails, the doctor is under a great deal of pressure. Patients are desperate to have a baby and when their cycle fails, they want answers. It becomes the doctor’s responsibility to ensure that he provides credible and truthful answers. However, not every doctor is the same, and typically they will take 1 of these three approaches while dealing with this situation.

Three Approaches 

  • Nihilism- Doctors are aware that thecurrent day tests that are used don’t amount to much. The technology isn’t refined; this is because in most cases an implantation fails because of genetically abnormal embryos; unfortunately we still aren’t able to ether detect or prevent these from forming.  For most patients, the best option is to advice the patients to just try again.

However, this upfront approach doesn’t really go down well with most patients, who just want their questions to be answered, but with the technology we have, it’s not possible to provide these answers. The embryo cells are microscopic in size and once the embryos have been placed in the uterus, it’s just not possible to track them.  

  • Aggression- Some doctors can get very aggressive. In most cases they have a pre-set list of tests and they will test just about everything under the sun- regardless of whether it’s actually relevant or not. Most of these tests are prohibitively expensive and only select labs have the facility to do them. And obviously, the doctor has a “tie-up” with them.

Most of these tests are completely unnecessary and there is no way a doctor will be able to make any sense of the results, as these tests have never been validated. Unsurprisingly, many patients are more than happy with this approach, simply because they feel that their doctor is being very detailed and thorough in his approach. They are under the delusion that now that the doctor has asked for so many tests, he will be able to pinpoint what the problem is and will provide a fix; they will then be able to have a successful IVF cycle.

  • Conservatism- Some doctors are very conservative in their approach- they are very selective with the tests they perform and this will be based on very careful analysis of their patient’s IVF cycle. They also make it a point to give their patients a detailed explanation about why they require these tests and the inferences  they would be able to make from the results; this helps them decide what changes should be made to the next IVF cycle. 

The one important aspect that comes into view here is that patients have to learn to ask the right questions; that’s when they will get the right answers.


Read more- Failed IVF - what next ?


Summary

When a patient’s IVF cycle fails, the doctor is under a great deal of pressure. Patients are desperate to have a baby and when their cycle fails, they want answers. This can be a difficult question, and we may not be able to answer it, no matter how many tests we do. It becomes the doctor’s responsibility to ensure that he provides credible and truthful answers.

Not happy with the attention you are getting from your IVF clinic? Need more information? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you!

 

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