Seeking diagnosis and treatment for infertility

                                                        In order to determine the reason for your infertility , we need to test the four critical areas which are needed to make a baby - eggs, sperm, fallopian tubes, and the uterus. Here is an explanation of the tests a...

Treating the older woman - who should decide when treatment is futile?

We often treat older women with high FSH levels and poor ovarian reserve, who want the doctor to do IVF for them with their own eggs. We often treat older women with high FSH levels and poor ovarian reserve, who want me to do IVF for them with their own eggs. I explai...

Why IVF failure can be so devastating?

The fact that the cycle may fail is the major fear every IVF patient has to confront. An IVF failure can be a major personal devastation for many patients. This is because many infertile couples will treat the failure as a personal failure - when their IVF cycle fails ,...

Celebrities and IVF

The fact that celebrities have used IVF and surrogacy to have babies seems to make it much more acceptable for ordinary citizens to use these treatments as well. Even more importantly , infertile patients themselves are much more willing to discuss their problems with...

Why is IVF treatment so expensive?

Why is IVF so expensive in the first place ? One of the reasons is because doctors charge so much ! Doctors use all kinds of reasons and excuses for our high fees. I often see lots of infertile patients who could get pregnant if they did IVF treatment. Unfortun...

Why we are seeing an epidemic of over-treatment?

Many women in the reproductive age group have fibroids. These are the commonest tumors in the reproductive tract - and most are small and don't cause any mischief.However times have changed, because our technology has become so much better, and doctors have become very...

Why the VIP syndrome results in over-treatment.

Doctors often need to make a judgment call, based on their own gut feeling, as to what they feel the patient in front of them needs. Sometimes, VIP patients end up being harmed, because they're often overtreated, without any clinical benefit at all. I recen...

How IVF changes you as a person

Being infertile is a major life crisis and can have a huge impact on your life. It's not just the anxiety and the uncertainty of waiting to find out where you're going to have a child - it's the impact this can have on you as a person. A lot of peop...

Dealing with IVF failure

The most important question patients need to ask themselves before starting an IVF cycle is - What will I do if my IVF cycle fails ? After explaining to a patient what is involved in an IVF cycle, the last question I ask them is - What is Plan B ? Many don'...

Is the advise "just be positive " useful for IVF patients ?

Not all well-meaning advise is useful. Telling an infertile couple to 'Take it easy, just relax' is not going to help anyone. Everyone loves advising infertile couples ! ( After all, if they've had a baby in their bedroom and proven their fer...