Tuesday, January 25, 2022

Why does IVF fail?

Friends, family, and the internet have all told us about the effectiveness of in-vitro fertilisation (IVF) procedures. However, we don't often hear about unsuccessful IVF, owing to the fact that it's a very emotive subject for those who want to be parents. This blog post aims to dispel the taboo and discuss some of the reasons why IVF may fail.

When it comes to patients who do not have a clinical pregnancy or live delivery, there are a variety of causes for their IVF failure.

Age of the Female

The quality and quantity of a woman's eggs decreases as she gets older. It's common knowledge that as women age, they have a lower likelihood of becoming pregnant; nevertheless, a decrease in egg number and, more importantly, quality, also decreases the chances of a clinical pregnancy or live birth following IVF treatment.

Quality of Embryos

The female's eggs and the male's sperm are combined together in the laboratory portion of IVF treatment with the goal of generating an embryo. Embryos may appear healthy in the laboratory, but when implanted into the uterus, they may fail to implant due to an undetectable abnormality. Our IVF lab grades the quality of the embryos and selects the best to return to the uterus using a scoring system.

Ovarian Response

The female is required to inject a fertility hormone called follicle stimulating hormone (FSH) daily at the start of IVF treatment in order to boost egg production. Some women's ovaries do not respond to this medicine properly, and as a result, they do not generate enough eggs for harvest. Due to the already limited quantity of eggs in older women, this is especially true (low ovarian reserve).

"If you have a poor ovarian response, it doesn't imply the IVF treatment is over," Dr. Malpani adds. Investigations and medication changes may be able to help improve the issue. A blood test for Anti-Mullerian Hormone (AMH) and an ultrasound scan of the antral follicle count are used to determine ovarian reserve. The optimal protocol and dose of hormone to stimulate your ovaries and produce a respectable number of eggs would be determined by your ovarian reserve."

Problems with Implantation

This indicates that the embryos did not successfully implant in the uterus. This could be due to the existence of uterine polyps, a premature spike in progesterone levels, a thin endometrial lining, or a uterine infection. "If an embryo fails to implant, it is not your fault," Dr. Malpani adds. "Most of the time, implantation complications are beyond anyone's control." We assemble a complete set of tests to rule out any potential causes of implantation failure."

Abnormalities of the Chromosome

IVF can fail due to chromosomal abnormalities in the embryos. This indicates that chromosomal DNA is missing, excess, or irregular in the embryo. The embryo is then rejected by the body, resulting in IVF failure.

Why Does IVF Fail? : How To Avoid Repeat IVF Failure

It may take two or more IVF treatments to obtain a successful pregnancy. While this can be physically, emotionally, and cognitively draining, knowing that you are not alone in your struggle, that support is available from fertility professionals with decades of experience, and that IVF failure is not your fault may be comforting.

Your doctor will advise you on what caused the failure after each round of IVF and how to use this information to improve your chances of success if you decide to try IVF again.

Saturday, January 22, 2022

Priyanka Chopra and Nick Jonas welcome first baby via surrogate

Priyanka Chopra and Nick Jonas announced the birth of their child via surrogacy on Instagram.

Priyanka Chopra and Nick Jonas jointly shared a photo on Instagram that read: "We are happy to announce that we have welcomed a surrogate baby into our family. We sincerely request that you respect our privacy during this important time so that we can focus on our family."

Neither of them has revealed the gender of their baby, but according to TMZ, the surrogate gave birth to a girl last Saturday.

Chopra, 39, expressed her and Jonas' wish for children in an interview with "Vanity Fair" just a week before the pair made their joyous announcement.

"They're a significant part of our future aspirations," the "Quantico" star said. "By God's grace, things happen when they happen."

Chopra has been married to Jonas, 29, for three years. They married in a lavish three-day wedding in India in 2018.

Although she has a "busy" schedule, the Bollywood diva said in March 2020 that having a family is "extremely essential" to her.

"It's something I certainly want to do, and I'm hopeful that it'll happen whenever God wills it, at the proper, opportune time," she told Tatler magazine at the time, echoing her Vanity Fair interview.

It is inspiring when our Indian celebrities battling infertility, openly talk about barrenness and how they overcome this obstacle. There are lots of stigma and myths related to IVF & Surrogacy that has to get answered and stories like these give hopes and positive message to people who wanted to embrace parenthood.

Need help in getting pregnant? Please whatsapp us by clicking here or send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you! 

