Repeated IVF failure - what next ?

It can be extremely hard for me to counsel faithful patients who have experienced repeated IVF failure in my clinic . Every time I do an IVF cycle for them , I do it with a lot of hope. If it fails, I tweak the protocol, and hope that we will get lucky this time. Howev...

The depressed and unhappy infertile patient

Most infertile patients are unhappy and stressed out. They're depressed , because they're unable to perform the basic biological function every woman is designed for - to have a baby . For some of them, their whole life seems to revolve around this inability to have a c...

But I need only one embryo to get pregnant !

Patients with poor ovarian reserve can be extremely hard to counsel, especially when they're young and have regular periods because they can't understand why they're not being able to get pregnant and why they're failing repeated IVF cycles. After all, they have eggs, t...

Why IVF patients feel helpless

One of the most worrisome aspects of an IVF cycle is the uncertainty involved. The patient never knows whether the next cycle is going to work or not - and neither does the doctor ! The problem is compounded by the fact that they know very little about what happens duri...

Why do so many Indian gynecologists believe that all infertile women have TB ?

I recently attended an  IVF conference in Delhi, and came away with the impression that a lot of IVF doctors there seem to feel that every Indian patient who's infertile has tuberculosis. They feel that it's a ubiquitous disease, and that the only reason we don't diagno...

Why IVF doctors continue to order useless tests and offer wasteful treatment

Patients who fail an IVF cycle are extremely vulnerable . This failure is often the last straw, because they are not sure what to do next. They have no idea why the cycle failed, even though the doctor was so optimistic at the time of the transfer. They are usually comp...

A free simple way of improving patient engagement

Patient engagement has become a buzzword today, and lots of efforts have been made to involve patients in their own health care. Here's a free simple way which any doctor can use to empower their patients . After telling the patient what medicines he needs to take, he...

Why we should do only Day 5 transfers for poor ovarian responders

Lots of clinics do Day 5 ( blastocyst)  transfers, but they  usually reserve them for patients with a good ovarian response - patients who have good eggs and lots of embryos , because they're pretty confident that they will get Day 5 embryos. However, they will use dou...

What can we do get doctors to answer patient's questions ?

One of the commonest complaints patients have about doctors is that they don't bother to explain anything to them. Most of their explanations are short and sweet - curt and to the point. They're full of medical jargon, which means that the patient usually doesn't have...

Resident doctors being beaten up by relatives in a hospital in Maharashtra