Tuesday, August 31, 2021

Monday, August 30, 2021

The easy shortcut to finding the right IVF clinic [Video]

 

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Sunday, August 29, 2021

How IVF labs lie to patients by mis-reporting teratozoospermia ( abnormal sperm morphology) when doing a semen analysis [Video]

 

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Saturday, August 28, 2021

Helping IVF patients understand IVF treatment ! [Video]

 

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Friday, August 27, 2021

How to find the best IVF center - look for a competent and caring IVF doctor [Video]

 

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Thursday, August 26, 2021

How can we get the IVF success rate to be 100% ? [Video]

 

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Wednesday, August 25, 2021

Why bed rest after embryo transfer reduces IVF pregnancy rates? [Video]

 

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Tuesday, August 24, 2021

Monday, August 23, 2021

Sunday, August 22, 2021

The secret for getting pregnant by IVF is to be patient [Video]

 

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Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

Saturday, August 21, 2021

Why IVF clinics continue getting away with cheating IVF patients ? And why is the Govt sleeping ?

 



While there are many great IVF clinics in India which provide high quality medical care , it is also equally true that the number of bad IVF clinics which provide very poor quality medical care is much larger.

This is partly because practically every gynecologist can now call themselves an IVF specialist. They are very happy to set up an IVF clinic , as IVF treatment is seen as being prestigious and very profitable . These doctors have no experience and expertise in doing IVF. They have not been adequately trained , and many of them attend a 3-day workshop to get a certificate/ diploma, and then start calling themselves IVF specialists.

Patients aren’t able to differentiate between good doctors and bad doctor partly because they have been taught to blindly trust doctors .

They fail to ask the questions which they need to , in order to protect themselves from bad IVF doctors . This is why it's so important that the government become proactive , and take a step in making sure that IVF clinics meet basic quality control standards . The ICMR has started doing this , and while this is a step in the right direction , the fact of the matter is that this ICMR registration is purely voluntary , and doesn't have any teeth.

The government has been sitting on the ART Bill to regulate IVF clinics for over 20 years   now !

Today, even if a patient gets cheated by a bad IVF clinic, all he can do is complain vocally, but can’t take any concrete action.

The problem with bad IVF clinics is they harm good IVF clinics, by damaging the reputation of all IVF clinics. And when good IVF doctors turn a blind eye to the shenanigans which bad clinics resort to, this makes a bad problem even worse.

Once a patient has been cheated, they don’t trust any IVF doctor, and thus deprive themselves of a chance of getting pregnant.

This is why it’s so important that patients be proactive and learn to do their homework for themselves. This is a critically important decision , and you can’t leave it up to someone else.

The good news is you don’t need to become a doctor yourself in order to find the right IVF clinic - you just need to learn to ask the right questions ! This has become much easier to do now, because there is so much high quality , reliable information about IVF available online. Check out www.drmalpani.com

Every good IVF clinic routinely provides embryo photos to all their patients. This is tangible documentation that they have provided high quality medical care – and clinics who care about their reputation do this proactively. If the clinic you have short-listed doesn’t do this, this is a red flag, and you should walk out as soon as possible, and find a better clinic !

 

What can you do to improve your chances of IVF success ? [Video]

 

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Friday, August 20, 2021

The problem with arrogant IVF doctors and the way they treat IVF patients. [Video]

 

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Thursday, August 19, 2021

Why do embryos fragment in the IVF lab ? What patients need to know about embryo grading? [Video]

 

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The IVF Inversion rule to maximize your chances of IVF success

  


The best way to maximize your chances of IVF success is to minimise your chances of IVF failure . This is the classical Inversion rule popularized by Charlie Munger, because it’s easier to identify what the causes of IVF failure are, rather than identify the causes of IVF success.

This is partly because IVF is a complex process , with many variables and moving parts, which means it’s hard to pinpoint why a particular cycle succeeds . Many things needs to go perfectly for the embryos to implant – and there is also a huge component of luck, which we can’t measure !