Friday, January 21, 2022

Why we specialise in treating patients who have failed IVF cycles in other clinics.

Patients  who have failed an IVF cycle are very different from those who are doing their first IVF cycle .

When you start your first IVF cycle , you are full of hope and optimism . You know that IVF has a high success rate , and is the one medical treatment which maximizes your chances of having a baby.

Most women start IVF with the expectation that they will get pregnant in the first cycle itself.

After all, if you didn’t secretly believe this, you wouldn't have started in the first place.

 Also, IVF doctors add to this false hope. The doctor you do a consultation with in an IVF clinic is extremely optimistic , because they are in sell mode , and want you to sign up with them for your IVF treatment. That is why they promise you the earth and the moon, and praise themselves and their high success rates.

 This is why you are sure that your first IVF cycle will be your last as well, and you are extremely optimistic that it’s going to work – especially when the doctor tells you that your embryos are "top quality " and is very hopeful at the time of the transfer.

 This is why most first-time IVF patients are poorly informed . They don’t really know what an IVF cycle entails, and are pretty much willing to accept whatever the doctor tells them at face value,

 They fail to do their homework , and get carried away by the misleading claims of 70% success rates that many IVF clinics claim on their websites.

 This is why, when their IVF cycle fails, they go to pieces. They come to their senses because this is their first rude brush with reality . They are extremely angry and unhappy, and will blame the doctor for the failure.

 Also, since most IVF clinics are only interested in maximizing their profits, they would rather spend their time and energy on marketing and attracting patients for their first IVF cycle, rather than talking to those who have failed an IVF cycle.

 Patients who have failed an IVF cycle are very unhappy and angry , and they will vent their ire on the doctor, because they need someone to blame. It’s no fun talking to an angry patient, which is why most doctors will avoid them and refuse to take their calls.

 The patient feels cheated and abandoned , because this is adding insult to injury.

Ironically, high-end brand-name IVF clinics see failure as an opportunity to make even more money.They advise the patient to do a battery of expensive and complex tests - and the patient wonders if these are really necessary, because they have lost faith in the doctor.

After all, if the tests were useful, why didn’t the doctor do them before starting the cycle ? Why did he wait for the cycle to fail before advising them ?

They feel let down and confused.

These are the patients whom we enjoy treating, because it’s only after failure that patients understand the importance of Information Therapy !

They wake up, and start doing their homeworka little late, perhaps, but better late than never !

They then understand what global good practices are – and this allows them to appreciate the difference between an expert doctor , and someone who just makes a lot of tall promises on their website .

These are the patients we are very good at treating, because we're very open and transparent , and take pride in being answerable and accountable to patients, and educating them , so that they know exactly what to expect.

We highlight the importance of doing only blastocyst transfers,  and making sure they have photographs of their embryos, so they can have peace of mind that they've received high quality treatment , no matter what the outcome of the cycle may be. This is when they realise that the reason for their IVF failure was a bad IVF clinic !

 If you’ve been unfortunate and have failed an IVF cycle in another clinic and are not sure what to do next , please reach out to us, and we'll be more than happy to help , because we are a boutique, highly specialised IVF clinic that focuses on dealing with challenging patients who have been let down by other clinics because of poor quality treatment.

 Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !


Thursday, January 20, 2022

Why are IVF clinics so scared of growing embryos to the blastocyst stage in the lab ?

Why are IVF clinics so scared of growing embryos to the blastocyst  stage ? Many IVF clinics come up with all kinds of flimsy excuses and pretexts for transferring embryos back into the uterus on Day 3, especially when the patient has only a few follicles and a few eggs .

This is to cover up their incompetence, because they are scared that the embryo will not develop  to the blastocyst stage in their IVF lab, because they don't have enough confidence in their embryologist. This is why they pressurize the patient to transfer the embryo back into the uterus as soon as possible . This way, if it fails to implant , they can blame the patient’s poor endometrial receptivity, rather than accept responsibility for the fact that their lab was not good enough to make a good quality blastocyst.

The reality is that it makes no sense to transfer Day 2 or Day 3 embryos into the uterus , because the day 3 embryo doesn't belong in the uterus - it belongs in the fallopian tube . An embryo reaches the uterus after spending about 5 days in the fallopian tube, which is why all embryos that are transferred into the uterus should only be Day 5 embryos.

