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Is this a good quality embryo ?
We routinely show patients their embryos before the transfer, and this can be quite an emotional moment for them. The commonest question they ask is - "Is this a good quality embryo?" Of course, what they really want to know is if that embryo will become a baby, but t...
Straight from the heart of an infertile woman
I admire and respect my patients, because I learn so much from them I just got this post from G. She has a lot of courage to bare her soul like this, and discuss topics which are considered to be taboo. This is powerful stuff, because it's straight from the heart . S...
Have you failed many IVF cycles ?
Patients who have failed multiple IVF cycles are extremely frustrated. They are their wit's ends, because everything they have tried has failed so far. They are desperate enough to try to clutch at straws. They are willing to explore many different options, including c...
The embryologist - the unsung hero of the IVF clinic.
Lots of patients don't know how to evaluate how good or bad an IVF clinic is. This is hardly surprising , because when they go to an IVF clinic, all they do is see the doctor, who is a clinician. However , the real heart of IVF treatment lies in the IVF laboratory, w...
Repeated IVF failure - what next ?
It can be extremely hard for me to counsel faithful patients who have experienced repeated IVF failure in my clinic . Every time I do an IVF cycle for them , I do it with a lot of hope. If it fails, I tweak the protocol, and hope that we will get lucky this time. Howev...
The depressed and unhappy infertile patient
Most infertile patients are unhappy and stressed out. They're depressed , because they're unable to perform the basic biological function every woman is designed for - to have a baby . For some of them, their whole life seems to revolve around this inability to have a c...
But I need only one embryo to get pregnant !
Patients with poor ovarian reserve can be extremely hard to counsel, especially when they're young and have regular periods because they can't understand why they're not being able to get pregnant and why they're failing repeated IVF cycles. After all, they have eggs, t...
Why IVF patients feel helpless
One of the most worrisome aspects of an IVF cycle is the uncertainty involved. The patient never knows whether the next cycle is going to work or not - and neither does the doctor ! The problem is compounded by the fact that they know very little about what happens duri...
Why do so many Indian gynecologists believe that all infertile women have TB ?
I recently attended an IVF conference in Delhi, and came away with the impression that a lot of IVF doctors there seem to feel that every Indian patient who's infertile has tuberculosis. They feel that it's a ubiquitous disease, and that the only reason we don't diagno...
Why IVF doctors continue to order useless tests and offer wasteful treatment
Patients who fail an IVF cycle are extremely vulnerable . This failure is often the last straw, because they are not sure what to do next. They have no idea why the cycle failed, even though the doctor was so optimistic at the time of the transfer. They are usually comp...