Saturday, August 24, 2019

The problem with bad IVF clinics.

In an ideal world, all IVF clinics would be equally good. They would have high quality control standards; they would be open and transparent; and would share information proactively and routinely with all their patients .
This way, whether or not patients got pregnant, they would have peace of mind that they received good quality treatment.
Tragically, this just does not happen in India today , and sadly the government hasn't done a good job with regulating IVF clinics, which means the quality can be extremely patchy. This means that while we do have some world class clinics, we have some terrible ones as well, which take their patients for a ride.

This is why it's so important that patients be proactive , and learn to figure out the difference between a good and a bad IVF clinic.
The good news is it's very easy to do so - all you need to do is to check photos of your embryos !
The bad news is that bad IVF clinics end up damaging the reputation of the entire IVF profession. And once patients have burned their fingers with one IVF clinic, they're very reluctant to go to a second one, because they think all clinics are created the same , and will cheat them.

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

The IVF expert patient

Friday, August 23, 2019

IVF video on interpreting your HCG Levels !

Is your doctor a good IVF doctor?

The problem is that it's very hard for patients to answer this question because all doctors look pretty much the same.
They all seem to have the same fancy degrees; posh clinics; and lots of patients.
And because they advertise so heavily, it's very hard for patients to differentiate one from the other. Since it's difficult for patients to judge technical competence, they are forced to rely on the doctor's bedside manner. The problem is that the senior doctor is in " sell mode " during the first visit, and is doing his best to get you to sign up.
The trouble is that you aren't going to see the same doctor again when you actually start your treatment ! This will get delegated to juniors and assistants, most of whom are clueless and inexperienced.
This is why you need to ask just one simple question before you start your IVF cycle !
"Do you provide photos of the embryos to all your patients routinely?"
And if a clinic doesn't do that, that means something's wrong ! After all, the only thing an IVF clinic can do is make embryos , and good clinic provide photos routinely which patients can see for themselves , so that they know that they have received good quality treatment !

What to find an IVF clinic which respects your time and intelligence ?
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Thursday, August 22, 2019

Why don't all IVF clinics routinely give embryo photos to their patients?

Good IVF clinics routinely and proactively provide all their patients with photos of their embryos.
Not only does it document that they have provided high quality care, it also allows the patient to bond with their yet-to-be-born baby !
This is standard practice all over the world, but sadly, lots of clinics in India still fail to do so. This is in spite of the fact that they spend lots of money on advertising and branding, and claiming they have high success rates !
I can't understand why they will not share this basic information with their patients. After all, the only tangible deliverable an IVF clinic can provide is make embryos. Once the embryos are transferred, we have no control on whether or not they will implant.
IVF clinics make embryos routinely all the time , and the equipment to take photos is very basic.
I now believe that the only reason they don't do this is because they're not very happy with the quality of the embryos they produce. They are not confident about their lab , or the clinical care they provide, which is why they're opaque and hide information from patients.
This makes a bad situation worse , because this increases the distrust which patients have in IVF doctors. And when the IVF cycle fails, the patients rightly feel this was because the doctor didn't do a good job !
You can see what embryos should look like at
What to find an IVF clinic which respects your time and intelligence ?

IVF video on how to find out why your IVF cycle failed

Wednesday, August 21, 2019

IVF Success rates - what IVF patients need to know

IVF as a game of chance

IVF patients know that the outcome of an individual IVF cycle is completely unpredictable; and that their chances of getting pregnant increase , the more the number of cycles they do, because the cumulative conception rate progressively goes up.
But it's still a matter of odds, which is why you could think of it as a game of chance.
The good news is that it's not a random game , where you are forced to take your chances with your eyes shut.
There's a lot you can do to maximize your chance of getting pregnant.
Step number one is to do your homework.
Make sure you're well informed and that you understand everything which should be done in an IVF cycle. Learn the difference between the stuff which is in your control; the stuff which is in the doctor's control; and the stuff which no one can control.
This way, no matter what the final outcome is , you're happy that the process itself was done properly, so that you have peace of mind that you didn't leave any stone unturned in your quest for a baby.
It's also very helpful to make sure that you get a second opinion to confirm that you're on the right path.

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

Tuesday, August 20, 2019

IVF packages and how to make sense of them! IVF video

Using K-Y jelly reduces your fertility !

