Sunday, November 18, 2018

Repeated IVF failure



Repeated IVF failure can be very frustrating for both doctors and patients.
After a failed IVF cycle, you find yourself at a crossroad , because you're not sure what do next.
Should you change your doctor ? change your treatment ? get a second opinion ?
The first step is to analyze the IVF cycle carefully, and if everything went well , then you just need to be patient and repeat the cycle again , until it works.
When we say, "everything went well," this means you need to objectively check the quality of the embryos , by examining the photos of your blastocysts; the endometrial thickness and texture; and whether the  transfer was technically easy. If all these were fine, this means there's no need to make any changes at all.
Sometimes patients want to change something – anything ! – out of desperation. They believe that if everything's fine but the cycle didn't work, then we need to explore alternative options, such as doing surrogacy, or using donor eggs or donor embryos.
However, this is not logical at all !
Sometimes all you need to do is get over your heartbreak, give yourself time to recover, and then start another cycle again.
Just because your cycle has failed two or three times doesn't mean that it will keep on failing !
It’s important that you don’t start getting desperate and doing treatment which is needlessly expensive and makes no rational sense at all !
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 !






Friday, November 16, 2018

How can you be sure that your IVF doctor is telling you the truth?


This is always a big problem for most IVF patients. How can you trust your IVF doctor?
How do you know whether what he's telling you is in his best interests , or in your best interests?
Is he telling you to do IVF because that is actually your best treatment option, or is it that his advice is based on the fact that that's the most profitable treatment option for him to offer?
This is always a million dollar question, and there are lots of doubts in IVF patients' minds. It's hard to be sure whether the advice you're getting is high quality or not.
This is why doctors need to be open and transparent, and share as much information as possible, so that patients know in advance what the standard operating procedures and treatment protocols are.
This is why evidence based guidelines, which tell IVF doctors what they should be doing and when, are so helpful.  Patients can analyze these , and make sure that the advice which their doctor is giving them is correct.
You can download the IVF comic book free at https://www.drmalpani.com/pdf/IVF_COMIC_BOOK.pdf
and this will help you verify that your IVF doctor's advice is correct.
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 !






x

Thursday, November 15, 2018

The fertility dilemma of the 35 year old professional woman



A lot of highly successful, well-established professional women , many of whom are on the fast track to becoming CEOs and are progressing well in their career , will sometimes find that, at the age of 35 or 36, their biological clock goes off, and they have this irresistible craving to have a baby.  They realize that their opportunity to have their own biological baby is rapidly shrinking, and that time is now at a premium for them.
It's an internal biological urge, which they've been able to successfully repress for very long, but once the alarm clock goes off, then hitting the snooze button simply doesn't work.
Their alarm just goes off again and again , and they eventually have to wake up and answer this biological desire . This is hard wired into our genes , to ensure that our species propagates itself, and it can be impossible to resist.
Many of these women just can't understand what's happening to them, because this is so different from their own perception of themselves .  They never felt they would ever have any maternal urges, and they are now forced to reassess their own self image.
The reality is that they become a very different person once this alarm clock has gone off.
The problem is that we can't predict when it will ring, but when it does, things change dramatically, and there’s little the head can do when the selfish gene’s desire to propagate itself is so strong.
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, November 14, 2018

The IVF cycle cancellation scam



Corporate chains of IVF clinics seem to have come up with all kinds of creative ways of extracting money from their patients .
One the commonest scams I've seen these days is to charge a hefty cycle cancellation fee.
Thus, all patients are advised to do IVF, even when the doctor knows they are not likely to grow any eggs, because they have very poor ovarian reserve.
The IVF treatment cycle is started , and the patient is asked to pay the full fee in advance as a deposit. However, when patient doesn’t grow any follicles , the cycle is cancelled, and the doctor charges a fat fee.
Inspite of knowing  that the patient is not a good candidate for IVF, the doctor still goes ahead and starts the cycle . What’s worse is that they deliberately use a low dose of injections to try to reduce the ovarian response even further, because they make money on canceling the cycle. Sometimes this is as much as 80% of the total fees, even though the clinic has not incurred any lab expenses at all.
In our clinic , our IVF cycle cancellation fees are zero , because we understand the heartbreak having to cancel a cycle causes, and we don't want to add to the patient’s misery by levying a financial cost on top of this.


