Saturday, June 29, 2019

Infertile couples need to learn how to use the internet intelligently !

I'm a big believer in Information Therapy, and I think the internet is a great tool to allow infertile patients to learn a lot.
I encourage patients to go online to educate themselves, but they're not very good at assessing the information they find. They can't differentiate between reliable websites, and those which peddle myths and misconceptions !
Here's a strategy which works well.  You need to take a two-step approach.
First, work on making sure your knowledge base is solid . Get your scientific and medical facts right, by acquiring this from reliable websites, such as www., or WebMD.  This is medical information which is sound , reliable and trustworthy. Lots of sites are run by quacks, or people who want to sell you their services.
After you are sure you understand the facts, you can then blend this sound foundation with personal stories. You can find these on bulletin boards , forums, or on Quora. Since these are usually first person accounts, you cannot extrapolate this anecdotal experience to your own treatment !
This is the best way you can get the best of both worlds ! If you try reversing the order, you will get completely messed up and confused.
What to find an IVF clinic which respects your time and intelligence ?

Friday, June 28, 2019

Flibanserin ( Addyi) for treating infertile couples to improve sexual desire

One of the common problems which afflicts infertile couples is that of inadequate sexual frequency.
Infertility does affect sexuality, and dampens sexual ardour.  Many infertile couples feel - What's the point of having sex if we can't have baby? Having timed baby making sex takes away the fun and spontaneity, and it starts becoming a chore. This is especially true in large cities, where both husband and wife are working, and the stress of their job and their commute often extinguishes sexual desire.
The irony is that reducing the frequency of sexual  intercourse just ends up reducing their chances of getting pregnant even further, and this becomes a negative vicious cycle, which is hard to break out off.
Sadly, this is often the elephant in the room which no one talks about. Doctors don't even bother to ask this basic question - how frequently are you having intercourse ? And even if they do, patients are too embarrassed to tell the truth, because they are ashamed about the fact that they're not having intercourse frequently enough.
For men, it's fairly easy to treat this by giving them sildenafil citrate Viagra). After all, erection in the man is just a hydraulic phenomenon, and the increased blood flow will help them to be able to have intercourse. However , for women, the problem of decreased libido (hypoactive sexual desire disorder ), because  sexual desire starts in the brain.

This is why the new drug called Flibanserin Addyi) may help these women. By improving desire, it may help them to increase how often they have intercourse !

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

Thursday, June 27, 2019

Why we don't give cuts or kickbacks to referring doctors

It's a well known fact that most IVF clinics, like most medical specialists , will give cuts and kickbacks to GPs , family physicians and gynecologists as a referral , fee in order to increase their business. This is especially true for corporate chains of IVF clinics, which have a separate marketing department and marketing reps , who get paid to wine and dine doctors , to induce them to refer patients.
From a business perspective, this makes a lot of sense ! This helps them to increase their workload, and they don't mind sharing profits with the referring doctors. It's  true that the GPs end up taking away a lot of the money, but it's better than sitting and twiddling your thumbs, and doing nothing because you don't have any patients !
At Malpani Infertility Clinic, we also know that if we started giving kickbacks, we would get a lot more referrals from GPs as well. But this is a very conscious decision we've made, and have never given a single rupee ever as a cut. This is a claim very few IVF clinics can make !
Not only is this the ethical thing to do,  the reason we have adopted this principle is that it ensures that we are free to do what is in our patient's best interest.
Most other clinics end up doing IVF for every patient who is referred to them, just because the GP wants a slice of the fee, and IVF is the most profitable treatment for doctors to offer . They end up compromising the patient's interests, by putting their needs for profits first !

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

Wednesday, June 26, 2019

My IVF Success Story at Malpani Infertility Clinic

Finally our journey towards becoming parents has begun. We are very very thankful from bottom of our heart to Dr. Malpani and a very close friend who suggested his name. He helped us all through our painful days and shares a major part in making our dream come true. 
We had been trying since 3-4 yrs and were unsuccessful because of blockage in one of my fallopian tubes and I had lost other in ectopic pregnancy. We tried our first IVF cycle with another doctor but it failed. I was told that I would never conceive with my own eggs. That moment was worst worst worst of my life when I felt like I did something wrong so these things are happening to me. Everyday used to curse myself that had I known this possibility I would have taken care of my health in every possible way. I never had any symptoms of tubes blockage and my periods were very regular still how I can not conceive with my own eggs.
Thanks to my friend who really pushed us to try for Dr Malpani and we will be thankful to her all our life. A very important thing happened when I first met Dr was- he gave us hope and it gave me lot of strength to face entire treatment with a positive attitude.  

