The hidden truth about IVF Clinics in India
Patient: Dr Malpani, I've been researching IVF options, but I’m overwhelmed. Every clinic claims to be the best. How do I know whom to trust?
Dr. Malpani: That’s a great question—and unfortunately, one that not enough patients ask. The truth is, IVF in India has become more of a business than a medical service. Many clinics are focused on profits, not patients.
Patient: But weren’t doctors always considered ethical professionals?
Dr. Malpani: They used to be. In the past, doctors built their reputation by doing what was best for the patient. Word-of-mouth mattered. But today, it’s harder for doctors to run their own independent IVF practice. Most end up working for corporate IVF chains.
Patient: And what’s wrong with corporate IVF chains?
Dr. Malpani: In corporate setups, doctors are employees. Their salaries often depend on how many IVF cycles they do, not on how many patients they help get pregnant. That creates a conflict of interest.
Patient: Are you saying they push patients into IVF even when it’s not needed?
Dr. Malpani: Yes, that happens all too often. Doctors working in these chains have revenue targets set by business managers. Their focus shifts from personalised care to hitting monthly numbers.
Patient: That sounds scary. But aren’t protocols and checklists meant to help?
Dr. Malpani: Standard protocols can be useful—but when doctors are forced to follow "cookbook medicine" without flexibility, patients suffer. Every woman is different. IVF needs to be tailored, not mass-produced.
Patient: What about the embryology lab? I’ve heard that’s the most important part.
Dr. Malpani: You’re right. The IVF lab is the heart of the clinic. Sadly, many doctors don’t even understand what happens in the lab. Worse, some labs are poorly managed or misreport data—and patients are never told.
Patient: But surely someone checks the quality? Isn’t there regulation?
Dr. Malpani: Regulation is weak. No one audits success rates. Clinics can make exaggerated claims, and no one holds them accountable. That’s how patients are taken for a ride.
Patient: Why don’t more doctors speak out about this?
Dr. Malpani: Many are afraid. They don’t want to lose their jobs or offend their employers. So they stay silent—and patients pay the price.
Patient: What’s the long-term risk if this continues?
Dr. Malpani: The biggest tragedy is that patients will start distrusting all IVF clinics—even the ethical ones. One bad experience can destroy faith in the whole system.
Patient: So how do I protect myself?
Dr. Malpani: Ask tough questions. Demand transparency. Insist on embryo photos, lab reports, and second opinions. Don’t get swayed by marketing. Choose a clinic that puts you first.
Patient: Thank you, Dr Malpani. This was eye-opening. I wish more people spoke so honestly.
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