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How over-reporting on ultrasound scans harms infertile patients
Vaginal ultrasound is an extremely useful tool when evaluating an infertile woman, but it often bothers me because there are some sonographers who over interpret the scan images. Now, I like the fact that they are careful and systematic, and document everything they...
Why freezing all embryos is the IVF treatment of choice today
You can read the full text of the paper in Human Reproduction at https://academic.oup.com/humrep/article/33/5/924/4925329 It's chock full of medical jargon, but the message is quite clear ! Abstract STUDY QUESTION What is the chance of having a child followin...
The right way to do a HSG
The problem is that most X-ray clinics do a very poor job at taking a HSG , because they try to cut corners. Many radiologists are not comfortable doing a vaginal examination, and are quite clumsy at performing the HSG. Even worse, they only take 2-3 films, and don'...
How doctors cause harm
A patient sent me this email. Hi doctor my wife had two miscarriages in last 18 months . After second miscarriage we have done TORCH test, it shows high range of of CMV IgG at 200 (normal range is 0-6) and CMV IgM is non reactive range (0.17) we had consult doctor h...
What are diva donors in IVF clinics?
Many patients who want to use donor eggs ask us if we have " diva " donors. Apparently, this is a popular term in many IVF clinics for donors with special traits - for example, they have " higher attributes " in terms of education and background. Now a diva is a p...
Are we overlooking something doctor ?
A patient sent me this email after 2 failed IVF cycles at our clinic It is frustrating, but i think we need to do a deep analysis to understand why things are not going the right way, if we plan to again go for this entire process of IVF. She had diligently follow...
Why do IVF doctors blame patients when the lab messes up ?
A patient sent me this email. Our last IVF cycle failed. We had 3 euploid embryos after doing PGD. These were graded as 6AA, 6AA, and 5AA. We had planned to transfer only one of the 6AAs on a FET , but when it thawed it didn’t look great. It was still alive but loo...
Does IVF cause premature births ?
This is a common concern many patients have. Please remember that IVF pregnancies are the same as natural pregnancies, so they aren't at increased risk of prematurity. It's not the IVF which causes the prematurity - it's the multiple pregnancies ( which are commoner...
How the overdiagnosis of TB harms infertile women
A patient sent me this email I had Laparoscopy 4 months back, was diagnosed with TB PCR, and now I am 5 Weeks Pregnant. My concern is should I continue the medicines prescribed by the doctor? will it cause any birth defect in the baby if i consume the medication like...