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I see patients who have done IVF cycles in other clinics all the time. How they responded in the earlier IVF treatment cycle provides me with valuable information, based on which I can tailor a better treatment protocol for them.

Some Important Questions 

Please tell me more details about your earlier IVF cycles

  • What were the meds which were used for superovulation?
  • What was the dose used?
  • How many follicles did you grow?
  • How many eggs were collected?
  • What was the E2 ( estradiol) level in the blood?
  • How many embryos were transferred?
  • What was the embryo quality?
  • What was the endometrial thickness?
  • Can you please show me the printed treatment summary from your IVF clinic ?

Read more- What can I do if my IVF doctor does not show me photos of my embryos?

Many of them look at me blankly. ( I am sure some of them wonder why I expect them to know all this - after all, they are just patients, and not doctors ! )

Others get defensive and say -
" The doctor did not tell us anything. "
" The clinic does not provide medical records. "
" They keep a copy of the medical treatment and do not give the patient anything at all."

Now I think that any clinic which does not routinely give the patient a treatment summary of their IVF cycle at the end of the treatment is a bad clinic . However, while the absence of the medical treatment summary reflects badly on the doctor who provided the treatment, it is also a reflection of the fact that the patient has been a bad patient as well !

Read more- Why don't patients ask for their IVF medical records ?  

Ignorance isn't Bliss

" The doctor did not give me a copy of the records " is not a good answer. Getting a copy of your medical treatment details is not only your right, it's your responsibility as well ! And if you do not assert your responsibility, then you are as much to blame as the doctor is !

It takes two to tango - and while you cannot change someone esle's behaviour, you can change your own !

  • Start off from the first visit by observing what happens in the clinic
  • Does the doctor give you a copy of your consultation
    sheet ?
  • Do you get a copy of your lab tests?
  • Do other patients have their records with them?
  • Ask at the first visit itself what the clinic policy is about medical documentation
  • If your doctor refuses to give you your records after your treatment is over ( because he does not want you to go to another doctor), then you need to become assertive !
  • Ask for a copy of your medical records - and make this request in writing, with a copy to the Administrator of the Hospital
  • If you do not get a reply, then ask your lawyer to write the letter for you - I can guarantee this will produce results !

Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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