Saturday, November 30, 2019

How IVF patients add to their stress levels

IVF patients are stressed out because they're not sure whether their IVF  cycle is going to work or not.
And since everyone knows that stress is not good for patients, they try to reduce their stress levels by providing them with a protective environment.  Many family members  - especially the older ones - impose all kinds of dietary restrictions after the embryo transfer,  under the assumption that some foods are "hot" or cold" and may harm the embryo. Many still insist that patients remain on bedrest and not perform any physical activity, because they think this will dislodge the embryo !
However, they fail to realize that their loving concern can actually backfire ! This can have a counterproductive effect , and often ends up increasing their stress levels.
Women who are forced to stay in bed often end up getting sick ! An idle mind is a devil's workshop, and they keep on brooding about whether they are going to pregnant or not. This just makes going through the 2ww a greater mental torture !
Also, bed rest causes the back to hurt; muscles become stiff; and pelvic blood flow decreases.
Please remember that once an embryo is inside the uterus, there's nothing we can do to influence the outcome  either way, since implantation is a biological process we cannot control. An embryo is the uterus is safe and secure - think of it as being a pearl in an oyster !
Please remember that women going through IVF are not patients - they are healthy women, and we are using IVF only to assist them to start their family !

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


Tuesday, November 26, 2019

IVF video - Male Infertility Treatment and Why it Does not work?

IVF process and IVF outcome

Part of the problem with IVF treatment is that no matter how well we follow the process, we can never be sure about the outcome.
This is because even if we produce top quality embryos , and put them back in a perfectly receptive endometrium, pregnancy rates are never going to be 100% , because we can't control embryo implantation. Human reproduction is not very efficient - and this is true in the bedroom, and the clinic as well !
The problem  is that patients can't judge by the process, because this happens inside the lab. They can only judge by outcome, and when the cycle fails, patients are understandably upset and angry.
This is why we spend so much time and energy trying to educate patients , and reminding them that IVF outcomes are not in a doctor's control !
This is why they need to understand as much as possible about the IVF process, so they can see if the doctor is following  the process properly or not.
This is why we are such sticklers for following the right protocol, and emphasising openness and transparency.
This is the reason good IVF clinics give photos of embryos routinely to patients, so they can see the clinic has done what was in its control properly ! This creates trust and confidence, so patients have peace of mind they are getting the best possible medical care.

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

Monday, November 25, 2019

IVF video - The poor Infertile Man!

IVF video - Unnecessary Testicular Surgery for the Infertile man!

Why did my IVF cycle fail ?

Whenever an IVF cycle fails, patients ask two questions.

Did we overlook something ?
Can we do anything different the next time?

And the unasked question is - Did the doctor mess up?

When an IVF cycle fails, doctors are heartbroken too , just as patients are.

We want our patients to get pregnant as quickly as possible , because every time a patient gets pregnant, she's going to refer more patients to us for IVF treatment.
The trouble is that our IVF technology has limitations , and we're not very good at determining why a cycle fails.

Thus, we can check endometrial receptivity by checking the endometrial thickness and texture on the ultrasound scan, but this is a crude test. Not all endometrial linings which look normal on ultrasound scans are actually going to be receptive.

Sadly, we still don't have enough reliable tests to be able to differentiate between a receptive endometrium and one which is not.

Researchers have developed tools such as the ERA ( endometrial receptivity assay), which many IVF clinics promote aggressively, but these tests are unreliable, and their  signal noise ratio is not good enough to use in clinical practise. Sadly, the rule GIGO - Garbage In, Garbage Out, still applies. More tests don't improve clinical outcomes or IVF success rates

In real life, what this means that sometimes patients just need to be patient after a failed IVF cycle, and repeat the process until it finally works !

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

Tuesday, November 19, 2019

IVF video - Learning from a Failed IVF Cycle !

IVF video - Factors Affecting the Success of IVF Treatment Cycle

Prevent IVF sperm mix-ups ! Good News Trailer | Akshay Kumar | Kareena Kapoor | Diljit Dosanjh | Kia...

One of the major worries every IVF patient has is that the IVF clinic will mix up their sperm with someone else's !

The film, Good News, pokes fun of this worry in a humorous fashion, but the fact remains that lots of IVF couples will worry about the risk of a mix-up.

It's important that patients speak up about their concerns with their IVF doctors - and good clinics follow strict processes to ensure this mix-up does not happen !

You can read more about the quality control checks we use at

Make sure your IVF clinic follows these too !

Monday, November 18, 2019

Good News Trailer | Akshay Kumar | Kareena Kapoor | Diljit Dosanjh | Kia...

While IVF is not a joking matter, I am glad movies like Good News are using humour , so that it's now possible to openly discuss these previously taboo topics !

Vicky Donor did this for sperm donation, and Good News will do this for IVF - and for medical mix-ups and medical errors.

Hopefully, it will also encourage doctors to talk more openly about what we do to prevent medical errors !

Our book, Patient Safety - Protect yourself from Medical Errors, has a chapter on preventing errors in IVF at

Good News and the truth about IVF | Akshay Kumar | Kareena Kapoor | Diljit Dosanjh | Kia...

One of the comments questions newly married couples in India are asked is - Any good news ?

This is partly thanks to Bollywood , where it seems that everyone gets pregnant the first night they have sex !

Sadly, human reproduction is not as efficient as the fervent imagination of a Hindi film director , and it takes time for humans to make babies .

About 15% of married couples will find it hard to get pregnant , which is where an infertility specialist has such an important role to play .

IVF as a treatment option is very successful in bringing good news to infertile couples who want to complete their families.

To learn more about IVF, you can download the IVF comic book free at

IVF video - How to tackle the Infertility Blues?

IVF video - Uncertainty in IVF!

IVF video - Counselor's Role in Infertility Treatment

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