Are You Paying for Unnecessary IVF Tests? | Dr. Malpani Explains the Truth About Chronic Endometritis Testing"
Patient: Dr. Malpani, my previous IVF clinic suggested I undergo something called a chronic endometritis test. Is that really necessary?
Dr. Malpani: I’m really glad you asked. Honestly, these tests are often unnecessary and a waste of money. We’ve seen so many patients come to us after failed IVF cycles, frustrated because they’ve spent thousands on unproven tests — and chronic endometritis testing is one of the most common culprits.
Patient: What exactly is this test supposed to diagnose?
Dr. Malpani: The test involves taking a small tissue sample from your uterine lining — called an endometrial biopsy. Years ago, this biopsy was used to diagnose something called a luteal phase defect. Doctors believed that analysing the uterine lining’s development could reveal issues affecting implantation.
Patient: And did that actually work?
Dr. Malpani: No, it turned out to be unreliable. Studies showed that luteal phase defect diagnoses didn’t improve IVF success rates at all. Thankfully, most good IVF doctors have stopped relying on this outdated practice.
Patient: So why are some clinics still recommending it?
Dr. Malpani: Sadly, some clinics continue to push these tests because they earn money from them. It’s easier to keep adding more tests than to spend time explaining why they aren’t useful.
Patient: But what do they claim the chronic endometritis test shows?
Dr. Malpani: That’s the tricky part. The test often detects lymphocytes — which are actually normal immune cells that naturally exist in the uterine lining. But some doctors misinterpret this as ‘chronic endometritis,’ claiming it's an infection or inflammation that requires treatment.
Patient: Wait... so these lymphocytes are supposed to be there?
Dr. Malpani: Exactly! The presence of lymphocytes is completely normal. Your endometrium is exposed to your body’s internal environment, so seeing a few immune cells is perfectly natural. Unfortunately, once a pathologist reports ‘chronic endometritis,’ patients get pushed into more unnecessary tests and treatments — all of which achieve nothing.
Patient: That's so frustrating! No wonder IVF patients feel lost.
Dr. Malpani: Absolutely. Patients end up wasting not just their money but also valuable time — and emotionally, it’s exhausting. This kind of misleading diagnosis often delays the right treatment.
Patient: So what’s the better approach?
Dr. Malpani: My advice is simple: Don’t let your doctor waste your money on pointless tests like these. Instead, focus on proven treatments that actually improve your chances of success — like ensuring good embryo quality, performing blastocyst transfers, and confirming your uterine lining is receptive.
Patient: But what if my doctor insists the test is necessary?
Dr. Malpani: That’s where a second opinion can make all the difference. I always tell my patients, if you're unsure, get a second opinion — ideally from a doctor who values science over sales.
Patient: That’s a great idea. Where can I get a second opinion from you?
Patient: Thank you, Dr. Malpani. This has been really eye-opening.
Dr. Malpani: Anytime! Remember, being informed is your best defence against unnecessary tests and treatments. Always ask questions and stay in control of your IVF journey.