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What is a Grade A embryo ?
It breaks my heart when I see the poor quality of IVF treatment today most patients get today. There is no transparency or openness, and no SOPs ( standard operating procedures). Everything seems to be done on an ad-hoc basis, depending upon the doctor's whims and fanc...
Why don't IVF patients insist on embryo photos ?
All IVF patients know that the only tangible product an IVF clinic can deliver is embryos. After the embryo has been transferred into the uterus, the doctor has no control over the implantation process. This is a complex biological phenomenon, and is impacted by many v...
What was the reason for the failed implantation ?
One of our patients sent me this email. Doctor,We were hoping for some detailed response from you which would have given us some comfort as this time we are very very shocked. We believed that the use of donor egg would resolve my egg quality issue but things doesn...
Why are my babiess dying at 8 weeks of pregnancy ?
A patient sent me this email Doctor, I have had many miscarriages at 8 weeks of pregnancy. I have no problem getting pregnant, but the last 5 pregnancies have ended in a missed abortion. I am at my wit's end - what should I do ? Recurrent miscarriages are a very frus...
Making sense of your IVF blood results
A patient sent me this email I am doing an IVF cycle, and my Day 6 results are as follows: E2- 1776 (great result) PO- 0.6 nmol/l LH 1.6 mIU/mL I am wondering if LH or Progesterone can be too low and should the cycle be cancelled. I am on Puregon- 300iu Menopur- 1 vi...
Genetic testing and the confused IVF specialist
Genetics plays an important part in reproductive medicine , and it's well known that the commonest reason for failed implantation is a genetic defect in the embryo . This is why it's very tempting to tell patients who have failed an IVF cycle to undergo genetic test...
Is your IVF doctor ordering too many tests ?
Most patients are understandably wary about signing up for any surgical treatment options which a doctor offers, because they understand that these treatments can be expensive and can have side effects. This is why they take a long time before providing co...