Monday, February 17, 2020

Why testing for failed embryo implantation in IVF patients is useless



One of the big problems with IVF is the uncertainty which surrounds it – no one knows which cycle will work, or why perfect cycles fail.
What makes a bad problem even worse is that patients have unrealistic expectations of the technology. Sadly, doctors compound the problem by pandering to the patient's demands. They offer to provide answers by running many expensive, complex, exotic and esoteric tests, even though they know the reality is that these don’t provide any useful information.
This is because embryo implantation is a complex biological process, which we cannot control and we cannot monitor, and we still don't know which embryo will implant , and which ones won't.
Doctors are worried that if we tell the patient the truth – that we don’t have all the answers – that patient will no longer respect us . This is why we subject them to the “latest and newest”  tests, to demonstrate that we're trying to figure out exactly what the problem was.
However, this just means that we're taking the patient for a ride, because we don’t tell them to truth about the limitations of these tests, and that they won’t change their treatment options.
Yes, the patient ends up  spending a lot of money, and this is good for doctors because they can charge more, but the test results don’t provide any useful answers , which means the doctor remains in the dark – but he can cloak his ignorance using fancy medical jargon !

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






Friday, February 14, 2020

IVF Video : Empiric therapy in IVF

IVF Video : Why are IVF patients scared of finding out more about IVF ?

IVF Video : Treatment for recurrent pregnancy loss

IVF Video : The donor egg IVF option

IVF Video : Third party reproduction and the movie, Good Newwz

IVF Video : Why eggs are more important than the sperm or the uterus in IVF treatment

IVF Video : Please ask your IVF doctor questions!

IVF VIdeo : Why the IVF hormones don't cause cancer or early menopause !

IVF Video : Making sense of the semen analysis report

IVF Video :" How IVF failure can lead to success !

IVF Video : Why young professional women should explore the option of egg freezing

IVF Video : Blastocyst transfers maximise IVF pregnancy rates

IVF Video : Should infertile couples go to gynecologists ? or IVF specialists ?

IVF Video :Is your IVF clinic a full-service IVF clinic?

IVF Video : What infertile women need to know about their AMH levels

IVF Video : Frozen eggs are a better option for donor egg IVF

IVF Video : The AMH blood test can help women to track their fertility

IVF Video : Why single embryo transfers ( SET) have a higher pregnancy rate

IVF Video : Day 3 or Day 5 Embryo Transfer. Which is better?

IVF Video : IUI क्या होता है ? | Intra-Uterine Insemination Explained in Hindi

IVF Video : Self Inflicted Infertility

IVF Video : HOW TO GRADE EMBYOS in (hindi)

IVF Video : Learning from a failed IVF CYCLE

IVF Video : Donor Egg Vs Surrogacy

IVF Video : Preimplantation Genetic Diagnosis and Preimplantation Genetic Screening Explained in Hindi

IVF Video : Career Vs Baby

IVF Video : 4 things, all Infertile Couples are fed up of Hearing

IVF Video : BOUNCING BACK AFTER A FAILED IVF CYCLE

IVF Video : 5 Things Every Infertile Couple Wishes their Friends knew about Infertility

IVF Video : WHY DO IVF CYCLES FAIL ?

Tuesday, February 11, 2020

Why IVF doctors disagree


Infertile couples are often very confused when they go to IVF doctors , because they get so many different opinions , and they're not sure whom they can trust.
There are multiple reasons for why IVF doctors will often give widely varying opinions.
For one thing, a lot of our technology is still not perfect, which means we cannot make an accurate diagnosis in reproductive medicine. This is why two different doctors will interpret the same test result in diametrically opposite ways !
Also, we need to remember that making babies involves a couple, which means the fertility of a couple will be the sum of the fertility potential of both the partners . This is why answers are never in black or white - they are always shades of grey ! It's possible that if an "infertile man" marries a very fertile woman, he will be able to get pregnant.
Also, time plays a key role is the final outcome . Trying time - the time for which an infertile couple has been trying to get pregnant is a very important dynamic variable, which means the way we treat a recently married couple is very different from the way we treat one who has been trying for more than one year - even of their test results are identical !
The problem is that the natural history of fertility is difficult to interpret, because we all know infertile couples who  haven't been able to have a baby in the bedroom for five years, who still get pregnant on their own, for no clear reason. Of course, if they got pregnant after the doctor's "treatment", he is going to take all the credit. These anecdotal success stories bias the doctor, and his individual personal preferences are going to influence what he advises his patient. Some doctors are aggressive and will advise IVF for everyone, whereas others are much more conservative - and patients need to recognize this difference !

