Wednesday, September 19, 2018

Answers after IVF failure



When an IVF cycle fails, patients want answers !
It’s natural to feel disappointed, sad and angry, because you are now back to square one – even after spending all that time, money and energy ! And what happened to all the reassurances which the doctor offered, saying your embryos were perfect and that you were “definitely going to get pregnant” ? Was it all just a lie ?
Please take a break and give yourself time to grieve and recover ! The truth is that many women who have had a failed IVF cycle will be successful on a second or even a third cycle. While success can never be guaranteed, some of the problems which were discovered during the IVF treatment can be corrected , to help make the next cycle more successful.
This is why you want your doctor to be able to tell you exactly what went wrong, so you can fix it and have a baby in your next attempt. Unfortunately, this is surprisingly hard to do, simply because there are so many biological variables in an IVF treatment cycle, that it's not always possible to pinpoint what the exact problem was.
Not only is every patient unique, the problem is that IVF cycles in the same patient will also vary from one month to another. This is why it’s very difficult to extrapolate based on the results of just one cycle.  However, patients don't understand that biological systems are messy, that we don't have the same kind of accuracy and precision which we do when dealing with computer programs and bank accounts.
In any case, far more important than asking, "Why did the cycle fail?", a far better quality question is, "What did we learn from this cycle?" And even more importantly, "What can we do differently in the next cycle to maximize our chance of getting pregnant?"
The truth is that if you ask good questions, you're likely to get good answers ! And because IVF technology has improved so  much, even if we can’t always identify problems, we are surprisingly good at finding solutions by bypassing problems in the IVF lab  !
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you understand more about the IVF process, and why it fails sometimes.
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !






Tuesday, September 18, 2018

IVF success rates, statistics and probability



One of the major problems which plagues IVF treatment is the uncertainty surrounding it , because you can never be sure whether your IVF cycle is going to work or not. This is where the concept of probability is so important.  Patients need to understand what their chance of success are, so they can decide how many times they want to try IVF.
The trouble is that's very hard to apply probability statistics to IVF for two reasons. One is because it's so personal – after all, the success rate is not just a number ! It's something which affects your entire life, which is why  it's very hard to view it objectively in a detached fashion.
The other problem is that the law of small numbers applies. Statistics aren't very reliable when they are applied to small numbers , and this is a big problem with IVF cycles, because it's very hard to draw conclusions based one patient's experience with one or two cycles.
Finally, the fact that there are so many biological variables which affect the results of IVF makes interpreting these numbers extremely hard - not just for patients , but for doctors as well.
This is why both doctor and patient need to sit together , so they can decide what's right for the patient.
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you make better decisions !
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !





Monday, September 17, 2018

Orgasms during an IVF cycle




It's not uncommon for IVF patients to have an orgasm during their IVF cycle ; and during the two-week wait after the embryo transfer. This is often involuntary , and happens during their sleep. They wake up , and many start to panic , because they are worried that the orgasm is going to harm their embryo.  Their fear is that the uterine cramping will cause the uterus to expel the embryo.
This can be quite embarrassing, and they are ashamed to discuss this with their doctor.
The reason for the orgasm is because of the increased blood flow to the clitoris during this time. Your hormonal levels of estradiol and progesterone are very high at this time, and this increases pelvic vascularity . This results in  pelvic congestion and clitoral turgidity , and minor mechanical stimulation could trigger an orgasm.
Please don't panic or worry if this happens. Your embryo is safe in your uterus, just like a pearl in an oyster. It’s not going to get harmed because of the pelvic contractions. Please don’t feel guilty or worried that this has reduced your chances of success.
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
so you can stop worrying !
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !






Saturday, September 15, 2018

The cost of IVF failure



Many patients are understandably worried about the cost of an IVF treatment cycle , because it's so expensive.
However, one of the things you need to factor in is the cost of IVF failure. What does  this mean?
It’s tempting to cut corners and go to the cheapest clinic ; or the one closest to you, even if it doesn’t have much experience or expertise. However, the risk of your IVF cycle failing is much higher in these clinics, and if your IVF cycle fails, you will actually end up spending much more !
Not only will you have wasted your money on your first cycle, you will have to pay more for a second cycle – and you'll have wasted a lot of precious time and energy as well. Even worse, you may abandon the idea of IVF treatment altogether, because your confidence levels - both in yourself as well as in IVF doctors - will go down considerably.
That's why you need to consider the total lifecycle cost of doing IVF treatment - the total cost you will have to pay in order to have a baby. This may require multiple cycles, and you need to factor in the money you spend; your  emotional energy; and the time as well, because the longer you wait to have a baby, the older you're going to be, and the less you're going to be able to enjoy being a parent !
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you reduce your risk of IVF failure !
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !






