Monday, December 17, 2018

आपको कब IUI/आईयूआई से IVF/आईवीएफ़ के लिए जाना चाहिए?

इन्फर्टाइल जोड़े IUI/आईयूआई साईकल्स दोहराकर पैसे क्यों बर्बाद करते हैं?

भरोसेमंद IVF डॉक्टर कैसे चुनें?

Does your life feel empty without a child?

Most of us imagine that we will have our own children when we grow up.
After all, the happiest memories we have is when we were children , and just like we are grateful to our parents for bringing us up, we want to be parents too , so that we can bring our children up , and pass on the family traditions we've inherited.
This is a deep biological urge , and it can come as a rude shock when you find that you can't have a baby. Infertility can create a huge void in your life – and the impact is similar to that of a death in the family – the death of your hopes and dreams.
The good news is that technology exists to solve this problem , and IVF can solve pretty much bypass all the medical problems which afflict infertile couples.
Sadly, patients are very scared about doing IVF , because they're worried that it has side effects ; or that it's very expensive . To add to their confusion, they are not sure which IVF doctor they should go to.
Here's an option which is completely risk-free because it’s free ! Ask me for a second opinion at - you have nothing to lose and everything to gain !
There are no strings attached ! I'm an IVF specialist, and I'll be happy to tell you what you need to do in order to have a baby !

Saturday, December 15, 2018

Why a shared risk option can be so valuable for patients who failed an IVF cycle.

Patients do an IVF treatment with lots of hope and expectations .
This is especially true when IVF doctors promise them the moon , and are extremely optimistic when they want them to sign up for treatment.
However, when the cycle fails, their hopes come crashing down.
Not only are they depressed and frustrated, they lose confidence in doctors - especially when the doctor abandons them , and refuses to answer their calls or provide them any information as to why the cycle failed, and what they can do differently next time.
Patients feel cheated and will not trust any other IVF doctor.
This is why a shared risk option can be so valuable , and this is well-worth exploring , because both the patient and the IVF clinic are making a long-term commitment that they will work together until the patient finally gets a baby, because their interests are aligned.
This is something that you should discuss with your IVF doctor , so that you don't continue remaining depressed , and lose your best chance of getting pregnant.
Find a better IVF clinic which has the courage of its convictions and is willing to put their money where their mouth is !
Want more information ? Please send me your medical details by filling in the form at so that I can guide you !

Thursday, December 13, 2018

The new and improved kinder IVF treatment plan

                                In the past , standard IVF protocols for superovulation would use down-regulation with GnRH agonists          ( such as Lupron) , and these were known as either the short or the long protocols. Long protocols would start 7 days before the cycle started, which meant that patients would end up having to take shots for 20 days – a daunting prospect for most women, and because this put them off, they refused to explore the option of doing IVF

                                The newer protocol uses the GnRH antagonist ( such as Cetrorelix) , which means that patients require fewer injections. Not only is this kinder for the patient, it's also less expensive. Even better , we usually collect more eggs, and their quality is better too. Finally, the cherry on the cake is that it reduces the risk of ovarian hyperstimulation, which means it provides lots of benefits without any risks !

                                This is called the Letrozole Antagon protocol, which uses a combination of Letrozole , which helps the patient grow more of their own endogenous follicle-stimulating hormone, in combination with Gonal F, which is exogenous follicle-stimulating hormone. This starts from Day 2 of the cycle, and this combination of both internal and external hormones helps the patient to grow more eggs. Because we use the GnRH antagonist for down-regulation from Day 7 onwards, we can trigger ovulation with a GnRH agonist, so that the risk of hyperstimulation is zero.

This new protocol allows both patients and doctors to get  the best of both worlds - better and more eggs, with lesser risk and fewer injections !

You can download the IVF comic book free at

Or you can send me your medical details by filling in the form at so that I can guide you !