Now I understand the patient’s concern. You are worried that if your embryo arrests in vitro in the lab and doesn't become a blastocyst, you will end up with no embryos to transfer , which means your chances of getting pregnant will be zero .

That is a perfectly valid worry , but also remember that if your day 3 embryo doesn't become a day 5 embryo in a good laboratory , then it’s not going to become a Day 5 embryo in your uterus either. This embryo would not have implanted, no matter what.

Now if your IVF lab is not good, then you should kick yourself for having paid good money to take treatment in a bad IVF clinic !

Good IVF clinics are very confident about their ability to grow embryos to blastocysts routinely , irrespective of how many embryos they have to start off with .

Let’s assume the worst, and suppose your embryo does arrest in the lab. You will be broken-hearted in the short term, but this way you have gained invaluable information as to what the problem is , so that you can come up with more intelligent solutions for your next cycle . This way, at least you know what to do differently in the next cycle. You will also end up saving yourself from a fruitless and pointless 2ww !

Keeping on transferring Day 3 embryos cycle after cycle means you will end up wasting a lot of time, money and energy , and the only person who will benefit from your repeated failures is the IVF Clinic.

This is why it's so important that you be well informed about IVF treatment. If your doctor refuses  to grow your embryos to the blastocyst phase, this in itself is a red flag , and you should worry a lot about why they are reluctant to do so. Often, the truth is that they know their lab is incompetent, and want to hide this fact from you.

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Tuesday, January 18, 2022

Unexplained infertility is easy to treat !


One of the commonest diagnoses we make for infertile couples is called unexplained infertility. 

Patients get very upset with this diagnosis , because they believe that if the doctor cannot find out what the problem is , then either he is not a good doctor because he seems to be groping in the dark, or even worse , he will not be able to find a solution. After all, don’t you need a diagnosis so you can prescribe the right treatment ?

This is why, when a patient gets a diagnosis of unexplained infertility , their first step is to get a second opinion from a new doctor , and the new doctor orders an entire battery of tests . He repeats the old ones ( because he doesn’t trust the earlier labs), and adds many more, most of which are extremely expensive , because he wants to show off to the patient that he is very thorough and experienced, and knows a lot more than the earlier doctor.

The truth is that all these expensive tests don’t provide any useful information . In fact, they actually end up creating more confusion , because the doctor is going on a hunting expedition, and is looking for problems to find. However, most of these new tests haven't been clinically validated , and "abnormal " results mean nothing, because many fertile couples will also have abnormal results ( but because they have enough sense not to go to a doctor, doctors are blissfully unaware of this fact).

If your diagnosis is unexplained infertility , you should actually be happy – this means that your eggs, sperm, uterus, and tubes seem to be normal ! This is far better than having a zero sperm count (azoospermia), or blocked fallopian tubes !

The truth is that all tests have certain limitations , and our technology cannot answer all the questions that doctors and patients ask.

For example, while our tests ( HSG and laparoscopy) can tell us if your fallopian tubes are open , we can't tell you whether they are working properly or not . We can check anatomical patency, but not physiological function. 

Just because we can't answer that question doesn't mean that there is any point in running more tests ! No matter what the results of these additional tests may be , this doesn't change any of the treatment options we can offer you , which is why there’s no point in doing them at all.

The quality of an answer depends on the quality of the question , and the question really shouldn't be - Why am I not getting pregnant ? A far better question is - What should I do in order to get pregnant ?

Unexplained infertility simply means that your eggs and sperm are not meeting in the fallopian tube when you have sex in the bedroom , and we cannot determine the reason because of the limitations of our testing technology.

The good news is that we can increase the probability of the eggs and sperm meeting, either by doing IUI, or by doing IVF ( if IUI fails).

A basic rule in medicine is that before agreeing to do any test , you need to ask your doctor: how will the results of the test change my treatment options ? And if the test results aren’t going to lead to any actionable information, then don't let the doctor do the test just to satisfy his curiosity !

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Monday, January 17, 2022

Why I get upset when my patients don't ask questions !


IVF patients often complain that doctors are not willing to answer their questions .

It’s true that many doctors get upset when patients ask too many questions . What’s even worse is that they get even more upset when patients are forced to go to Google to find answers to their questions because the doctor refuses to answer them !

This is why patients often bottle up their questions , or suppress their doubts . They hope that the doctor will do what is required, and treat them properly.

However, I get upset when patients don't ask me questions !