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






Monday, February 10, 2020

The problem with IVF tests


A big problem with IVF is the uncertainty which surrounds it, because no one knows which cycle is going to work.
Patients have unrealistic expectations of IVF technology, and when the cycle fails, they demand scientific answers for why it failed !  And doctors compound the problem by running even more tests, in order to "diagnose" the cause of the failure.
However, the reality is that they're not able to do this because embryo implantation is a complex biological process, which we cannot control and we cannot monitor. After all, there is no way of being able to track the fate of a microscopic ball of cells once we put it back into the uterus !
The truth is that don't know which embryo will implant and which one won't - and we need to have the guts to share our ignorance and uncertainty with our patients.
However, IVF doctors are worried that if we tell the patient the truth , they will no longer respect us . This is why researchers manufacture a lot of very expensive , esoteric  and exotic tests , in order to demonstrate to the patient that we are trying to figure out exactly what the problem was !
However, the reality is we're just taking the patient for a ride ! When patients spend a lot of money, this is good for the doctor, but these tests don't provide any useful answers , because they are experimental and unproven.

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

Friday, February 07, 2020

If you have only two embryos, should you transfer both of them ? or should you transfer one and freeze the other one?



If you have only two embryos, should you transfer both of them ? or should you transfer one and freeze the other one?
This is a common quandary for patients with a poor ovarian response !
If you have 2 top-quality blastocysts, what should your strategy be ? Should you transfer one and freeze the other ? Or transfer both together?
If you put both together, you increase your chance of getting pregnant in that cycle - but this is an unfair comparison - after all, you shouldn't compare apples to oranges !
You should compare transferring two embryos at one time , with transferring one embryo at a time in two consecutive cycles.
And the pregnancy rate with transferring a single embryo in two consecutive cycles - a sequential single embryo transfer ( SET) is actually better , because you need to add the chances of getting pregnant in two cycles.
The cumulative conception rate with two SETs is better that transferring two embryos in a single cycle.
The risk for the babies is also less, because you don't have to worry about the problem of preterm births because of a twin pregnancy


What to find an IVF clinic which respects your time and intelligence ?
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Thursday, February 06, 2020

Should you do a Day 3 or a Day 5 transfer if you only have a single embryo ?



Should you do a Day 3 or a Day 5 transfer if you only have a single embryo ?

 If you have lots of embryos, then it makes sense to grow them up to Day 5 ( blastocyst stage) because the embryologist can then select the ones which are growing the best , and transfer these, to maximise your chances of implantation.

Suppose you only have a single embryo on Day 3? Should you transfer on Day 3 ? Or should be willing to wait till day five? Now, this is a dilemma, because if you wait till Day 5 and it arrests in the lab, you'll have no embryos to transfer.  Many patients - and doctors - will say, "A bird in the hand is worth two in the bush," so we might as well put it back inside the uterus , even though the uterus may not be the best place for a Day 3 embryo. After all, why take a chance? And if it's going to implant, it may very well do that.

This is especially true for poor quality IVF clinics, which aren't very sure about their laboratory conditions, and don't want to take a risk . They want to transfer the embryo back into the uterus as quickly as possible , because this way they can tell the patient, "Well, we transferred an embryo , which means we did our best. And if it didn't implant, that's your bad luck."

However , if you have the courage, you should be willing to wait till Day 5. If it develops to a blastocyst in vitro, it has a better chance of implanting. And if it is going to arrest, I feel it's better it does so in the lab for the following reasons.
1. This spares you the agonising 2 week wait , and you don't have to live in unnecessary suspense and uncertainty. False hope can be cruel !
2. While this option causes short term pain, it helps you make more intelligent decisions about what to do in your future IVF cycles . Thus, it's easier to come to terms with the fact that you maybe better off using donor eggs, rather than trying IVF again and again with your own eggs.



What to find an IVF clinic which respects your time and intelligence ?
WhatsApp us at https://wa.me/919867441589/





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