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Why pregnancy rates are better with single Day 5 embryo ( blastocyst) transfers

Logically, one would expect that the pregnancy rate would be better if we transferred two embryos at a time, as compared to putting back only  one .  Yes, this is true if you calculate the success rate per transfer, but not true when you calculate the cumulative pregnan...

How confusing sperm test reports end up confusing patients

A patient just sent me his sperm test report, and he was feeling very guilty that he had not been able to get his wife pregnant, because his report was so abnormal ! This is a great example of a bad report, because the doctor is providing a clinical opinion based o...

Why PCO patients should induce a period every month

Polycystic ovarian disease ( PCOD) is a common cause of infertility. Typically, most of these patients have irregular cycles because they don't ovulate regularly. Now, because they don't ovulate, they don't get pregnant , and they don't get regular periods either . Th...

Why are IVF patients so reluctant to get a second opinion ?

If you are not happy with your IVF doctor, it's very logical that the next step should be to get a second opinion. However, most patients are extremely reluctant to do this .   For one, they have an existing relationship with their doctor , and they feel they will be...

The hurtful things people say to infertile women

One of the hazards of being infertile is having to cope with all the unsolicited advice you get from friends and relatives. Anyone who has had a baby thinks they are an expert on babymaking, and they are happy to give you tons of gratuitous and uncalled for advice The...

Dr Anjali Malpani interviewed in Mid-Day on problem of rising infertility in Mumbai

In this city of dreams, conceiving a child seems to have become a nightmare for more and more couples, data procured through the RTI Act has revealed. Statistics show that in the last five years, since 2012, more than 32,000 people have opted for in vitro fertilizati...

Why don't gynecologists provide the right treatment to infertile women with endometriosis ?

Infertility is not your fault!

Lots of infertile  women are depressed  because they think life is being very unkind to them. The fact that beggars can have children at the drop of a hat, but they can't even perform such a basic biological function ( which millions of others can perform effortlessly...

Indians in the Gulf and infertility

One major problem which confronts Indian labourers in the Middle East is that of involuntary childlessness. Because they are forced to leave their wife behind in India, many of them get to spend only 1-2 months every year with their spouse. This obviously means that th...

Why is overtreatment of infertility so rampant?

Lots of Indian IVF doctors put their patients on anti-TB medicines . While some of them will do tests to decide which patients to treat with these toxic medicines, others routinely put all their patients on the drugs, irrespective of whether they actually have TB or not...