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The caring doctor

Patients often criticize doctors for being unemotional and distant . Because we are taught to maintain a professional barrier , we may seem to be cold and uncaring, but the reality is that doctors have a heart too - we're human after all ! Ironically, sometimes it's th...

Taking the infertile man ( and his IVF doctor) for a ride !

All doctors know that a semen analysis has a number of limitations. While it can tell us how many sperm a man has, and how well they are swimming, they cannot answer they key question the infertile man is asking - Can I get my wife pregnant with my sperm or not ? Now t...

No wonder US healthcare costs are going through the roof !

The one things Americans are great at is marketing - and one of the reasons their healthcare costs are out of control is because they sell too many unnecessary medical tests and treatments ! A great example of this is the Foresight Carrier Screen marketed by Counsyl. U...

Why do patients find it so hard to repeat an IVF cycle ?

Patients know that the success rate in a single IVF cycle is not 100% and they may require 3 - 4 cycles to get pregnant. However, lots of them drop out after one cycle , and are very reluctant to do a second . I sometimes wonder why this happens ! After all, an IVF cyc...

The sexless marriage as a cause of infertility

A surprisingly common reason for the inability to have a child in today's modern world is infrequent sex. Now, this may seem surprising in this day and age when you expect everyone to be so sexually aware. However, people living in large metropolises are so stressed out...

How the leaders of the medical profession have let both doctors and patients down.

One would expect that the leaders of the Indian medical associations and the medical councils would serve as wise elders. They would stand up for doctors, and represent the public face of doctors to society. They would be the voice of the medical profession, so that th...

Why we specialise in treating patients who have failed IVF treatment

Most IVF clinics prefer treating patients who are coming to them for their first IVF cycle , because these are patients who have the highest chance of getting pregnant. Most clinics don't like treating patients who have failed an IVF cycle earlier, because the very fact...

Why embryo pooling improves IVF pregnancy rates

The most frustrating problem in IVF today is that of failed implantation. While we have become very good at creating top-quality embryos in the lab and transferring them into the uterus, we still cannot ensure they will implant. This is because implantation is a biologi...

What are my chances of getting pregnant with IVF ?

This is one of the commonest questions patients ask, but it's actually not a very helpful question for many reasons. 1. While clinics can share their success rate. remember that this percentage figure applies to a group of patients they have treated in the past, and t...

IVF failure - what next ?

After an IVF cycle fails, the first question patients ask is - What do we do differently the next time ? The answer to this question depends upon analysing the failed cycle systematically. After all, in order to move forwards, we first need to look backwards, so we can...