The futile quest for certainty in IVF treatment.

Every couple who does IVF wants to get pregnant in the first cycle, and of course, every IVF doctor wants their patients to get pregnant in the first cycle as well ! It's very fulfilling to be able to add so much happiness to your patients' life by giving them a deeply...

Empirical therapy in IVF - good , bad and ugly

Doctors are very fond of prescribing treatments, and a lot of these are empirical - based on their personal clinical experience. This is especially true in IVF , because there's so much we don't understand about reproductive medicine. Thus, when we say someone has fail...

TB PCR testing is a waste of time and money, and causes harm

A patient just sent me this email Sir I have 5 year baby girl...I have started treatment for conceive second baby before 4 year. ...but unfortunately I m not getting result... doctor give mi advice for doing laparoscopy because of both tubes are blocked.i have done...

The poor infertile man

Male infertility is common, and is usually responsible for about 40% of all infertile cases. The commonest reason is the low sperm count, also known as oligospermia. What breaks my heart is the poor quality of treatment which these men get. Typically, they go to a gyn...

Why an IVF doctor is an active angel investor

I am a full time practising IVF specialist, which is why people sometimes wonder why I am investing in startups so actively. Why do I want to wear a new hat at this stage of my life ? There are many reasons why I am very glad I have gone down this path. I believe you...

Why IVF patients need to be optimistic !

Most IVF patients are extremely optimistic that their IVF cycle is going to work for them. If every patient didn't think in their heart of hearts that the cycle was going to be successful, no one would ever have the courage to start one. After all, a failed cycle c...

IVF scams never seem to end !

I am always impressed by how creative IVF clinics are - at cheating their patients ! The latest scam is " Biologically Active Peptide Concentrate or BAPC , to improve a thin uterine lining ! This is completely untested and unproven, but is being "sold" to patients as...

Unnecessary testicular surgery for the infertile man

A common fashion these days in some IVF clinics is to do TESE-ICSI for men with severe oligoasthenospermia ( low sperm count). This is justified by saying that these men with " abnormal sperm"  have  high sperm DNA fragmentation, and this will result in poor fertilisa...

Prenatal Testing: What is a Nonstress Test?

Expectant mothers always have this constant worry about their baby’s health, especially since congenital birth defects can possibly happen to some. Good thing there are prenatal screening tests that can be done, usually within the first and second trimesters, to rul...

Why is it so difficult to make sense of a sperm test report ?

  The sperm test is the simplest and commonest test done for evaluating an infertile couple. It allows us to evaluate a man's fertility, and because it's cheap, it's the one which is done first.  However, its apparent simplicity conceals how complex interpreting thi...