Wednesday, December 12, 2018

The Ovarian Rejuvenation Scam

Patients with ovarian failure can be very depressed and disheartened when they learn that they can't have a baby with their own eggs .
Lots of them are not prepared to accept this harsh truth, and are not willing to use donor eggs , even though this has a very high success rate, either for psychological or religious reasons. As a result of their desperation, they are emotionally very vulnerable , and are happy to clutch at straws. Because they're willing to do anything in order to have a baby, it’s easy for crooked doctors to cheat them . In the past , doctors would take them for a ride, by “treating” them with hormone replacement therapy. This would allow them to get regular cycles, and they would then believe that their problem has been fixed – but this as just giving them false hope.
Today , the scams have become a lot more sophisticated , and the newest buzzword is “ Ovarian Rejuvenation Therapy “, which is selling like hot cakes.
The doctors claim that they are able to use “scientific techniques” to  reactivate the dormant ovarian stem cells in your ovaries , by injecting potions into them, such as PRP or plasma enriched platelets.
They dress this up in very impressive scientific terms, but all these claims are hocus pocus – they don’t work. Please don’t get carried away, and just use your common sense. If it really worked, wouldn’t all doctors offer this option to their patients !
In order to protect themselves, these doctors call this “  experimental therapy” , but please don’t allow them to use you as a guinea pig – this is just a scam to exploit your desperation, and make you part with your money !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Tuesday, December 11, 2018

False despair can be as harmful as false hope for IVF patients

It can be difficult to treat infertile patients, especially when they have very unrealistic expectations of what medicine can do for them.
This is because their feelings range wildly all the way from one end of the pendulum - false hope, to the other end - false despair.
False hope is the expectation that I'm going to get pregnant if I do IVF ; or that IVF has a 100% success rate .
Patients who do IVF treatment with this false hope will often go to pieces when their cycle fails , because they're not able to build up the courage to try again . Because they had such high (unrealistic) expectations , they cannot deal with the frustration and the unhappiness and the heartbreak this causes.
False despair is the other end of the pendulum , and just because three IVF cycles have failed is no reason to give up ! This doesn't mean that the fourth cycle is going to fail as well – sometimes all you need to do is to find a better doctor !
This is why it's important that patients find the right balance between false hope and false despair – and the best way of doing this is through Information Therapy !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Answers after IVF failure

Monday, December 10, 2018

Why is this IVF patient so unhappy?

No, it's not because her pregnancy test has come back negative, because she is still in her 2ww, and hasn't got her result as yet . It's because she's been very disillusioned and disappointed by the quality of medical care which she has received during her IVF treatment.
Her IVF doctor has not shared any information with her - in fact, she hasn't even seen the same doctor twice ! The only time she met the doctor was at the time of the first consultation, when everyone was very sweet, and wanted her to pay her fees, so they could start her treatment as soon as possible . Sadly, they were more interested in collecting her fees, rather than in helping her to have a baby !
During her IVF treatment, every time she went to the clinic, she had to talk to a junior doctor, a nurse, or an assistant , who had no clue about what was happening.  The senior doctor was  always busy – either she was travelling, or was in the OT. She never bothered to return her phone calls, which meant that she was in suspense throughout her cycle. When she asked questions, the standard answer was, "We don't know. We will have to talk to the senior doctor , and she will decide."
She didn’t even know simple basics, such as how many follicles were seen during the ultrasound scans; or how many eggs are collected; or what the quality of her embryos was. Everything was mysterious, and completely opaque.  This just made her  even more anxious and concerned , because she didn’t have any idea what was happening to her.
This is one of the reasons why so many patients refuse to do a second IVF cycle - because they've been so unhappy with the experience they've had with their first IVF cycle.
In order to prevent this tragedy, you need to do your homework, and go to the right clinic , so you have a happy experience. Good clinics routinely share information with their patients; document all their treatment; and provide patients with photos of their embryos as a standard practice.
Please don’t allow an IVF doctor to cheat you – you have too much at stake !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Sunday, December 09, 2018

What is the difference between these two IVF clinics?

