Engineers , business analysts and computer programmers find it very hard to understand why perfect IVF cycles
fail. After all, didnt the doctor transfer a Grade A blastocyst into a beautiful
endometrium ? Why didnt the embryo
become a baby isnt that what embryos are supposed to do ?
wrong ? Given their educational background, they demand a logical and rational explanation
for why the cycle failed - a root cause analysis.
doctors tell them the truth and say, "We cannot provide an accurate answer,"
they get very upset, because they're so
used to mathematical precision and certainty . They forget that biological
systems are very messy. Not only is there a lot of variability from cycle to
cycle, there's also lot of variability from patient to patient, which is why IVF
cycles are neither repeatable or predictable.
remember that a lot of what we do in medicine is based on anecdotal successes
as well as personal prejudices. Since the numbers are small, probability
estimates are unreliable, which is why it's very hard to be precise.
important that patients not have unrealistic expectations about some of the
answers which we can give them. It's not as if we are trying to fudge, but the truth
is that it's very hard to be accurate when dealing with biological systems.
than take the time and trouble to explain the complexity to patients, many IVF
doctors will take shortcuts by coming up with fanciful explanations many of
which are sprinkled with meaningless biological jargon ( such as failed
implantation) in order to placate their patients. Sadly, these answers are
rubbish but patients are very impressed. The irony is that the doctor can
earn a lot more money by doing expensive and pointless tests, such as the ERA (
endometrial receptivity assay ) , even though these tests are a waste of time
and money. Read more at https://www.drmalpani.com/knowledge-center/articles/why-the-new-expensive-endometrial-receptivity-tests-are-useless
Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !