Monday, January 14, 2019

Why sophisticated IVF patients love technology - and how this can hurt them



We treat IVF patients who come from different backgrounds , and it's interesting to see that the ones who are engineers and MBAs want to use the latest advanced technology in order to solve their problems . These are the patients who want us to do all kinds of tests, such as  ERA ( endometrial receptivity assay) , PGT ( preimplantation genetic testing) and sperm DNA fragmentation, because they've read about these newest tests on Dr Google. 
They believe that the more the technology we use, the better their chances of getting pregnant with IVF. They know that IVF success rates are not 100%, and their belief is that the deeper we investigate problems using sophisticated technology ( for example, genetics and immunology), the higher their chances of success with IVF will be.
This is a very tempting conclusion to come to. After all, if more technology helps to improve smartphone performance, it's it logical that more technology will also help in the IVF lab ?
Unfortunately , the overuse of technology in medicine often backfires , and ends up causing over-treatment, which actually reduces pregnancy rates . Biology is messy because it's  a complex adaptive system . You may do an intervention in good faith , based on sound logic that this will increase chances, but this often end up having second order unintended consequences which end up reducing pregnancy rates !
A great example is PGT, which is being oversold as "precision IVF", so please be careful before being lured down this path !
What to find an IVF clinic which respects your time and intelligence ?
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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