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While it is true that IVF maximizes a patient's chance of conceiving quickly, the sad fact is that IVF has become very complex today. Normally, as a technology matures, it usually becomes simpler and easier to implement, but this has not been true with IVF, especially the way it is done in most IVF clinics in the USA today.
IVF in most fertility clinics is very regimented and protocol driven. IVF treatment is usually supervised by nurses who often apply cookbook protocols mindlessly to all their patients. This means that they are not able to adapt the protocols to an individual patient's needs, so that while the "average" patient does reasonably well in most fertility clinics, "difficult" patients fare poorly.
Since there is so little involvement of the doctor in the IVF cycle, IVF clinics have devised a complex series of steps which all IVF patients need to go through, to ensure that the nurses do not "miss" anything out. The doctor then simply needs to check that these steps have been performed by the nurses , so that no one is really applying their mind to each individual patient's response.
Typically, an IVF cycle involves:
This often means that each IVF cycle usually ends up taking 2 months, and often drains a patient emotionally ( and financially). It's bad enough being infertile, but going through IVF in most fertility clinics just adds to the stress. However, keeping the treatment complex helps doctors in the US to justify the abnormally high fees they charge - over four times as much as comparable clinics in India !
There is a major need to simplify IVF, to make it more patient friendly. Fortunately, some clinics in Europe have kept an open mind, and have pioneered this approach, with excellent pregnancy rates.
This is the simplified protocol we have used successfully for over 12 years
This means our IVF treatment protocol is easy, simple, less stressful, with a high pregnancy rate, and is much more patient-friendly and more repeatable .
However, it does needs a full-time dedicated IVF doctor who does nothing else. This is the reason it's not popular in the USA, where doctors are too busy doing other things; or share duties on a rota system, which means that a patient very rarely sees the same doctor a second time.