These two IVF clinics look very similar. Their equipment seems to be the same, and their websites seem to have the same text ( since one of them has copied and pasted the content from the other!)
So how are patients going to differentiate between the two clinics ? How do they know which one is good, and which one is not?
This is a huge problem, and it’s very hard for patients to identify a good clinic.
It’s not just the equipment which a clinic has – after all, they can all buy the same hardware !
In reality, it’s the experience and the expertise of the team members which makes a world of
difference !
You need to look for someone who does only IVF , because this is their full time focus.  You need a doctor who provides care from a single clinic, so you know they are not running around from clinic to clinic in order to grab more patients and earn more money !
You need a doctor who has  enough experience and expertise to be able to deliver results, so that you are confident that you are getting the best possible medical care.
Finally, good IVF clinics take pride in being open and transparent , and in sharing information with their patients. They educate them , so that they have peace of mind that they've received the best possible medical care !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

एक IVF साइकिल के फेल हो जाने पर आपके पास और क्या-क्या ऑप्शंस होते हैं?

Saturday, December 08, 2018

What makes IVF babies different?

A lot of couples are worried that IVF babies are weaker than other babies, or have a higher risk of having birth defects.
Yes, it is true that IVF babies are different, and what makes them different is the fact that they're special, because their parents spend  so much time and energy on nurturing them,  because they're so deeply loved.
From a biological perspective, an IVF baby is exactly like any other normal baby, and this is hardly surprising given the fact that all we're doing in an IVF cycle is mimicking nature. In simple terms, IVF allows us to do what’s not happening in the bedroom in the IVF lab.
Instead of the sperm fertilizing the eggs in the Fallopian tube ( like they do normally for fertile couples) , we're fertilizing them in the test tube in the IVF lab , and then transferring the embryo into the uterus.
This is why there is no increased risk of birth defects, and this can be very reassuring for patients !
It's high time that we busted a lot of these myths surrounding IVF babies !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Friday, December 07, 2018

Why is this IVF patient smiling?

No, it's not because her pregnancy test has come back as positive  because she is still in her 2ww, and hasn’t done it so far. It’s only been one week since her embryo transfer, and while she is hopeful and optimistic, she's not sure whether the cycle is going to work or not.
Interestingly, even if the cycle fails, she will continue smiling,  because she's had such a great experience during her IVF treatment.
Her doctor has been open and transparent, and has shared information with her throughout the cycle. The team has been respectful, has treated her like an intelligent adult.
They have shown her the follicles and the uterus during her ultrasound scans, and she has been given photos of her blastocysts, so that she has peace of mind that she has received top quality medical care.
She understands that the outcome of any IVF cycle is neither in her hands , nor in her doctor's, because implantation is a biological process which no one can control. However, she is confident that because she's received good quality medical care, she has done everything humanly possible, and this gives her enormous peace of mind.
If you want to smile during your IVF cycle as well, please make sure that you are well informed and well prepared !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Thursday, December 06, 2018

Can you make out this is an IVF pregnancy?

And the answer is - you can't !
The whole point is that an IVF pregnancy is exactly like any other pregnancy !
Just because an embryo spends five days in the IVF laboratory , this doesn't make the pregnancy any different – once it implants, it follows exactly the same course every other pregnancy does.
This is why I'm so unhappy when so many obstetricians do routine Cesarean sections for their IVF patients . They justify this be saying that these are very precious pregnancies. But every pregnancy is precious for its parents, and there's really no reason to medicalize a pregnancy, just because IVF was done.
This is why IVF patients need to find a confident obstetrician , who can reassure you !
You should be happy to be finally pregnant , and you should have the pleasure of experiencing pregnancy and normal childbirth as well, because you're a healthy woman who should be happy that your body works properly.
A good  OB will give you every opportunity to do so, rather than try to medicalize everything, just because you've done IVF !
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Wednesday, December 05, 2018

Is coming to Mumbai safe for IVF patients ?

