Should I use donor eggs ? or do surrogacy ?

A PCOD patient asked me for a second opinion after failing an IVF cycle at another clinic. Here is the summary in response to your questions,1. I donot have pics of embroyos.18 oocytes were retrived; MII oocytes 16+2ICSI DONE16 EMBRYOS DAY 2DAY OF CRYOPERSERVATION Day...

I am glad patients are learning to say No !

A patient send me this email Sir, I m having a chocolate cyst in my left ovary of 3.6*2.8 CM and a normal right ovary . My first doctor advice me for immediate laparoscopy. I am trying for around 10 months. I changed my doc as I was scared of surgery. Can you help ?...

Mind games during the 2ww

A patient sent me this query This is our first icsi cycle and am on 5th day of embryo transfer. Initially had cramps and it raised a bit more but since yesterday night I see no symptom and I am worried. Plus sometime bloating, my breasts has been so hard and am feeling...

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...