Friday, April 06, 2012

Looking for the right IVF clinic

I received this email from a patient today.

My name is AF and my husband and I reside in USA. We are looking into traveling abroad for IVF treatment. If you could please answer my questions about your clinic I would very much appreciate it. I am sure you receive many emails, but please understand that we want to research the best we can before we make the big, scary, commitment to travel abroad for IVF treatment, so your quick response will be most appreciated and will ultimately guide in my choice of a clinic.


1. Do you recommend any other infertility tests for us?
2. According to my circumstances can you please give me a cost estimate for one cycle of IVF (please indicate if cost includes all medications and procedures necessary to complete the cycle, if medication is not included in cost estimate can you please provide a cost estimate for medication)?
3. Do I have to use your pharmacy for medications?
4. What is the success rate for someone in my circumstances/age group at your clinic?
5. How are your lab conditions? Is there any certification for labs in your country and does your clinic’s lab meet these qualifications?
6. Is there any nationally recognized accreditation for fertility clinics in your country, and does your clinic/Doctor meet these qualifications?
7. Who is the Doctor/s that will be performing the procedure and lab work, how are they qualified, and do they speak English?
8. What is the process for payment, and do you accept Visa or Mastercard?
9. Is there someone there who can help us coordinate travel?
10. Do you have a recommended acupuncturist?
11. Is there any protection for us if there happens to be complications with the procedure?
12. Do you have any plans that allow you to pay a set amount for multiple IVF tries?
13. If I had a clinic here that was willing to work with me for initial preparation before my travel (I do), could I complete the procedure in less than 14 days?
14. Do you have experience with patients from the USA?
15. Is there anything else that sets your clinic apart from other clinics worldwide, or that you would like to share about your clinic?


I was very impressed. This is thoughtful patient, who is doing her homework !

Here are my answers to her queries.

1. Do you recommend any other infertility tests for us?
I need the results of ALL the following simple medical tests before starting
An IVF cycle.

1. semen analysis for your husband ( to check his sperm count and motility);
2. Blood tests for you for the following reproductive hormones – FSH ( follicle-stimulating hormone),LH ( luteinizing hormone),PRL ( prolactin) , AMH ( anti-Mullerian hormone) and TSH ( thyroid stimulating hormone) on Day 3 of your cycle, ( to check the quality of your eggs). Do this from a reliable lab such as SRL ( www.srl.in);
3. A HSG ( hysterosalpingogram, X-ray of the uterus and tubes) on Day 8 of your cycle ( to confirm
4. Your uterine cavity is normal). You can read about this at www.drmalpani.com/hsg.htm);
5. A vaginal ultrasound scan on Day 10 or 11 which should check for the following.
a. ovarian volume
b. b. antral follicle count
c. c. uterus morphology
d. d. endometrial thickness and texture
Please send me the ALL the detailed test results and medical reports . You can scan them in as a single Word file and email them to me.

If the tests have been done in the past one year, there is no need to repeat them.
If there is a problem, then we can treat it prior to starting IVF!


2. According to my circumstances can you please give me a cost estimate for one cycle of IVF (please indicate if cost includes all medications and procedures necessary to complete the cycle, if medication is not included in cost estimate can you please provide a cost estimate for medication)?

Our charges for an IVF/ICSI treatment cycle are $ 4000 only. This includes all
Medical treatments and procedures. Medicines would cost about US $ 1000 more. However, the cost of medications can vary, and
Depend upon how many injections you need for adequate superovulation.

3. Do I have to use your pharmacy for medications?

No – though the meds are much cheaper if you buy them in India

4. What is the success rate for someone in my circumstances/age group at your clinic?

Our pregnancy rate is 46% when we transfer 3 Grade A embryos in women less than 35

5. How are your lab conditions? Is there any certification for labs in your country and does your clinic’s lab meet these qualifications?

We are registered with the Govt of Maharashtra

6. Is there any nationally recognized accreditation for fertility clinics in your country, and does your clinic/Doctor meet these qualifications?

No, India does not have this accreditation process as yet

8. Who is the Doctor/s that will be performing the procedure and lab work, how are they qualified, and do they speak English?

Dr Anjali and I take care of all our patients . We speak English fluently

8. What is the process for payment, and do you accept Visa or Mastercard?

Yes

9. Is there someone there who can help us coordinate travel?

There is more information on coming to the clinic at http://www.drmalpani.com/travel.htm.

10. Do you have a recommended acupuncturist?

No

11. Is there any protection for us if there happens to be complications with the procedure?

We’ve never had a problem in the last 20 years

12. Do you have any plans that allow you to pay a set amount for multiple IVF tries?

Because we have such high success rates, we can also offer you a guaranteed pregnancy treatment option.
You can read more about this at http://www.drmalpani.com/guaranteedpregnancy.htm
You pay for 4 cycles in advance.
If you get pregnant ( pregnancy = pregnancy after 18 weeks of gestation) in any of these 4 cycles, everyone is happy !
If you do not get pregnant in these 4 cycles, we refund your money back to you.
This option will help you reduce your emotional risk and your financial risk

If I had a clinic here that was willing to work with me for initial preparation before my travel (I do), could I complete the procedure in less than 14 days?

Yes. If your local doctor agrees to help, you would need to spend only 10 days in Bombay.

14. Do you have experience with patients from the USA?

Yes. You can talk to some of our patients by email at http://www.drmalpani.com/success-stories.htm

15. Is there anything else that sets your clinic apart from other clinics worldwide, or that you would like to share about your clinic?

You can read about how we pamper our patients at http://www.drmalpani.com/ivf-treatment-at-malpani-ivf-clinic.htm

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