Lots of out-of-Mumbai patients are reluctant to travel to Mumbai to our clinic for their IVF treatment, even though they know our IVF pregnancy rates are the best in the country.
This is  because they've been told all kinds of horror stories about IVF treatment.
They have been misinformed that they need to visit the clinic everyday; that they need daily ultrasound scans; that they require injections on a daily basis which need to be given at the clinic; they need bed rest after the transfer; and that travel after the embryo transfer is unsafe.
They are also warned that IVF pregnancies need special care, and this can only be provided locally, which is why they are scared to come to Mumbai.
However, none of this  is true at all. These are just myths which are propagated by local IVF clinics in their town , in order to hold onto their patients, and make sure that they don't travel outside the city. This is a shame, because pregnancy rates in these local clinics aren't good, but they don't want to lose their patients.
The fact of the matter is that IVF logistics is very simple. We provide a well-defined  clear treatment plan which is easy to follow. No hospitalization is required, and patients only need to  come to clinic about 4-5 times over a 15 day period.
You can download the IVF comic book free at
Or you can send me your medical details by filling in the form at so that I can guide you !

Tuesday, December 04, 2018

एक इनफर्टिलिटी स्पेशलिस्ट और आईवीएफ स्पेशलिस्ट में क्या अंतर है?

जब बच्चा चाहिए होता है तो बहुत से मरीज़ उलझन में  रहते है कि किसके पास जाएँ और उनमें से अधिकांश लोकल गाइनेकोलॉजिस्ट के पास चले जाते हैं। ऐसा खास कर तब होता है जब उन्हें सेकण्डरी इनफर्टिलिटी हो और पहले से बच्चा हो और वे सोचते हैं कि गाइनेकोलॉजिस्ट उनके इनफर्टिलिटी की दिक्कत को भी हैंडल कर लेंगे। आख़िरकार, पहली बार उन्होनें ही उन्हें डिलीवर किया था, हैं ना?
                            और क्या गाइनेकोलॉजिस्ट की ज़िम्मेदारी नहीं है औरत की सेहत का ध्यान रखना ? या फिर वे गाइनेकोलॉजिस्ट के पास रेगुलर चेक अप के लिए जाएँगी और ऐसा मान लेंगी कि वो ट्रीटमेंट दे देगा, क्योंकि आजकल हर गाइनेकोलॉजिस्ट अपने आप को इनफर्टिलिटी स्पेशलिस्ट कहता है।
                               लेकिन सच्चाई तो यह है कि, इनफर्टिलिटी स्पेशलिस्ट और आईवीएफ स्पेशलिस्ट में अंतर होता है। और ऐसे बहुत से इनफर्टिलिटी स्पेशलिस्ट कहलाए जाने वालों के पास ट्रेनिंग या एक्सपर्टीस/दक्षता नहीं होती या लेबोरेटरी बैक-अप नहीं होता जिससे वे इनफर्टाइल जोड़ों को ख़ास /स्पेशलाइज़्ड सेवा दे सकें, इसका मतलब कपल्स बहुत समय और पैसा बर्बाद करते हैं।
से आईवीएफ कॉमिक बुक फ्री में डाउनलोड कर सकते हैं जो आपको बेहतर निर्णय लेने में मदद करेगी!
या आप अपने मेडिकल डीटेल्स डॉ मालपानी को फॉर्म में भर कर पर भेज सकते हैं जिससे वे आपको गाइड कर सकें!

How Advice From Experts Can Harm IVF Patients

A IVF patient was just telling me about how the expert advice which she gets has driven her crazy. Interestingly, this is not advice from doctors – it’s advice from all the friends and relatives around her , who keep on telling her what she should be doing in order to get pregnant.
While the uncertainty which surrounds the outcome of an IVF cycle can be nerve-wracking ,  the fact that these busybodies pry into your personal affairs , and offer you gratuitous advice, just makes matter much worse.
They think they are IVF experts, and are happy to tell you what you should do in order to get pregnant after an IVF cycle, based on their extensive experience of what they know about IVF, since their cousin’s friend  , who did an IVF cycle in Delhi and got pregnant , has kindly shared all the gory details with them.
The advice the provide is poor quality , and because it often conflicts with what the doctor says, it causes more confusion than anything else. Sadly, IVF patients are emotionally vulnerable, and don’t know whom to trust !
To add insult to injury, by giving patients bad advice – for example, that they need bed rest after IVF, they compound problems, because they end up blaming the victim in case the cycle fails !
Why depend upon poorly informed friends for IVF advice when I am happy to give this to you free ?
You can download the IVF comic book free at and this will help you make better decisions !

