Many
patients ask me how they can identify a good IVF clinic in their own home-town,
since they can't afford to come to us for their IVF treatment , because our
clinic is only in Mumbai .
How
can they be sure their clinic follows good clinical practices , and conforms to
global norms ?
This
is a key issue, because the better the clinic you select, the better your
chances of getting pregnant.
The
truth is that many unscrupulous IVF doctors take advantage of your ignorance , and
provide you with extremely poor quality care , as a result of which your IVF
cycle fails.
They
then add insult to injury by blaming you for the IVF failure , rather than
acknowledging the fact that they lack the experience and expertise to provide
top quality medical care.
It’s
your doctor’s job to create a customised superovulation protocol for you , to
help you grow the best quality eggs , and then retrieve these. Then it's up to
the embryologist to nurture these eggs and convert them into top quality blastocysts,
so the clinician in turn can then transfer them back into your uterus.
Now,
if there is a problem , either with the
superovulation protocol, or the timing of the HCG trigger, or the egg
collection, or the laboratory , or with the synchronisation between the two,
then the IVF success rate is going to drop dramatically. This needs to be a
carefully monitored and choreographed dance , and if there is a mis-step, then
the chances of a pregnancy occurring go down considerably.
The
tragedy is that the poor patient will never know why the cycle failed , because
there is so much opacity in most IVF clinics, and doctors a very reluctant to
share information with patients.
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