Tuesday, August 22, 2017

Dr Anjali Malpani interviewed in Mid-Day on problem of rising infertility in Mumbai

In this city of dreams, conceiving a child seems to have become a nightmare for more and more couples, data procured through the RTI Act has revealed.
Statistics show that in the last five years, since 2012, more than 32,000 people have opted for in vitro fertilization, pushing worried doctors to sound the alarm - changes in lifestyle is to be blamed for the rise in infertility among Mumbaikars.

Thursday, August 17, 2017

The hurtful things people say to infertile women

One of the hazards of being infertile is having to cope with all the unsolicited advice you get from friends and relatives.

Anyone who has had a baby thinks they are an expert on babymaking, and they are happy to give you tons of gratuitous and uncalled for advice

They are often completely clueless about the basics of reproduction, but they believe that since you are not able to have a baby , you are the one who must be clueless, and they are happy to tell you how they got pregnant, so you can follow in their footsteps !

They will tell you all about the "fertile time"; how and when to have sex; who the best doctor is; and how their cousin got pregnant after going to a temple in Varanasi.

Please don't get irritated when they share this rubbish.

Yes it can be painful and hurtful, but remember that most of them are doing with good intentions. It's because they care for you and want to see you happy that they offer this well-meaning advice. Sadly, they don't understand how much pain they inadvertently cause you; or that a lot of the suggestions they offer are just old wife's tales, and are factually wrong !

Just nod politely ; smile and thank them for their concern and interest; and tell them that you are taking all the right steps by going to a medical expert, so they stop haranguing you.

If you feel they are doing it to harass you, then you need to fight fire with fire ! Ask them to show you their MD degree;  or offer to pay their medical consultation fees for all their expert advice - this will make sure they understand that it's best for them to keep quiet, rather than to hassle you !

Sunday, July 30, 2017

Does your IVFclinic offer xxxxxx treatment ?

One of the commonest questions patients ask us is - We read about the following advanced treatment option on google. Does your clinic offer this treatment ?

Now we have been doing IVF for over  25 years, and have seen many fashions and  fads come and go.  Yes, IVF is a science, but it is afflicted by lots of  hype as well, as clinics compete with each other to offer the "newest, latest and best" advance to their patients !

The additional advanced " tests and treatment" patients want depends upon their educational sophistication, and varies from:
-  ERA - endometrial receptivity assay
 - CAT - cumulus aided transfer
- PGD - preimplantation genetic diagnosis
- Endometrial scratching
- PRP - platelet enriched plasma
- Stem cells

Patients need to retain their sanity and their perspective.

Remember that not all new treatments are better  - many of them are still unproven, and best used in a research setting, because their clinical utility has not been established by controlled clinical trials.

Also, doctors fall in love with "shiny new object syndrome" and love trying out new stuff - not because the patient benefits, but because their bank balance does  - after all, you can always charge more for doing   more !

Doctors play a oneupmanship game, and it's their patients who suffer !

It's easy for us to offer these "add-ons" as well - after all, we are a fully equipped IVF lab, and can do what any other clinic does - we have the expertise, equipment and the technology to do so . The reason we don't is because we are conservative , and don't want to use our patients as guinea pigs. We don't want to experiment on them, and would rather wait for well done research to provide that an advance was clinical useful, before offering it to our patients. We aren't in a race to be the first for unproven tests and treatments !

Remember that if these advances were really useful, then all clinics all over the world would start offering them routinely, and the reason they don't is because a lot of these unnecessary procedures don't help. In fact, some have been proven to reduce pregnancy rates !

You can read more about this race to do more and the harm it causes patients at http://www.drmalpani.com/knowledge-center/infertility-testing/wasteful-infertility-tests

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 !






Thursday, July 20, 2017

The IVF embryoscope scam

Many IVF clinics are in a technology arms race. They want to play the game of one-upmanship, by boasting that the have the "newest and latest" technology, which makes them better than the other clinics.

While this is a great marketing ploy, the tragedy is that many clinics take naive patients for a ride, by claiming to use technology when they don't actually do so .

To add insult to injury, the charge a bomb for doing procedures which they never did !

The poor patient is clueless, because they have no idea what goes on inside the 4 walls of the IVF lab, because these doctors refuse to share information.

Thus, there are clinics which claim to use an embryoscope. Now, this is device which allows the embryologist to take videos of the embryos while they are growing inside the incubator , which means the doctor should be able to provide photos of the embryos to the patient.

However, these labs don't do so , because they don't actually use the embryoscope - and just claim to do so !

If you want to make sure that your doctor is not taking you for a ride, please insist that they give you photos of your embryos. If they don't do this routinely and proactively, this means that they may be lying to you, so you need to beware !

Not sure if your IVF clinic is playing games with you ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !




Wednesday, July 19, 2017

Times of India public awareness campaign to remove social stigma around IVF


This is part of their Fertile Conversations campaign to demystify IVF, and is being sponsored by Nova IVF

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 !




Friday, July 14, 2017

Fertile Conversations ! A Times of India Fertility Awareness Campaign


I am very glad to see that the Times of India has taken the initiative to create more awareness about infertility by launching a campaign called Fertile Conversations

This is a combined, print, online and real world campaign.

It has been sponsored by Nova IVI, a chain of infertility clinics in India, which means the primary purpose of the exercise is commercial - to promote their practise by getting infertile couples to come to their clinic for treatment by driving traffic to their website and their free events.

While this is a great way for Nova IVI to acquire more customers, the good news is that it's also encouraging more people to start talking about  what used to a taboo topic, which still carries a lot of social stigma in India.

Hopefully, having open conversations will encourage infertile couples  to reach out for help, rather than bottle up their angst and frustration, and this is all for the best. . It's something we have been doing free of cost for many years, and I am glad other clinics are now following in our footsteps !

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 !




Times of India article on infertility

Dr Malpani, however, offers a different view. "Victim blaming is a big issue across India. People tell women that they are unable to conceive because they don't eat healthy or work too much. It is unfortunate that women feel stressed and inadequate due to the inability to have babies,'' he says. "I have had women crying and asking if they are too fat or if the anti-acne medicine they used previously is responsible for infertility .''

http://timesofindia.indiatimes.com/city/hyderabad/why-more-and-more-indians-cant-have-kids/articleshow/59587740.cms

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