Or you can send me your medical details by filling in the form at so that I can guide you !


Why do infertile couples waste money on repeated IUI cycles ?

Why do some IVF doctors still transfer more than one embryo?

Everyone agrees that transferring a single embryo is best for IVF patients. This is called an Elective Single Embryo Transfer, and the best clinical only transfer one, top quality blastocyst, because singleton pregnancies have a much better obstetric outcome and are safer for both mother and baby.
After all, the purpose of IVF is not just to get pregnant -  it's to have a healthy baby !
Even with twins, the risk of premature delivery is increased, with all the consequences of low birth weight and mental retardation this can cause. It might seem tempting to have twins because this gives you an “instant complete family at one shot” , but this is not in your best interests.
This is why it  worries me why a lot of IVF doctors will talk about doing Single Embryo Transfers when giving lectures at conferences, but in real life they will actually push their patients into transferring two embryos !
I think this just reflects the fact that they're not very confident about their IVF success rates.
Thus, if your doctor tells you to transfer two embryos, this is a red flag, which suggests he may not be very good. What he seems to want to do is to maximize his clinic's success rates, rather than to maximize your chance of having a healthy baby- and this is not in your best interests, because you then run the risk of being saddled with handicapped babies for the rest of your life !
Please send me your medical details by filling in the form at so that I can guide you !

Monday, December 03, 2018

एक IVF साइकिल के फ़ैल हो जाने पर आपके पास और क्या-क्या ऑप्शंस होते हैं?

जब एक IVF साइकिल फेल हो जाती है तब पेशेंट के मन में जो सवाल सबसे पहले उठता है, वो है- अब आगे क्या? और क्या-क्या ऑप्शंस हैं मेरे लिए?

सिर्फ़ एक IVF साइकिल के फेल हो जाने का मतलब ये बिलकुल भी नहीं है कि  अब आपको कभी बच्चा नही हो सकता है। इसलिए सब ख़तम हो गया है और अब कुछ नहीं हो सकता ऐसा सोचकर आप अपना मन छोटा बिलकुल भी न करें।
यही वजह है कि IVF साइकिल शुरू करने से पहले काउंसलिंग करवाना और पहले से ही अपनी तरफ से उसके लिए तैयारी करना बहुत ज़रूरी है, क्योंकि इस तरह से आप IVF से सही-सही उम्मीद रख सकेंगे और समझ पाएंगे कि IVF के बाद प्रेग्नेंट होने में थोड़ा समय तो लगता ही है।  
पहली साइकिल के फेल होने का मतलब ये नहीं है की अब कुछ नहीं बचा- बल्कि ये तो आपके अपने मक़सद में कामयाबी पाने की सिर्फ़ एक शुरुआत है ! ज़रूरी चीज़ है साइकिल को अच्छे से समझना ताकि आप इससे सीखें और जान सकें की क्या सही गया और क्या नहीं।
इसीलिए अपने डॉक्टर के साथ बैठना और अपने मेडिकल रिकॉर्ड्स को फ़िर से देखना बेहद ज़रूरी होता है। यहाँ हमें जवाब ढूँढना है सिर्फ़ एक सवाल का और वो है- आपके एम्ब्रीओ की क्वालिटी कैसी थी?
किसी दूसरे IVF स्पेशलिस्ट से राय लेना भी बहुत मददगार साबित हो सकता है ताकि आप अपने एम्ब्रीओ के पिक्चर और IVF ट्रीटमेंट प्रोटोकॉल उनसे शेयर करके इलाज के और भी नए रास्ते खोल सकें। वो शायद उस पहलु को देख सकें  जो आपका पहले वाला डॉक्टर ना देख पाया हो और आपको बता सकते हैं कि अगर आप दूसरी साइकिल को ट्राय करने वाले हैं तो वो आपके चान्सेज़ बढ़ाने के लिए आपके लिए और क्या बेहतर कर सकते हैं।

क्या आप इस फॉर्म को भरकर डॉ मालपानी को अपनी मेडिकल डिटेल्स  पर भेज सकते हैं ताकि वे आपको बेहतर गाइड कर सकें!