For example, if an IVF cycle fails , and if you know ( for example ) that the endometrial lining was thin, or the ovarian response was suboptimal, or the embryo quality was poor , you can identify the reasons for the failure and then treat these underlying reasons . This means that your next IVF cycle, you will reduce the chances of failure , and therefore automatically improve your chances of success . As Warren Buffett often says, The best way to make money is to make sure that you don't lose it !

This is exactly the same philosophy which IVF patients need to follow .

Thus, if you are taking treatment at an IVF clinic which doesn't do blastocyst transfers routinely, you will automatically increase your chances of failure , because the implantation rates of blastocysts are higher as compared to Day 3 embryos. This is a medical fact which every doctor knows , but unfortunately , because every IVF clinic is not capable of growing embryos to the blastocyst stage in their IVF lab ( because they don’t have the expertise to do this, or because their lab is not well equipped , they take shortcuts , and reduce the patient’s chances of success.

Similarly, if your IVF clinic does not have a full time embryologist ; or if the IVF doctor doesn't have their own laboratory ( and needs to do the IVF procedures in another clinic); or the doctor and embryologist have to travel to the clinic to do your procedures, this is a red flag that this is not a full-service IVF clinic, and you are going to increase your chances of failure .

The lack of coordination between the clinic and the laboratory reduces your chances of success, and this is the reason why satellite IVF clinics ( manned by “ travelling “ embryologists and itinerant IVF specialists have a much poorer success rate.

The problem is that patients aren’t sophisticated enough to understand the truth, and these clinics lie to their patients. They do not bother to provide patients with a photograph of their embryos, which means they happily continue taking their patients for a ride .

Your IVF treatment is too important for you to leave everything up to your doctor !

You need to be proactive , and the good news is there is plenty of high quality reliable accurate medical information available at www.drmalpani.com

Also, the Indian Government is finally taking cognizance of the fact that many bad IVF clinics are cheating IVF patients , and has started to provide some kind of oversight by asking IVF clinics to register with the ICMR. While it’s true that not every registered IVF clinic is necessarily good , it is definitely true that any IVF clinic which is not registered with the ICMR is not good . Thus , if your IVF clinic is not enrolled with the ICMR, this means they don’t meet the basic requirements every IVF clinic should be able to provide to its patients . Stay away from such clinics please !

 

Wednesday, August 18, 2021

IVF vs adoption. How do you make the right decision ? [Video]

 

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Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

Please don't go to an IVF clinic which is not enrolled with the ICMR !


 


You know that it's very important to find an experienced IVF doctor to make sure that you maximize your chances of IVF success .

IVF is an expensive treatment which requires a lot of coordination between the clinician and the laboratory . However, thanks to the lack of regulation in India, any gynecologist can set up an IVF Clinic and call themselves an IVF specialist , even after doing a two day workshop and getting a “diploma in IVF”.

The Government doesn't provide any oversight , and refuses to take any action to protect vulnerable IVF patients , who get exploited by doctors who take advantage of their ignorance and gullibility.

Ignorance can be expensive, and doctors end up fooling patients , who unfortunately allow themselves to get fooled because they not done their homework . They aren’t able to differentiate between a good IVF Clinic and a bad IVF clinic . This is partly because patients underestimate their ability and intelligence to understand the nuances of IVF treatment ; and this is also partly because patients still continue to blindly trust their doctor . This is fine if you end up in a good IVF clinic , but can be extremely dangerous if you end up in a bad IVF clinic.

This is why it's so important you verify that the doctor deserves your trust , rather than to give it away blindly . The Government has started taking steps in the right direction , and the ICMR has started initiating some degree of quality control by enrolling IVF clinics to ensure they have the required equipment. Unfortunately , this is still voluntary , and because there is no law , many clinics continue doing IVF without being registered with the ICMR . This is not in the patient's best interest , so a simple question which you can ask your IVF clinic is – Are you enrolled with the ICMR ?

Every good IVF clinic highlights their ICMR enrollment number on their website , and if the clinic doesn't have an ICMR enrollment for whatever reason , then you shouldn't be going there .

