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Futile overtesting after an IVF cycle has failed.
A failed IVF cycle can be extremely traumatic for the patient because you do it with a lot of hope knowing that that's your best option. It's the court of last resort after all, and when the cycle fails you're world goes to pieces because you're not sure what to do nex...
Iatrogenic infertility - when infertility doctors cause infertility !
Being infertile is bad enough, but it's a hundred times worse when the infertility is actually caused by your doctor. This is what we call Iatrogenic Infertility and it is of two types. One is permanent , where your fertility is damaged irreversibly because of somethin...
How can we prevent doctor bashing ?
Now that the doctors have gone back to work, everyone is breathing a sigh of relief. The government is very pleased that they have averted a crisis, and that patients are being looked after once again; and the junior doctors are pleased that they can go back to comp...
The insecurity of poor quality IVF clinics
A patient asked me for a second opinion after a failed IVF cycle . I asked her to send me photos of her embryos, so I could provide personalised advice. She sent me this email. I tried to get the photos, however this is the reply from the embryologist. Should I be co...
The difference between a chemical pregnancy and a false pregnancy.
We often see patients who have done an IVF cycle elsewhere, and who get a positive pregnancy test result. They are ecstatic when they are told by the doctor that they're pregnant. However, their HCG levels are usually between 30 mIU/ml - 100 mIU/ml or so, and they neve...
Why IVF patients get confused
I received the above email from a patient. As you can see, he is a computer engineer, is doing his homework, and is very well organised ! This image highlights the fact that there is so much variation in the advice which IVF doctors give. To add insult injury, except...
The IVF doctor's dilemma
I was confronted with an interesting dilemma recently. The patient had recently got married to an older man who already had three children from his first wife. This was her first marriage and she wanted babies, but she was already 39 . When she did a blood test , she f...
Our Bonus Baby - Our Success Story at Malpani Clinic
We are from Bangalore and had been trying to conceive from past 10+ years without any success. We had seen multiple doctors here and tried stimulated cycles, couple of IUIs and one round of IVF at highly reputed clinics here. We even tried alternative medicines like h...
Why patients feel abandoned by IVF doctors when their cycle fails
I just got this email from a patient. Dear Dr Malpani, I have read your article online and am very much interested on any updates on your article or challenge to Clear Passage Therapy . I have seen this Clinic referred to me by Natural Fertility online and so I went t...