What can I do to improve the chances of embryo implantation ?

After the embryo transfer , the commonest question husbands ask is - What can I do to increase the chances of my wife getting pregnant ?

My answer is simple – please pamper your wife , and give her all the attention that she wants !

Now this may not sound very scientific , but the reality is that once we have transferred the embryo back into the uterus, we cannot control the natural biological process which occurs in utero. Neither diet, activity, rest , stress of exercise will affect the fate of the embryo.

There's absolutely no need for bedrest, and no need for any dietary restrictions either. What happens inside the uterus after IVF is exactly what happens after fertile couples have sex in the bedroom ! IVF really doesn't change anything, and there's no need to take any special precautions. The only difference is that the IVF patient knows there’s an embryo inside her – something which fertile couples are blissfully  unaware off, until they get pregnant !

The pampering is helpful , because it’s good for women to feel loved and cared for ! I don’t have any evidence that this improves pregnancy rates , but I truly believes it helps !

You can download the IVF comic book free at
and this will help you make better decisions !

Or you can send me your medical details by filling in the form at so that I can guide you !

Why IVF patients need to make their own decisions?

Thursday, November 29, 2018

When IVF doctors do not have all the answers

One of the problems with IVF is that we often don't have answers to our patient's questions.
This is particularly true when an IVF cycle fails, even though the embryo was top quality ; the endometrium was perfect ; and the transfer went smoothly. Now patients demand answers , and doctors are under a lot of pressure to provide these !
The commonest question is - Why did it fail ? and What can we do differently the next time?
The knee jerk response is to order lots of additional tests , and use these to start offering additional options, such as using donor embryos or surrogacy or donor eggs, none of which makes any sense to me if the cycle went well. .
If the cycle was medically perfect, then it's just a question of being patient , and repeating the cycle until it works .
What about all the extra expensive tests which doctors doctor after the IVF failure, such as ERA testing ?
If these tests were really helpful, then ideally these should have been done before the cycle was   started ! Why wait for the cycle to fail before running these tests?
Sometimes patients need to understand that IVF has its own limitations , and we don’t have all the answers. Doing more tests will just add to the confusion, and not provide any additional useful actionable information !
You can download the IVF comic book free at
and this will help you make better decisions !
Or you can send me your medical details by filling in the form at so that I can guide you !

Wednesday, November 28, 2018

Older patients and IVF

The four factors which affect embryo implantation

After the embryo transfer , every patient wants to know -  Will I get pregnant or not ?

There are 4 factors which we need to consider

The first is the quality of embryo . What was the grade of the blastocyst which was transferred ? A photo is worth a 1000 words, and you can check the quality by comparing it with pictures of embryos which you can find in online atlases.

The second is endometrial receptivity, as measured by its thickness and texture , which is checked on the  vaginal ultrasound scan .

The third is the ease of the embryo transfer , which is usually done under ultrasound guidance , so you can see how easily the catheter entered the uterus.

These are the 3 tangible factors which influence embryo implantation – the 3 Es –
Embryo quality;   
Endometrial receptivity; and the 
Embryo transfer technique

However , there is also an additional  fourth factor , which is also extremely important - and that is luck

Now this may not sound very scientific , but because implantation is a biological process , there are lots of things about it which we don't understand and  cannot control .

This is why luck continues to play an extremely important role in IVF , and it's one of the things both doctors and patients need to come to terms with !

Best of luck – we  hope and pray that your embryo becomes a baby !

You can download the IVF comic book free at

Or you can send me your medical details by filling in the form at so that I can guide you !



Related Posts Plugin for WordPress, Blogger...