Saturday, July 20, 2019

Cancelling the IVF cycle because of a poor ovarian response

IVF patients who have a poor ovarian response are often not sure what to do. 
When they grow very few follicles inspite of taking lots of injections, they are understandably depressed and upset. Few follicles = few  eggs = few embryos, which means their chances of success are not very bright.
One option is to cancel the cycle. However, the problem with this is that it's very unlikely that the next cycle will be any better , because poor ovarian response is often biologically determined. 
And unless they've gone to a clinic which is bad,  or if they feel that their doctor was incompetent and did not do a good job with superovulating them, then this is a biological constraint they need to learn to live with.
Often a bird in the hand is worth two in the bush, and if it's going to give you peace of mind that you gave it your best shot, it's better to go on with the cycle , even if the response is poor, rather than to stop halfway. This is especially true if your AMH and AFC are low, or if you have had a poor response in an earlier IVF cycle as well

What to find an IVF clinic which respects your time and intelligence ?
WhatsApp us at

Sunday, July 14, 2019

IVF packages and how to make sense of them !

Lots of clinics offer IVF packages these days, and these are helpful because not all patients will get pregnant in their first IVF cycle. Signing up for a package which offers 3 cycles ensures that they have realistic expectations of IVF treatment, and that they understand that it may take time for them to be successful. They start thinking about their cumulative pregnancy rate over two or three cycles , rather than think of IVF as a single shot affair.
The problem is that a lot of clinic which offer these IVF packages hide a lot of fine print in them. This misleads patients, because the clinic does not include the cost of basics such as medications or tests.
Even worse, they will offer "add-on" medications at an extra cost, by up-selling  them as being more "effective". This is why patients need to be very careful when signing up for these packages.
Some of the best IVF packages are the shared risk ones. These offer to refund the money if the patient fails to get pregnant, and are extremely popular in the US , because this aligns the interests for the clinic and the patient.
It gives the patient a lot of comfort , because a safety net has been created, and allows them to put a cap on their expenses. This is a progressive measure, which needs to be encouraged in India as well !

What to find an IVF clinic which respects your time and intelligence ?

Get A Free IVF Second Opinion

Dr Malpani would be happy to provide a second opinion on your problem.

Consult Now!