As an IVF doctor, I'm
very respectful of patients' preferences. After all, infertility is not a
medical problem, it's a social construct. Lots of people are quite happy not
having a baby, so if they choose not to have one, that's their choice too ! We treat
them as intelligent adults and explain all their options to them, including
adoption or third-party reproduction, so they can make a well-informed choice.
I try not to be dictatorial, which means if they have personal, we encourage patients
to express them, and try to work with them.
On the other hand, I'm still the doctor in the room , and as
a medical professional, I will not perform medical interventions which will
reduce their chance of getting pregnant, even though it is profitable for me to
Thus, doing lots of tests can help me generate a lot of money , but this is not
in their best interests, as it does improve pregnancy rates. There is a whole
list of procedures which many other IVF clinics do to maximise their profits,
but we will refuse to do these. These include: ERA testing; PGT; immune
therapy; NK cell testing; TB PCR testing; empiric therapy with LMWH ! In fact,
the fact that there are so many "empiric" treatment options clearly
means that nothing works !
Some patients appreciate the fact that we are being
conservative because we are good doctors, and put their interests first. They
are happy to work with us, because we
explain to them why we are not doing these unnecessary tests and treatments.
However, others are extremely unhappy , because they think this means we are
technologically backward, and they go on to find a doctor who's more willing to
do what they demand !
What to find an IVF clinic which respects your time and intelligence ?