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Please don't do a laparoscopy !
Many doctors routinely do a laparoscopy and hysteroscopy for all infertile women. They justify this by saying it's a simple diagnostic procedure, which will allow them to confirm that there is no anatomical problem. They also say it's "minor surgery", which just invol...
When IVF patients make irrational decisions !
Infertility presents a number of unusual challenges for doctors. It is caused by a medical problem - for example, blocked fallopian tubes, or a low sperm out - and this means we can offer medical treatment for it, but the truth is that childlessness is a social label...
Is it safe for me to postpone having children for the next 4 years ?
I just received this email from a young 31 year old woman. " I have an exciting job in a bank, and want to pursue by career. I am married, but want to postpone having a child for the next 3-4 years, as I am on a the fast track to cracking the glass ceiling. However, my...
Please share your favourite doctor story !
Most of us trust our doctors, and are grateful to them when they help us to get better. However, we rarely get a chance to express our thanks. Please share your story about your favourite doctor at www.mydoctormyhero.com ! We are offering a prize of Rs 1000 for the...
Why you should transfer only a single blastocyst !
Today, our standard practice is to freeze all your embryos at a blastocyst ( Day 5) stage, and then transfer them after thawing them in the next cycle, one at a time. Here's why we think this is the best method for optimizing your chances of having a healthy baby. Le...
Why didn't my egg fertilise after ICSI ?
A patient just sent me this email. We had our 1st cycle in July this year with ICSI as I had just turned 45 years and my partner is same age, we had a very good grade 1 embryo put back but didn't implant. So we have just now had another cycle on the 24th November...
What can you do when your IVF doctor does not agree with you ?
Infertility presents a number of unusual challenges . It is caused by a medical problem - for example, blocked fallopian tubes, or a low sperm count - and this means we can offer medical treatment for it, but the truth is that childlessness is a social label. This...
Was your IVF failure because of bad luck ? or because of a bad clinic ?
We all know that IVF does not have a 100% success rate, but when an IVF cycle fails, you are never sure what the reason for the failure was. Was it because of plain bad luck ? After all, why good looking embryos do not implant is still one of those things we do not un...
Poor quality IVF treatment
I received this tearful email from a patient. I have a very sad medical history . I used to get extremely painful periods (I got my first periods at the age of around 14-15 years) where medical help was always required by me. The doctors in my home town could not und...
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...