I remind them that I am not a mind reader , and that if you ask me questions , I can answer them . However, if you don't ask me questions , I don't know what you are worrying about , and I will not be able to help you reduce your anxiety levels .

In fact, I ask patients questions during their IVF  treatment all the time,  and I get upset with patients who can't answer them. This means they haven't done their homework , and will most probably have unrealistic expectations of what I can do for them – something that is not good for either me or them.

Asking questions during your IVF treatment - and getting answers from your doctor - reduces your anxiety levels .

The truth is that the outcome of any IVF cycle is going to be uncertain , no matter how well it goes. All we can do is ensure the process itself is a happy and positive one , so that patients have peace of mind that they received high quality medical treatment from a good doctor , who took good care of them.

However, the only way you will know this is if you ask questions , and get answers .

However, don’t expect your doctor to spoonfeed you. You should do your own homework for yourself , so you don’t pepper your doctor with questions that you can easily answer for yourself by doing a search online .

The only stupid question is the one you don't ask , so make a list; try figuring out the answers for yourself from reliable websites; and then ask the doctor the ones that stump you.

It’s important that you spend enough time doing some homework , so you can learn to differentiate between reliable websites and unreliable websites , so you don't get confused by Dr Google , and don't get taken for a ride by bad doctors .

This is why we provide so much information about IVFfor free on our website and our YouTube channel, so that patients can behave as well-informed, partners during their infertility journey and we can help them achieve their goal of completing their family.

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Or you can WhatsApp us at https://api.whatsapp.com/send?phone=919867441589&text=Hey!%20DrMalpani

Sunday, January 16, 2022

For how long can I safely postpone having a baby ?


This is a common question which plagues many 30 year old professional women.

They have a number of questions about their fertility. They want to know when they need to start worrying about their biological clock; whether they should accelerate their search for Mr Right; if they should prioritise becoming a mother over pursuing a career; or if they should explore the option of freezing their eggs.

These are complex questions . While we know that every woman has a biological clock , and that as you get older , your ovarian reserve gradually gets depleted because you start running out of eggs until you become menopausal , and that this decline is irreversible, the trouble is that it's hard to know for an individual patient what her personal ovarian reserve is – and women only care about their personal situation – they don’t care about statistics.

The truth is that there is a difference between your chronological age and your ovarian age, and while you could be the fittest 38 year old woman in the world who can run a marathon without breaking into a sweat, this doesn't mean that your egg quality is good enough to allow you to make a baby .

Many women get confused , because they feel that if they are physically fit , this means their ovaries will also be fit , and they will be able to have babies as long as they continue having regular cycles .

Sadly, that’s not true, and this can come as a rude shock, when you realize that your eggs are good enough to produce enough hormones to lull you into a sense of false security, but not good enough to make babies.

The good news is that it's now possible for an individual woman to accurately measure her personal biological reserve . You need to do a simple blood test called the AMH level ( Anti-Mullerian Hormone) , which you can order for yourself at the local pathology lab.

While this is a good test that is inexpensive and easy to do, interpreting it correctly can be quite tricky.

For women who are more than 30 and who want to postpone childbearing ( which seems to be the norm across the world for highly educated, ambitious women who want to have their cake and eat it too ) , the good news is that you don't have to sacrifice your career because you have taken time out to have a baby .

You need to make well-informed  decisions for yourself, and the best way of doing this is by measuring your AMH level every year on your birthday, once you turn 30.

This will provide you with a very useful trend as to what is happening with your ovarian reserve, because we don’t treat numbers – we treat people.  The trend will give far more reliable information about your fertility, and how it is declining as you grow older. If the drop is rapid, you may want to consider arresting your biological clock by freezing your eggs , so that you can later on have a baby using those frozen eggs.

These are complex decisions , and you need to make them for yourself ! If you make well-informed decisions , you will be able to follow the path of least regret , because you will have peace of mind that you used technology intelligently, and selected the path that was right for you.

This way, you can ensure that biology doesn't become destiny, as regards your choices about building your family !

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Friday, January 14, 2022

Ovarian cysts and infertility - what every patient needs to know


Ovarian cysts are extremely common in women in the reproductive age group of between 20 to 40 . Because they are common in fertile women, they are obviously common in infertile women as well .

However , the problem is that whenever an infertility specialist sees an ovarian cyst in an infertile woman , patients tend to put two and two together , and blame the ovarian cyst for the infertility . They naively believe the cyst is responsible for the infertility, and if the doctor treats it properly , she will get pregnant.

