How to Avoid Being Misled During IVF: Dr. Malpani’s Guide to Informed Decision Making
Patient: Dr Malpani, I have a serious concern. My husband and I are planning to start IVF treatment, but we’re really anxious. What if the doctor we choose misleads us or recommends unnecessary procedures just for money?
Dr. Malpani: That’s an excellent question, and I’m glad you brought it up. The fear is valid—especially because IVF is expensive, emotional, and complex. But the rule is simple: never leave your brains at home. You need to trust your doctor, yes—but you should also verify everything they say.
Patient: So how exactly do we "verify"? We aren't doctors. How do we know if what they're saying is true or false?
Dr. Malpani: Think of how you’d handle a lawyer or accountant. You wouldn’t blindly follow their advice—you’d cross-check. Same with doctors. Ask for explanations. Use reliable sources like the Mayo Clinic website to double-check medical terms and treatment protocols. And today, tools like ChatGPT and Perplexity.ai can help you research in plain English.
Patient: But Dr Google can be confusing. Sometimes I end up more scared after reading stuff online!
Dr. Malpani: True! Not all online content is reliable. That’s why I suggest sticking to trusted sites like Mayo Clinic or NHS. And AI tools like ChatGPT allow you to ask specific, personalised questions. In fact, your first second opinion should come from ChatGPT—it's unbiased, accessible, and free.
Patient: Are second opinions really that necessary?
Dr. Malpani: Always. A good doctor will encourage second opinions. It shows you’re engaged in your care. If a doctor gets upset because you're asking questions or consulting others, that’s a red flag. Good doctors welcome informed patients. Bad doctors get defensive or dismissive.
Patient: What if a clinic promises a 100% success rate? That sounds suspicious, right?
Dr. Malpani: Absolutely! No one can guarantee 100% success in IVF. It’s dishonest and unethical to do so. If anyone claims that, my advice is simple: walk out. IVF is science, not magic. The outcomes depend on multiple factors, including age, egg quality, sperm health, and embryo implantation.
Patient: But IVF clinics often rush through consultations and use a lot of jargon. How can I ask better questions?
Dr. Malpani: Ask simple, direct questions. For example:
- What are my chances of success based on my personal medical history?
- What is your success rate with women my age?
- What are the risks of this procedure?
- Is this test absolutely necessary or just optional?
If they can't explain in a way you understand, they probably don't understand it well enough themselves—or they’re hiding something.
Patient: What if I feel intimidated and hesitate to ask questions?
Dr. Malpani: Many patients feel that way. But you have every right to ask. If a doctor makes you feel small or stupid for asking—leave. You’re hiring them, not the other way around. A compassionate doctor will create a safe space where questions are welcomed.
Patient: Should I trust a clinic just because it’s expensive or famous?
Dr. Malpani: No. Fancy clinics often have long waitlists and charge a premium for their brand. But that doesn’t always mean they offer better care. In fact, they may not have the time to give you individual attention. Reputation is important, but not a substitute for accessibility and transparency.
Patient: What should I expect from a good IVF doctor?
Dr. Malpani: They should educate you. They should have clear, accessible materials online. They should share videos, articles, and Q&A resources so you can learn at your own pace. And ideally, they should offer a digital consultation or AI-based tool to support your understanding before or after the visit.
Patient: Are digital consultations or AI avatars really helpful?
Dr. Malpani: Yes. I’ve created my own digital avatar—so patients across India and abroad can ask questions without having to travel. It’s dynamic, interactive, and unbiased. The best part? It's documented. Unlike in-clinic conversations, nothing gets lost or misquoted. And because it’s online, I can’t lie—even if I wanted to!
Patient: That’s incredible. So if I had to summarise, what are the 3 biggest red flags to watch out for?
Dr. Malpani:
- Promises of 100% success – That’s not science; that’s salesmanship.
- Doctors who discourage questions – They fear accountability.
- Lack of clear information online – If they’re transparent, they’ll educate publicly.
Remember, IVF is a partnership. You don’t need to become a doctor—but you do need to become an informed decision-maker.
Patient: Thank you, Dr Malpani. I feel much more confident now. I’ll be sure to ask questions, get second opinions, and do my research!
Dr. Malpani: You’re most welcome! And if you’d like a second opinion, feel free to reach out or even use my AI twin for free. Empowered patients make the best choices—and often have the best outcomes.