The movie Dangal will improve the sex ratio more than the PCPNDT Act

The falling sex ratio in India has been a matter of concern, which is why the government of India passed the PCPNDT Act , with the hope that this would help to increase the number of girls . The intention was that the Act would stop people from resorting to sex selecti...

Patients with poor ovarian reserve: is there any point in flogging a dead horse?

Women with poor ovarian reserve who have regular cycles are extremely difficult to treat. Because they have regular cycles , they expect that they will have good quality eggs.  This belief is reinforced when they do IVF and their eggs fertilise and the doctor gets embry...

Does your IVF clinic follow best practices?

Most IVF patients are pretty clueless when selecting an IVF clinic. They naively believe that all clinics are pretty much the same. This can lead to disaster when they go to a poorly equipped clinic - one that doesn't have enough experience or expertise or take short c...

Treating the fragile egg syndrome

Fragile Egg during ICSI (NO Indentation in Cytoplasm)       If we do not see any indentation when the ICSI pipette is advanced into the egg, it is advisable not to aspirate the cytoplasm, because this can damage the  fragile egg. However, this is a tricky call, becau...

Laxmi, Saraswati, and doctors

Many doctors feel that society gives them a raw deal. They feel that they are treated very shabbily , and that in spite of slogging for so many years, the amount of money which they earn is a pittance as compared to lawyers, or businessmen for example. We need to under...

Why I write regularly

 I try to write every single day. I don't get paid to do this - I do it because I enjoy it. It's common sense that I should play to my strengths ! I find the more I write, the easier it becomes - I don't think of it as being work.  Perhaps if someone paid me to do it...

Why the National Medical Commission is doomed to fail

Everyone is excited about the fact that the Medical Council of India is being scrapped and that the Government is setting up a brand new National Medical Commission ( NMC). We all acknowledge that the Indian medical system is broken because it is riddled with...

How Practo is taking doctors for a ride

This is the experience of one Endocrinologist with Practo which is being shared amongst Indian doctors.Dear Doctors,Respected Colleagues, I am Dr Lakshmi Lavanya Alapati, Consultant Endocrinologist, have returned from USA to live in India and practice endocrinology in H...

How infertile patients make life harder for themselves

There is no question that infertility can cause a lot of stress, but sometimes infertile patients make a bad situation worse by increasing their own stress levels. They start to catastrophize and worry  about how they will cope in case the IVF cycle fails, even before s...

The Negative beta HCG

A negative beta HCG can often be the hardest thing for an IVF patient to deal with. There are so many hopes and dreams riding on the IVF cycle, and when the result comes back as negative, it can be very hard to deal with this failure. You feel that you are a failure, an...