 The problem is compounded by the fact that many doctors also believe this. Sadly, they don’t bother to explain to patients how common cysts are, and that most cysts are physiological or functional, and don’t need any treatment as all. They are usually incidental findings, and can be left alone.

 Technology has actually made this problem worse. Ultrasound has become cheap and ubiquitous , and every infertile woman is subjected to a routine ultrasound scan.

Because the machines are so good, we can easily pick up cysts which are as small as 10 mm/ 1 cm.

 This is the size of a small marble, and is of no clinical importance ! Remember that a mature ovarian follicle is also about 20 mm in size .

However, sonographers will document this, and underline this finding in red / bold.

This will cause the patient to panic ! The other problem is that sonographers report sizes in mm instead of cm, so that it appears more significant ! Instead of saying the patient has a 4 cm size cyst, they will say the patient has a 40 mm cyst .  Most patients are mathematically challenged, and start worrying if this is a tumour or a cancer.

Bad doctors compound this problem by telling the patient that if we don't do anything , this will become larger , or will become cancerous , or will burst and lead to complications. They scare the patient and cause them to panic.

Most cysts don’t need any treatment at all because they will resolve on their own . These are called functional or physiological ovarian cysts . For example, the follicle may not rupture at the time of ovulation, and may form a corpus luteum cyst.

The real danger of these cysts us that trigger-happy doctors end up over treating it . They often advice surgery to remove the cyst , but this can actually increase the chances of the patient becoming infertile, because whenever they remove the cyst, they also remove normal ovarian tissue , and this reduces the patient’s ovarian reserve .

Other doctors will try to “ suppress “ the cyst with medical therapy - for example , with birth control pills . This is completely pointless , because putting an infertile patient on birth control pills means she can't get pregnant while taking them !

This is why it’s so important that you be well-informed, and don’t let the doctor subject you to unnecessary treatment.

The other common kind of cyst is called a chocolate cyst or an endometrioma. This is a common finding in young women , and just because the doctor sees what he thinks is a chocolate cyst doesn't mean that you need to allow him to remove it .

To add to the confusion, many patients don't understand the difference between an ovarian cyst and PCOD ( polycystic ovarian disease). These are very different  conditions !

While it’s true that the definitive solution for treating a cyst is removing it via surgery, often the surgery is not a good idea . It subjects you to the risks of surgery and anesthesia, and reduces your fertility by reducing your ovarian reserve and causing scar tissue ( adhesions).

Also, the surgery cannot prevent a new cyst from forming, and many of these cysts will recur after the surgery, so the poor patient is back to square one, after wasting a lot of time, money and energy !

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Thursday, January 13, 2022

10 Bollywood Celebs Who Opted for Surrogacy or IVF for Childbirth

From Shah Rukh Khan to Karan Johar, many big names have taken the surrogacy or IVF route. Lets take a look at the list below

1. Preity Zinta

Preity Zinta has given birth to twins through surrogacy. Zinta, revealed that their newborn twins had been called Jai and Gia. She showered praise and wrote a heartfelt thank you note for the doctors, nurses and the surrogate mother who has been with them in the journey.

2. Shilpa Shetty

Shilpa Shetty's second child, a baby girl named Samisha, was born through surrogacy in 2020, according to the actress.

3. Aamir Khan

Aamir Khan and Kiran Rao have their son Azaad through IVF in 2011. Aamir has also advised couples to consider IVF and surrogacy without feeling judged for their inherent flaws.

4. Shah Rukh Khan

In 2013, Shah Rukh Khan and Gauri Khan welcomed their youngest son AbRam through surrogacy, which was recommended to them by Sohail and Seema Khan.

5. Sohail Khan

Ten years after the birth of their first child, Nirvaan, Seema and Sohail Khan decided to have another baby. When natural means failed, they had no choice but to seek medical treatment and opt for IVF surrogacy. Yohan, their second child, was born in June 2011, 13 years after they married. According to an article, they also recommended surrogacy to Shah Rukh Khan and Gauri Khan.

6. Farah Khan

Farah has talked about how surrogacy can be a lifesaver for couples who are seeking to start a family. Farah was 43 when she gave birth to her triplets in February 2008. "IVF is a blessing, and I am thankful for it since it has changed my life." Many circumstances make it difficult for some couples to conceive nowadays, but we have treatments to help," Farah said in a statement.

