Image result for IVF
If you’ve been trying in vain to have a baby, you aren’t alone. Around one in 8 couples has difficulty conceiving and it’s not necessarily because of the woman. As a matter of fact, women and men can both be diagnosed with infertility. If the wife is under 35 years of age and have not conceived after a year of trying; or if the wife is over 35-years of age and have been unable to conceive in 6 months, there is a distinct possibility that you or your partner may be infertile.

So, if you think, you are infertile and need IVF treatment, where do you start? The truth is that all of this can be extremely overwhelming. You will find a lot of information online, but it can be very confusing to distinguish facts from rhetoric. We do have a number of well-informed patients coming to us for treatment, but there are an equally large number of patients who have heard that IVF is a good infertility treatment, but know nothing beyond that.

Aspects to Focus On

If you are planning on making an appointment with an IVF doctor, here’s some information that will give you a certain amount of confidence before you walk in that door. It will help you move through the different stages of your IVF treatment in a more seamless manner.

  • The Right Doctor- When I say “right”, it’s not just about qualifications and experience; a number of doctors have that! Your IVF journey is a very crucial chapter in your life which gives you the chance of turning your dream of having a child, into reality and your IVF doctor and his team will help you achieve that goal. Therefore, it becomes important that you sync well with your doctor and trust him too.


  • Confusing Success Rates- There are a number of aspects to take into account here. Some IVF clinics will have very high success rates, but these could well be inflated in different ways. They may be implanting multiple embryos in a single cycle and the multiple births are added to the clinic’s success rate stats.

Certain clinics will take only the less complex cases which also automatically increases the success rates; while there are others who are more proficient, deal with much harder diagnoses, but have lower success rates. Every case is different and so is every patient; so when you ask the doctor questions, see how they are relevant to you. No doubt, the doctor you choose should be experienced, but it’s also important that you check their success rates with other patients of your age.

  • You Can’t Change Biology- We as doctors have the ability to solve problems and troubleshoot different complex medical issues, however when it comes to biology, our hands are tied; and this means that with age, there is a decline in the woman’s fertility because her ovarian reserve takes a beating. It’s possible for us to temper conditions such as PCOS and endometriosis, but we can’t really eliminate them. These biological facts can’t be altered, but when you have a competent IVF doctor and his expert team behind you, your chances of success are greatly increased.


  • IVF Cost- Ouch that Hurt! - It’s a fact that IVF is expensive, and it’s important that you be fully-aware of the treatment cost. Ideally, your doctor should give you a complete run-down on costs. Keep in mind that in addition to the cost of the IVF cycles/s you have to factor in costs of medication, trips to the doctor and of course all the tests that are required too; all of which can work out to a tidy sum.

Despite the fact that we make it a point at our clinic to provide patients complete details about potential costs, many of them drop out when their first cycle fails. The main reason for this is they hope that they will get pregnant in the first cycle itself and their finances don’t permit them to continue with the treatment. Though lucky patients do hit the jackpot in the first cycle, you need to be prepared that 3-4 cycles maybe required before a couple is able to conceive.

  • Twins Mean Double Happiness- When couples are desperate to have a baby; they are willing to do just about anything to have it. And so, we have had some patients walking out of our clinic when we tell them, that as a rule we don’t transfer more than one or two embryos per cycle.

Of course, it is your prerogative to decide how many children you should have; however a responsible doctor will never suggest that multiple embryos be transferred (with some exceptions). With this, there is the risk of giving birth to preterm babies, and looking after multiples can be highly demanding in terms of energy, time and finances.

If you are planning on getting IVF done, keep these things in mind. Understand that the journey may not necessarily be a smooth one; build resilience, patience and have faith in your doctor.

Need more information? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you better!

Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

Open Video