Tuesday, November 13, 2018

The heartbreak of an infertile patient



I am still not able to cope up with negative pregnancy test. I just wished that the test still comes positive. My good looking embryos do not like to settle in my good looking endometrium lining. I wish that I could know what these beautiful embryos wants more from me? Why all these medicines,efforts, patience, care, precautions and prayers for having a baby is not paying off. What else can we do to fulfill our dream to have a baby ?

Crying is also not helping. After getting result, I spent entire day in reading positive ivf stories on internet I know that in this journey nobody get success immediately, every couple have their shares of failures and sorrows before getting positive result. But when we will achieve success? This question always comes in mind.

We have stop to share about our treatment process with family members, for last one year. 
They start expecting a lot, as for them ivf means 100% success. They don't understand the statistics behind it. Some of them give advise for adoption. So we decided not to reveal about treatment process. If there is any family function in between treatment cycle we give other reasons for not attending it and seriously I don't enjoy such get togethers now a days. My mother pray for me constantly but I do not want to discuss this with her also as she gets more depressed due to my pain. I only talk about it when she ask. But sometimes we feel very alone in such situations as nobody is there to share our grief.

We want to take some time off and go somewhere for relaxation. But we can't plan vacations thinking that instead of spending on it, let's save for the treatment. Life is a struggle for everyone, it's reasons are different but struggle to have a baby is something else... I mean it's a simple, biological process but couples  like us have to go through a lot to get our dream baby. My heart cries when I read about people doing abortion for unwanted baby, people abandon newborn babies on roadside and moreover kills the girl child in desire of a son... I mean how can this be tolerated by supreme power whom we called as GOD...

And such kind of people get opportunities of bearing child again and again to repeat their mistakes... this is beyond my thinking.

I married at the age of 30, started seeking treatment at the age of 33 and now approaching my 40s. Now wonder if my age will make it difficult to achieve success?  This 7 years of journey consist of HSG, plenty of blood work, lots of pills and injections, numerous scans, laparoscopy, hysteroscopy , 8 failed iui, 6 failed embryo transfer, one missed abortion, financial loss and what not.. 

Yet we try to be happy in other things in life. We meet and greet people with smile on face. We also like to see half glass full. We shower our love on our sibling's children, we spend quality time with them. This gives us some peace of mind but desire to have our baby just keep rising n rising. Irrespective of the result, we know that whatever we are doing is our best. Things happens as per plan, it's process is in our control but outcome is not in our control. Our hope always overcome on our sorrows and we bounce back to try one more cycle. No other option but to say this, Time heals everything.

I do remember serenity prayer to keep spirits high but believe me it's not easy...

Monday, November 12, 2018

Corporate chains versus boutique clinics for IVF treatment




It's great to see that so many corporate chains of IVF clinics have come up all across India.
The advantage is that now patients have access to IVF treatment even in small towns, and they don't need to travel to large cities to get IVF treatment.
This makes it much more convenient for them, and hopefully a little more affordable as well.
However, the problem is that the major motive behind these corporate chains is to maximize their profits, rather than to do what's in the patient's best interests.
This often means that they use an assembly line procedure, and their doctors are forced to meet targets and do  a certain number of IVF cycles every month, to get paid their bonuses.
As a result of this, their focus is on trying to get as many patients to do IVF as possible.
This is why they advertise so aggressively, and buy so many billboards . This is also the reason they offer so many free medical camps for infertile couples – to try to increase their throughput and do more IVF cycles.
Yes, this is in their best interest, but is not in the patient's best interest, so you need to be careful ! As the saying goes – Let the buyer beware !

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 !





LinkWithin

Related Posts Plugin for WordPress, Blogger...