Sometimes  infertile couples inadvertently inflict infertility on themselves , because they don't know any better !
Thus, many infertile couples will use lubricants such as K-Y jelly during sexual intercourse. This is because having baby making sex on demand can be a chore , and can cause the wife pain because of inadequate vaginal  lubrication ( superficial dyspareunia) because she is not sexually aroused during love making.
 The trouble is that K-Y Jelly is spermicidal, but this is not something which patients know. Sadly, most doctors don't seem to know this either.
This means they actually end up reducing  their fertility by using it - and the irony is that they could very well have got pregnant on their own if they hadn't used it !
The secret is to use a sperm-friendly lubricant, and liquid paraffin is cheap and easily available at any chemist's  shop.
The tragedy is that ignorance can cause infertile couples to reduce their own fertility.
This why doing a consultation with an infertility specialist to make sure you're on the right track can make such a big difference !

What to find an infertility specialist who respects your time and intelligence ?

Saturday, August 03, 2019

The commonest mistake IVF patients make

They assume that because they have failed an IVF cycle in one clinic, there's really no point in going to a second clinic , because they believe that all clinics are the same.
After all, if the first clinic they've gone to is not being able to achieve success, then why will a new clinic be able to do a better job?
After all, when they chose the first clinic , they did a lot of homework, checked references, and made sure that their doctor was a good doctor.
They were happy with the treatment they received ; they like their doctor; and were treated with respect. If the cycle still failed inspite of the fact that their doctor was good, then they assume that's because of bad luck , and there's nothing much any one can do about it.
This is why they are happier sticking to the same clinic, because they now have a relationship with the doctor.
However, this is often a mistake , because the reality is that not all IVF clinics are created the same , and it does make a big difference which clinic you select !
This is why patients need to understand the difference between a good and a bad clinic , and just going to a doctor who has a good bedside manner is not enough !
The good news is that it's very easy to differentiate between good clinics and bad clinics !
Good clinics will always routinely give embryo photos to all their patients. If your clinic fails to do so, this is a red flag, and means you should get a second opinion as soon as possible !

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

Friday, August 02, 2019

परिष्कृत आईवीएफ मरीज़ों को टेक्नोलॉजी क्यों पसंद है और यह उन्हें कैसे ... Hindi IVF video

Not all IVF clinics are the same

Many IVF patients are quite naive and they believe that all IVF doctors are equally good .
This is why they will often select an IVF  clinic based on its advertising or its branding, or because their doctor has referred them to that clinic. But this is very naive !
No matter how posh the ambience may be, what you're really interested in is the skill and the quality of the doctors who are actually going to be treating you ! Is the IVF lab any good ? Are the doctors good at superovulating you ?
These are not easy questions to answer, but the reality is that not all IVF clinics are the same ! Unless you  learn to ask the key tough medical questions, you are not going to be able to differentiate between good clinics and bad clinics, and this will reduce your chances of getting pregnant.
The good news is that what you need to ask for is very simple - it's just a single question !
Do you provide photographs of embryos routinely to your patients?
If the clinic does so , this means you know you're in safe hands !

What to find an IVF clinic which respects your time and intelligence ?
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Thursday, August 01, 2019

अगर सिर्फ एक ही एम्ब्रीओ है, तो ट्रांसफर तीसरे दिन करें या फिर पाँचवे दिन. Hindi IVF video

The IVF expert patient

Many IVF patients are quite clueless about the medical details of their IVF treatment, and this is because of two reasons.
Firstly, many believe that they should let the IVF doctor do what he thinks is right. Why challenge his authority by asking him questions ? After all, he is the expert, and knows what to do , which means there's no need to ask questions.
Secondly, they believe that IVF is so complex that they're not going to be able to understand anything about the technical minutiae. Isn't a little knowledge dangerous ? Why try to become " half doctors" and second guess the doctor ? Why not just allow the doctor the freedom to do whatever he thinks is right?
Now, this is fine if you are lucky and select a good clinic, but what happens if you end up in a bad clinic? These are often commercial enterprises who will over-test and over-treat , because their priority is to make lots of money. You will end up wasting a lot of time, money and energy, and you will never end up having the baby. The tragedy is that you could have got pregnant if you had has the sense to select a good clinic !
Now, in order to differentiate between a good clinic and bad clinic, you need to know exactly what's happening, which is why you need to do your homework. 
Good doctors  are open and transparent about what they're doing for you and why, and this why they will share everything they do during your IVF cycle, including providing you with photos of your embryos routinely.

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

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