7. Karan Johar

Karan Johar became a joyful father to twins, Yash and Roohi, after deciding to use surrogacy. In February of 2017, the twins were born.

8. Tusshar Kapoor

Tusshar adopted his son Laksshya via surrogacy and became a single father. Laksshya Kapoor was born in June 2016 and is Jeetendra and Shobha Kapoor's first grandchild. Tushar is still unmarried and raises his son as a single father.

9. Ekta Kapoor

Ekta Kapoor became a single mother to her son Ravie via surrogacy in January 2019. She is also a wonderful aunt to Tusshar's son Lakshya. Tusshar chose surrogacy as well and is raising his baby as a single parent.

10. Sunny Leone

Sunny Leone and her husband Daniel Weber were recently blessed with twins after opting for surrogacy. In 2018, the twins were born. 

What does the law say?

The Surrogacy (Regulation) Bill, 2019 bans commercial surrogacy in India and it defines surrogacy as a practise where a woman gives birth to a child for an intending couple.

It is inspiring when our Indian celebrities battling infertility, openly talk about barrenness and how they overcome this obstacle. There are lots of stigma and myths related to IVF that has to get answered and stories like these give hopes and positive message to people who wanted to embrace parenthood.

Need help in getting pregnant? Please whatsapp us by clicking here or send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you! 

Wednesday, January 12, 2022

How ignorance causes infertility


One of the commonest causes of infertility is ignorance .

This might sound surprising , because you would expect that in this day and age of sexual enlightenment, where everyone has access to Google , everyone would know everything about how to have sex , and what their fertile time is .

You would be completely wrong !

Even people who think they are well educated actually have very little understanding of medical concepts  such as ovarian reserve , trying time, or how to track their ovulation.

In fact, some couples don't even know how to have sexual intercourse properly . Many Indian couples are virgins,  and no one has ever taught them how to have sex . As a result of this, a lot of the information they get is derived from watching porno films , which distort reality.

This is why many of them believe they aren't able to perform , and this sexual inadequacy is compounded by their ignorance.

This problem gets progressively worse over time, because neither the husband nor the wife knows what the problem is - or even if there is a problem ! They don't know how to find a solution, and keep on groping in the dark (pardon the pun, I couldn't resist !)

This starts to become a negative vicious cycle . Every time they try to have sex, they are burdened by their past failures. As a result, this becomes a self-fulfilling prophecy.

This causes anger, resentment, and guilt . Many of these couples have an inferiority complex , because they are ashamed that they can't even do something as simple as having sex properly .

Sadly, this is not one of the things that they can talk about openly to anyone , as a result of which they hide the fact , and suppress it. This becomes the elephant in the room, and because it's such a touchy and sensitive topic, and because neither husband nor wife is comfortable bringing it up, this makes a bad problem even worse .

While schools are supposed to provide sex education, they do a terrible job at this, and this is why many adults don't know what to do in order to have intercourse properly in order to get pregnant . This creates all kinds of problems , such as premature ejaculation , and vaginismus. The bigger tragedy is that doctors often make this even worse ! Rather than sitting with the patient , and patiently counselling them , by explaining to them the normal physiology of the sexual act , and what they can do in order to solve the problem for themselves in their bedroom , they medicalise the problem.

They know they will make money by treating the problem in the clinic, even though they know that the couple could solve this for themselves in their bedroom , with the right information .

Putting a medical label on the problem makes it even worse , and these couples become dependent on a doctor in order to get pregnant . This may be great for the doctor , because it helps them to make more money , but it is really not fair for the patient .

This is why, one of the first things I do when I talk to patients who have sexual dysfunction as the underlying reason of their infertility, is to advice them to invest in information therapy , and buy the right books , so they have a better understanding of how they can deal with this themselves.

This can be very reassuring for them , because they realise that they are not the only people in the world with this issue - and that other people have dealt with this problem successfully in the past.  Armed with this information , many of them are able to fix the problem for themselves in the privacy and comfort of their bedroom without having to waste any money, which is great for their self-esteem, and helps them to make their marriage even stronger.

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !


The commonest reason for IVF failure [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.

Monday, January 10, 2022

The important of embryo photos in an IVF cycle [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.

Friday, January 07, 2022

How IVF clinics fool patients by transferring dead embryos? [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.

Thursday, January 06, 2022

The easy shortcut to finding the right IVF clinic [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, January 04, 2022

Sunny Leone, IVF, adoption and surrogacy - the more , the better !