So I will suggest every couple who is facing same problem please go and meet him once after that you decide but don’t be prejudiced before talking in person to him. Today we are going to have our own baby. One more advice is please do not call yourself “infertile” this word is very depressing and makes you hopeless. Today technology has evolved so much that anyone can become a parent. So please don’t stress out yourself considering “infertile” and have faith in GOD, you will be directed to good doctors like Dr Malpani. 
Need help in getting pregnant ?

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

Sunday, June 23, 2019

A super duper IVF success story !

You hear IVF success stories every now and again but I'm sure ours will be a super duper one!
We, Susan and Sunil Silva got married 11 years ago, we didn't have (any biological) kids because my husband had undergone a vasectomy in his previous marriage, after fathering 2 boys. The elder one is with his ex while the younger one chose to be with us- apple of my eye, my son! About 7 years ago we started thinking about having one more child and decided to give it a try undergoing an IVF ! I started reading and searching for best IVF clinics in the internet and always Dr Malpani's clinic came first in the list and I literally developed a virtual faith/trust to that clinic. Moreover the advice/second opinion which I got from Dr Malpani boosted my confidence and I was certain I want to go to Malpani's for my IVF. Unfortunately my husband was dead against going to Mumbai for an IVF when there are n number of IVF clinics in Chennai itself! So we tried IVF in a clinic here in Chennai where which not only wasn't successful but also the whole episode highly unprofessional. There was absolutely no transparency as far as the treatment was concerned and we just left the idea of trying another cycle for a while then.
Then two years ago we decided to try another cycle (better late than never!) and this time my husband let me decide on the clinic (I made his life miserable enough for 2 years for not listening to me, so much so that he would've taken me to moon if that's where I wanted to go for my IVF ! ;)!!!
There was no doubt in my mind where I wanted to go! I landed in Mumbai on June 2012, the first meeting up with Dr Malpani it made me think extremely positive about the whole exercise. I got conceived in the first chance itself with TWINS! I gave birth to my baby boys Jordan and Aidan in Feb 2013! Yippee!!!
The story doesn't end over here! My brother was diagnosed with obstructive azoospermia about 4 years ago and was left with no choice but IVF in order to have a child of his own! Both my sister in law and my brother tried an IVF  cycle in Kerala (against my advice on Malpani clinic) 3 years ago which was again a failure.. So vague that clinic was, they haven't even got a copy of their medical treatment from there!
Seeing me pregnant with twins, they too wanted to try their next cycle in Malpani's. They both started their treatment on June 2013, exactly a year after my visit!
And my sister in law is now six months pregnant with TWINS! (Moral of the story is taking me my advice seriously! :D)
I'm extremely happy with the experience I had at Malpani Infertility Clinic! I was very clear I would repeat the cycle if necessary in the same place with the same doctors! Both Dr.Aniruddha and Dr.Anjali Malpani are highly professional, do understand the sentiments of each of their patients and are very supportive through the treatment emotionally as well! The staff here is very warm and friendly and are an excellent team! Thank you all from the bottom of my heart for what I've got because of you'll! Big hugs...

Thursday, June 20, 2019

How to select an IVF clinic.

IVF clinics are mushrooming all over the country ! This is good news , because this means that you have lots of choices as to which clinic you can go to. The bad news is that because you have lots of choices , you don't know which clinic is right for you.
Most patients end up choosing one based on how close it is to them; or one based on their doctor's referral  which is often decided by which IVF clinic gives them the biggest kickback);  or the one which is cheapest. However, this is not the best way to select a clinic !
You need to spend some time and energy thinking about exactly what you're looking for.
Now if you don't have a choice - for example, because you live in a remote place and there's only a single clinic in your town; or you're on a very tight budget, then the decision is out of your hands.
However, if you do have options, then it's extremely important that you think about what's right for you.
It's usually a good idea to at least do a consultation in two different clinics , and then select the one where the chemistry between you and the doctor is right !

Choose one where the doctor treats you like an intelligent adult ! He should be transparent, open, and will do what's in your best interests , because he puts you first !

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

Tuesday, June 11, 2019

Will IVF give me twins?

One of the concerns which lots of people have is that the risk of a twin or triplet pregnancy is increased after IVF.
This can be a cause for worry because lots of people are anxious about their ability to be able to bring up two babies at a time.
It's not just the financial expense that bringing up two babies causes - it's also the social burden, as well as the increased risk of medical problems with twins .
In the past, it is true that this risk was increased, because lots of doctors would transfer more than one embryo . Sadly, many doctors continue to do this in order to inflate their pregnancy rates, and this is what causes twins or triplets after IVF .
This is an iatrogenic complication , because these doctors aren't confident about their skills.
Good IVF clinics will only transfer one embryo at a time, and this should be a top quality blastocyst.
This means their patients will have only a singleton pregnancy, and their chances of having a twin or a triplet pregnancy is not increased.
If you want to remain in control , please tell your doctor that you do not want a twin pregnancy, and want him to transfer only a single embryo.