Now , there is no certainty they will provide high quality medical care just because they have an ICMR registration , but the absence of an ICMR registration is definitely a red flag !

Tuesday, August 17, 2021

IVF success rate - Clinic success rate vs patient’s individual success rate [Video]

 

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Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

The commonest reason for IVF failure - and what you can do about this

 


While it’s true that IVF cycles can fail because of medical reasons such as poor quality eggs or a poor uterine lining, in India the commonest reason for IVF failure is the poor quality of medical care provided by the IVF clinic .

Many IVF clinics don’t have the experience and expertise to superovulate the patient to retrieve enough good quality eggs; and their lab isn't able to do a good job with making top quality blastocysts, because they don’t have a full-time embryologist.

This is a huge problem in India , where there is no quality control or regulation, and any gynecologists can call themselves an IVF specialist and start doing IVF !

This is the reason why so many patients continue to fail IVF cycles in India . Their doctors doctors provide suboptimal care , and unfortunately patients are not sophisticated enough to be able to differentiate between a good IVF clinic and a bad IVF clinic .

They naively believe that all clinics are equally good, and often end up going to the clinic which provides the cheapest treatment ; or the one which is closest to them ; or the one which publishes the biggest ad in the newspaper ; or the one their GP refers them to; or the one which provides free counselling camp in order to acquire more patients.

This becomes a very expensive mistake – because they end up being penny-wise and pound-foolish .

The success rates of these IVF clinics is very poor, and to add insult to injury, the doctor blames the patient for the IVF failure , and instead of acknowledging responsibility that they provided poor quality care !

They then start doing many more expensive test in order to determine why the IVF cycle failed – and these include useless tests such as ERA ( endometrial receptivity assay) and PGT ( preimplantation genetic testing) , which allow them to earn even more money. Patients often become desperate when their IVF cycle fails, and these clinics then start suggesting to the patient that they need to use donor eggs to surrogacy in order to get pregnant. This is terrible medical advice, because it is completely wrong, but it’s very profitable for the doctor !

The underlying problem is that it’s difficult for a patient to differentiate between a good clinic and a bad clinic, because the websites of the clinic all look the same, and they all make the same kind of claims of being the best clinic, with the highest success rates !

The one single question you need to ask before paying your fees for your IVF treatment is to confirm that the clinic does only blastocyst transfers , and provides embryo photos routinely and proactively to all their patients . This is such a simple question to ask - and it's so easy to find the answer ! This will ensure you don't waste money going to a clinic, and this is one simple free way to maximize your chances of IVF success !

 

Sunday, August 15, 2021

My blood boils when I see IVF doctors fool IVF patients [Video]

 

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Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

Saturday, August 14, 2021

Friday, August 13, 2021

Please do not waste your precious embryos [Video]

                                    

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Medications used for treating infertility - a guide for patients. Comic/InfoGraphic

Thursday, August 12, 2021

Why you cannot afford to be a lazy IVF patient? [Video]

 


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 Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

Wednesday, August 11, 2021

The best treatment for repeated IVF failure ( recurrent implantation failure) is TLC ! [Video]

 

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Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.


Tuesday, August 10, 2021

IVF success rates and technology - new is not always better and old is often gold ! [Video]

 

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Monday, August 09, 2021

What tests can you do if you have failed multiple IVF cycles ? [Video]

 

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 Need help? We provide a second opinion on all infertility issues. Please send us your medical details by filling in the form at https://www.drmalpani.com/free-second-opinion so that we can guide you better.

Sunday, August 08, 2021

Making sense of your HCG blood test report - a guide for IVF patients [Video]

 

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Saturday, August 07, 2021

Previous Caesarean section reduces IVF pregnancy rates [Video]

 

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Friday, August 06, 2021

Why did my IVF cycle fail even though my IVF doctor is the best ? [Video]

 

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Thursday, August 05, 2021

Before you see your IVF doctor - practical tips every IVF patients need to know [Video]

 

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Wednesday, August 04, 2021

Tuesday, August 03, 2021

Does your IVF doctor give cuts and kickbacks to get referrals ? [Video]

 

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