| Malpani Infertility Clinic
is a boutique infertility clinic, and we pamper all our
patients. Most of our patients feel the care we provide
is often much better than the care provided in clinics
in USA and UK.
Here is what one of our patients had to say.
“Thank you for providing us the best care and
treatment for our IVF cycle. This is our fourth cycle
and we hope it would be a successful first. Our last
two cycles were done in US. It is but natural that we
would draw comparisons between our treatment processes
in US and in India and you will be glad to know that
in our minds, your clinic ranked much higher. We feel
it important to acknowledge some of your clinic's best
features
We were very impressed with the prompt and clear responses
to each and every e-mail and phone queries. In most
of the cases, responses were within a few hours or overnight.
- We, as patients, get to interact directly with the
doctor in your clinic most of the times. This is very
different from US IVF processes, where we had to wait
months to get a consult with the doctor. Most of the
questions and info was provided through nurses. We did
not always feel confident we were getting the right
answers or the complete attention. This caused us ample
emotional distress in our US IVF cycles. Thanks to the
unique Indian personalized culture, with the specialized
knowledge of doctors in your clinic, we never felt that
emotional void during our treatment period.
- In terms of equipment, technology and the protocol
of keeping the patients updated with the process, your
methods are on par with US standards, if not better.
Each of you explained with very systematic visual aids
the scan results, the ICSI process and the embryo development.
Even a non-medical layman like me could very easily
relate to the process we are going through.
- Amongst the major challenges we faced in the US ,
the most complicated is that of medical insurance. After
our several years of stay in US, we still have not been
able to comprehend their process of insurance, which
is a cause for substantial stress. Your reasonable costs
and simple procedures helped us get past that hurdle.
- Your books and written material is definitely informative
and easy to understand.”
We feel we provide better care because we provide all
your care ourselves – from A to Z. I answer all
the emails. I run this website. I do all the consultations
and design your treatment plans. Dr Anjali does all
the ultrasound scans. Dr Anjali does all the egg collections.
Dr Anjali does all the embryo transfers. What does this
mean ? It means that you get very high quality consistent
care throughout. We are very experienced and very skilled,
because we do everything ourselves, and we do nothing
else.
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Our nurses are very skilled, and we could easily allow
them to do a lot of this clinical work themselves, just
like most clinics in the US do. We are now quite senior,
and we could employ assistants to do a lot of this work,
just like most clinics in India do. However, we don’t.
We feel your treatment is extremely important, and we
pride ourselves in our skills and abilities. We are
not comfortable delegating or “outsourcing “
your clinical care to anyone else. We feel it’s
important that we do it ourselves. This allows us to
maintain high quality standards – after all, if
doctors are too busy to take care of patients, then
what are they good for ? In most other IVF clinics,
on the other hand, the only time you see the doctor
is when you go in for your fist consultation, at which
time the doctor will spend a lot of time with you. After
this, once you have started your IVF cycle, you will
most probably never see him again. The scans will be
done by ultrasound technicians; the medication instructions
and lab results will be discussed with you by the nurses;
and the egg collection and embryo transfer performed
by whoever happens to be on duty that day. Is this what
you are paying for ? To be taken care of by assistants
and nurses ( however good they may be ) ?
It’s very common in most IVF clinics for the
ultrasound scans to be done by a technician; a nurse;
or a radiologist ( ultrasonographer). However, Dr Anjali
does all your scans herself. The reason for this is
simple – the eye only sees what the mind knows,
and doing the scans allows Dr Anjali to fine-tune your
medications and help you grow optimal quality eggs.
It’s very common for patients to report that they
had 10 follicles on the ultrasound scan; but only 6
eggs were retrieved at the time of egg collection. This
is bound to happen when one person does the scans and
someone else does the actual egg collection. This is
never a problem in our clinic, because Dr Anjali does
all the scans and egg collections herself !
We are a full-service IVF clinic. We offer all services
under one roof, including all the latest technologies,
such as ICSI, embryo cryopreservation, PESA, TESE, laser
assisted hatching; blastocyst transfer; PGD. This flexibility
allows us to customize a treatment plan for you which
maximizes your pregnancy rates.
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We offer all our services in one facility only –
our clinic in Colaba, Bombay. We do not go anywhere
else, which means you are sure you will always find
us here ! This is in sharp contrast to many other IVF
doctors in India, who run around from one clinic to
another, and even one city to another, in order to try
to treat as many patients as possible. If they are busy
in another city, how much time can they spare for you
?
We cycle patients throughout the year. We do not “batch
“ patients, which means we can treat you to suit
your convenience ! You don’t need to wait for
us.
We carry out 300 cycles a year. Since there are only
2 doctors in our clinic, this means we are quite busy,
which allows us to keep our skills sharply-honed and
ensure a high pregnancy rate. Since we perform an average
of about 2-4 procedures ( egg collections and embryo
transfers) daily, this also allows us to spend enough
time on each procedure and do it properly and carefully,
so we don’t have to rush through them. This is
in sharp contrast to certain clinics, which do about
10 procedures daily – and don’t have the
time or energy to do them well. For example, we use
a double-lumen needle to do egg collections. This allows
us to flush each follicle individually, so that we can
be sure we will get an egg from each follicle we puncture,
if the egg is there. This means that it often takes
us about 20-30 minutes to collect all the eggs. By contrast,
most other clinics use a single lumen needle. The only
advantage of this option is that it allows the doctor
to finish the egg collection procedure quickly, so he
can move on to the next patient ! While a single lumen
needle works well for most patients, it’s not
good for 2 groups of patients – those with few
eggs; or those with too many. If patients have few eggs,
doctors who use a single lumen needle often miss these
and lose them. After spending so many hundreds of dollars
in growing these eggs ( which means that each egg is
worth a lot !), we are surprised why doctors take such
a cavalier attitude towards the technical minutiae of
egg collection for this group of patients. Similarly,
because we flush the follicle of patients with PCOD,
we can reduce the risk of their developing OHSS dramatically.
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Another example of our ability to customize care for
our patients is our ability to do a ZIFT for patients
who have few eggs. In conventional IVF, we keep embryos
in the incubator for 2-3 days, and then transfer them
into the uterus. Now, neither the uterus nor the incubator
is the ideal place for these embryos, but for patients
with many embryos, it does not really matter, and pregnancy
rates with IVF are very good. However, for poor responders,
we have the ability to do a ZIFT for them , in which
we can transfer the embryos directly into the fallopian
tubes. The pregnancy rates with ZIFT have always been
higher than with IVF-ET. However, few clinics have the
expertise or the ability to provide this option, as
it needs a skilled laparoscopic surgeon and an Operation
Theater facility. We are proud to be one of the few
clinics in the world which can do a ZIFT, which is a
very helpful option for poor ovarian responder.
The outcome of any IVF cycle will always be uncertain.
While we can make the embryos in the lab and then transfer
them, whether they will implant or not is in God’s
hands. However, the treatment process itself should
be a positive one, so you have peace of mind that you
did your best. When you do IVF at Malpani Infertility
Clinic , you can be assured that you have received the
best care possible, because Dr Aniruddha and Dr Anjali
do everything themselves for you – there is no
“middleman “ ! Since we do everything ourselves,
this means that we have to limit the number of patients
we can treat, so that we can provide them with our special
personalized care. But we are happy to do this –
it’s better, we feel, to provide great care to
a few patients, rather than mediocre care to too many
!
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