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

Monday, June 10, 2019

What is the cost of an IVF cycle?

This is a common question which patients ask, but it's actually a poorly framed question, because what they should be asking is, "What is the cost of getting an IVF baby?" 
After all, the only reason you do IVF is because you want to get a baby, so this is the only outcome which is meaningful !
Now, both these questions are hard to answer. 
It's much easier to answer how much money you're going to spend on an IVF cycle, because you know what the doctor charges, and how much the medications will cost you. 
However, you don't know which attempt will result in a baby, which means it can be very hard to calculate how much you will end up spending in your quest for a baby !
This is why it's equally important to understand what the success rates of the IVF clinic are, and more importantly, how those figures apply to you as an individual.
Therefore, you need to think in terms of the cost per baby, rather than the cost per individual cycle, because that's the only number which is useful for you !
Thus , if one clinic charges Rs 2 lakhs, you might think that's a bargain as compared to a clinic which charges Rs 3 lakhs. However, if the pregnancy rate of the more expensive clinic is double that of the cheaper one, this means they actually provide far better value for money !

What to find an IVF clinic which respects your time and intelligence ?
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Sunday, June 09, 2019

Will IVF be painful?


This is one of the commonest concerns patients have about IVF .
They've heard so many horror stories about all the injections which IVF patients need to take, and injections are naturally associated with pain.
However, the modern hormonal injections which we use for IVF aren't painful at all , because we usually give them subcutaneously , and patients can easily learn to administer these themselves.
So why do IVF injections have such a bad reputation. This is because some doctors continue to give oily, painful progesterone injections after the transfer to provide luteal phase support. This used to be routine in the past, but most modern IVF clinic give the progesterone today in the form of suppositories.
This means there should be no pain at all in an IVF cycle, which is why it's easy to repeat this . If your doctor is causing you pain , he's obviously doing something wrong !
Yes, the pain can be emotional when the IVF cycle fails, but when the cycle works, it's worth bearing all the discomfort which it can cause.

And the pain can be financial as well, because the treatment is so expensive - but a baby can be priceless !

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

Saturday, June 08, 2019

Does IVF cause cancer?

This is one of the common concerns which IVF patients have, because they know that hormones are responsible for increasing the risk for cancers such as breast cancer and ovarian cancer. 

Since the IVF doctor is pumping your body full of all these reproductive hormones to help you to grow lots of eggs, won't IVF patients be at increased risk for these cancers later on ?

Is it worth taking this risk just in order to have a baby?

This is a very valid concern, but you need to remember that the hormones we use in IVF are natural hormones. They all get excreted promptly after the cycle is over , so they don't hang around in your body to cause any mischief.

Now it is true that some women who do IVF will get breast cancer later on in their life,  simply because breast cancer is so common - about 15% of all women will get breast cancer.

However, it's not that they got breast cancer because they did IVF -  they would have got breast cancer whether they'd done the IVF or not !

However, when someone gets get breast cancer after doing IVF , they always blame the IVF cycle for the cancer !

This is a misconception, and if it were in fact true, you would start seeing an epidemic of cancer, because so many IVF cycles are being done.

What to find an IVF clinic which respects your time and intelligence ?
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Friday, June 07, 2019

Will IVF make me put on weight ?

One of the common myths which clouds IVF is that patients will put on weight after doing an IVF cycle.
This seems quite intuitive.
After all, aren't we pumping the body full of all hormones when doing IVF ? And don't hormones make women fat?
And everyone knows women  who've done IVF , and then put on weight , who blame the IVF cycle for their weight gain.
The truth is that you only put on weight when caloric intake is more than caloric expenditure , and IVF does not affect either of these two sides of the equation.
The fact is that when patients do IVF, they often put themselves on bed rest, and this reduces their caloric burn. Also, if the cycle fails, they're often depressed, as result of which, they eat more , because food provides comfort.
It's this imbalance between caloric intake and caloric expenditure which causes them to put on weight !
They're quite happy to blame the hormones, but the reality is these are natural hormones which are excreted promptly after the IVF cycle is over. They will not cause you to put on weight, so you can get rid of this misconception straight away !
Yes, it's true that the high levels of estrogen during the IVF cycle may cause fluid retention, but please remember that this is temporary !

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

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