The Hidden Truth: Are IVF Patients Being Over-Tested?
Patient: Dr Malpani, I’ve already gone through multiple failed IVF cycles at different clinics. Each time, the doctors suggested more and more tests. I’m starting to wonder if I’m missing something important or if I’ve just been taken for a ride.
D Malpani: That’s a very valid concern. Many patients who come to me for a second opinion share similar experiences. Sadly, I often find they’ve been subjected to a battery of additional tests and “add-on” treatments that don’t actually improve IVF success rates.
Patient: What kind of extra tests do you mean?
D Malpani: Tests like sperm DNA fragmentation, couple karyotyping, endometrial receptivity analysis (ERA), preimplantation genetic testing (PGT), and so-called “ovarian rejuvenation” with platelet-rich plasma (PRP). Some clinics also push immune therapy or lymphocyte immunotherapy (LIT). These sound very scientific, but most of them add little or no value in routine IVF cases—and some can even be harmful.
Patient: But doctors always say they’re doing everything possible. Doesn’t that help?
D Malpani: It may look like the doctor is leaving no stone unturned, but evidence from clinical research is clear—these add-ons don’t meaningfully increase pregnancy rates. Often, they’re used to boost the clinic’s revenue rather than the patient’s chance of success.
Patient: That feels discouraging. I thought doctors would always act in my best interest.
D Malpani: Most doctors do want to help, but sometimes paternalism creeps in. They assume patients won’t understand the nuances or don’t need to know all the details. Unfortunately, that means patients get tested without being properly informed or given the choice.
Patient: So how can I protect myself from unnecessary interventions?
D Malpani: Three things:
- Do your homework—look up whether a recommended test is proven to be effective.
- Ask your doctor to explain both the benefits and limitations.
- Get a second opinion—an independent perspective can be invaluable.
Patient: That’s helpful. I just don’t want to waste time and money on things that won’t help me.
D Malpani: And you’re right not to. IVF is stressful enough without adding unnecessary costs. Remember, being well-informed is your strongest safeguard. At our clinic, we offer free second opinions to review your case. You can share your details through our form, or if you prefer a more detailed discussion, book a video consultation at bit.ly/consult-drmalpani for ₹3000. We also welcome patients in person at our Colaba, Mumbai clinic.
Patient: Thank you, Dr Malpani. I feel much more confident now.
D Malpani: You’re most welcome. Always remember—good IVF care is about making the right choices, not more choices.