Sunny Leone’s story is a great example of how infertile couples can explore multiple options simultaneously in order to complete their family .

She has proven that IVF , surrogacy and adoption are not mutually exclusive options. They are all complementary , and can be explored either in parallel or sequentially.

If your heart is big enough , there is absolutely no reason why you can't do these simultaneously , depending on your personal opinion, and what you think is right for you.

It’s very old-fashioned and myopic  to think of these as competitive methods of having a baby !

In our clinic, we encourage patients who come to us for IVF treatment to also explore the option of adoption at the same time. We suggest they register for adoption , because there is never any certainty that IVF will work, and it’s always useful to create a safety net and have a backup plan in case the medical treatment does not go as planned.

Creating a safety net in advance actually stops them from going to pieces in case IVF cycles fail. It improves their emotional resilience and equanimity, and makes it easier to cope with the IVF emotional roller-coaster ride.

Much more importantly, they have peace of mind knowing that they explored all of their options and then chose the one that was best for them, rather than rushing into a decision that they may later regret.

The biggest mistake people make is feeling that signing up for adoption means that they are a failure. In fact, many IVF doctors are reluctant to broach the option of adoption with their patients, because they are scared that their patients will assume that this means that the doctor thinks that  IVF will not work for them, and is preparing them for the worst.

Both IVF and adoption are complementary ways of completing a family; they are not competitive. It’s just that one is a biological solution, and the other one is social. When you make up your mind, please start with a clean slate; - you don’t have to live up to other people’s expectations.

After all, the whole point of welcoming a baby into  your life is so that you can share the lessons that life has taught you with the next generation.

The great thing about having a baby is that it helps you look at life with completely new eyes. Babies help you to learn, unlearn, and relearn, and the fresh infusion of energy and love that they bring to your life is priceless , so it doesn’t really matter whether you have a child through IVF or through adoption – they will both love you equally , and you will reciprocate this love equally as well.

If you do not explore the adoption process , you will never know whether that would have been a better option for you as compared to IVF . While it may seem to be a convenient shortcut , the reality is that there is a long waiting list for adoption as well – and it’s not the right solution for every infertile couple either. This is why you should explore all your options in parallel with an open mind , and then finally select the one that works best for you.

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !

Saturday, January 01, 2022

When an IVF pregnancy miscarries


IVF patients believe that the worst outcome of an IVF cycle is that it can fail and they end up with nothing at all .

While it's true that a failure is heartbreaking , the reality is that what's much worse than a failed IVF cycle with a negative beta HCG is an IVF cycle that ends up with a positive beta HCG and you then miscarry . This is much harder to cope with, because it seems as if God has given you something , and then snatched it back again. Once the HCG is positive, your hopes go up, and you can finally see light at the end of the tunnel. To have this taken away is a cruel blow, and it's hard to accept this reality.

The standard emotional response is one of grieving , and you are likely to be angry with yourself , with God , and with the doctor , because you think life is very unfair, and all the bad stuff seems to happen only to you.

However, you just have to come to terms with the fact that IVF doesn't reduce the risk of miscarriages and that the background miscarriage rate for all pregnancies ( whether they start in the bedroom or in the IVF clinic ) is going to be 15%. This risk is completely random , and the most common reason for an early miscarriage is a genetic error in the embryo . This miscarriage is nature's defence mechanism , to prevent you from giving birth to an abnormal baby .

However , your confidence is going to be shaken so badly, that you are going to find it very hard to gather the courage to try another IVF cycle -  especially because IVF treatment is so expensive , and it's impossible to predict what the outcome is going to be. It can be difficult to to spend money all over again on the second IVF cycle,  especially when the first IVF cycle has dashed all your hopes, and there is nothing we can do differently to reduce the risk of another miscarriage.

And if you do get pregnant again after another IVF cycle , you are never sure whether to be happy  because you are pregnant, or to be scared , because you are worried that this pregnancy could also miscarry. Living in this grey zone area can be very difficult, and exacts a huge emotional toll.

Unfortunately , there is no easy way to overcome this emotional distress , except to learn how to meditate , and keep your fingers crossed .

The good news is that just because you have miscarried once, this fact doesn't increase the risk of another miscarriage in your next pregnancy !

Need help in getting pregnant ? Please send me your medical details by filling in the form at www.drmalpani.com/free-second-opinion so that I can guide you !





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