Friday, September 14, 2018

Why making IVF decisions can be so hard



Sometimes the medical decisions which infertile patients need to make can be very simple , because there really aren't too many options. Thus if your tubes are blocked , your only treatment option is IVF , so your only decision is which IVF clinic to select.
On the other hand, you may find that you have lots of treatment options , and you then need to decide what's right for you. Thus, if you are older, you may be able to get pregnant with your own eggs, but you know that your chances of getting pregnant with donor eggs are much higher .
You are not sure which is the right decision. Should you go for donor eggs, because it has a higher success rate ? Or should you continue trying with your own eggs because you want to transmit your own DNA to your child?
These are not decisions a doctor can make for you - you need to make them for yourself, and they can be very tricky. It can be even harder when both husband and wife are not on the same page , and they disagree with each other . You will have to sit and discuss this thorny issue, until you find a decision which both of you are pleased with.
You need to use your head , but you need to listen to your heart as well, so take your time when making such an important decision !
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you make better decisions !
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !







Thursday, September 13, 2018

Why IVF patients need to make their own decisions



One of the hardest things for IVF patients to do is to make decisions. When their IVF cycle fails, they are not sure whether they should use their own eggs; or donor eggs; or donor sperm; or surrogacy. It can be very confusing , and because patients are not medical experts , they want a doctor to make these decisions for them.
However, these decisions shouldn't be made by doctors , because it's such a personal choice , and will affect the rest of the patient's life. Yes, it's very easy for the doctor to tell the patient what to do, but the patient cannot abdicate this responsibility and allow the doctor to make these decisions.
The job of the doctor , as a medical professional, is to make sure that he offers all the choices to the patient , and makes sure that the patient does not make the wrong choice -  a choice based on incomplete or incorrect medical information . However, the truth is that   there are no right or wrong choices – whichever choice the patient makes is the right choice for her. Patients have to decide for themselves, and the job of the doctor is to be supportive and offer non-directive counseling, so they can do what they feel is right for them.
The reality is that it can be very hard to make some of these decisions. Because of the dramatic advances in reproductive medical technology, there is a dazzling variety of choices in front of the patient , and this can be very confusing. Patients are often paralysed because they don’t know how to select the right one. They can use donor eggs, donor sperm, donor embryos , or do surrogacy. There’s a wide choice of mix and match options, and patients are not sure what to do,
They expect the doctor to make this decision for them, because he is the medical expert, but often these are very personal preferences, and the doctor is not a mind reader. That's why it's the patient's responsibility to explore all the options, understand the medical facts , and then apply their own mind and decide , based on their personal preferences , what to do.
You have to use your head and you have to use your heart as well, because you need to live with the consequence of the decision. The reality is that the decision you make is right for you. There is no right or wrong decision. Every decision has pros and cons, you need to weigh this, you need to be systematic about it, and more importantly you need to have peace of mind that you've thought about it and made the decision which both your head and heart said was right for you.
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you make better decisions !
Or you can send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !






 

Wednesday, September 12, 2018

Bouncing back after a failed IVF cycle



When an IVF cycle fails, patients want an answer.
It’s natural to feel disappointed, sad and angry, because you are now back to square one – even after spending all that time, money and energy ! And what happened to all the reassurances which the doctor offered, saying your embryos were perfect and that you were “definitely going to get pregnant” ? Was it all just a lie ?
Please take a break and give yourself time to grieve and recover ! The truth is that many women who have had a failed IVF cycle will be successful on a second or even a third cycle. While success can never be guaranteed, some of the problems which were discovered during the IVF treatment can be corrected , to help make the next cycle more successful.
This is why you want your doctor to be able to tell you exactly what went wrong, so you can fix it and have a baby in your next attempt. Unfortunately, this is surprisingly hard to do, simply because there are so many biological variables in an IVF treatment cycle, that it's not always possible to pinpoint what the exact problem was.
Not only is every patient unique, the problem is that IVF cycles in the same patient will also vary from one month to another. This is why it’s very difficult to extrapolate based on the results of just one cycle.  However, patients don't understand that biological systems are messy, that we don't have the same kind of accuracy and precision which we do when dealing with computer programs and bank accounts.
In any case, far more important than asking, "Why did the cycle fail?", a far better quality question is, "What did we learn from this cycle?" And even more importantly, "What can we do differently in the next cycle to maximize our chance of getting pregnant?"
The truth is that if you ask good questions, you're likely to get good answers ! And because IVF technology has improved so  much, even if we can’t always identify problems, we are surprisingly good at finding solutions by bypassing problems in the IVF lab  !
Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !






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