IVF patients can often be pennywise and pound foolish

 

Most patients who do their first IVF cycle have no idea what good IVF treatment looks like.  They mistakenly think that all IVF clinics are equally good and will give them the same level of medical care.They get lured either by the full page ads these clinics buy in newspapers ; and by the large roadside banners they pay for. These clinics often run "free IVF camps" to acquire patients . Every infertile couple who comes to the camps is advised to do IVF. The scam is that the tests are done by the clinic, and the results of these tests are always abnormal ! Patients are led to believe that the only solution to their problem is IVF – and the clinic very kindly offers a discount if the patient signs up by paying an advance on the spot !

Most patients don’t know any better, and sign up, because they can see other patients signing up too , which is why these camps resemble the fairs that real estate developers organize, to sell their flats to customers.

Patients tend to focus on what they can see – which is convenience, and price. They want to find a local IVF clinic that will offer them the lowest price package possible . Because these IVF clinics don't really care about quality , they are happy to offer "discount" packages which are surprisingly cheap on the face of it .

They do this because they routinely cut a lot of corners ! For example, they don't bother to do Day 5 ( blastocyst) transfers, and don't provide photographs of embryos to patients .

Patients don’t know what a good IVF clinic is supposed to do, as a result of which most of the cycles end up in failure. Not only do they end up wasting their money while trying to chase what seems to be a bargain , but what’s  even worse is they end up losing all hope .

In their short sighted quest to save money , they actually end up wasting it, and they deprive themselves of having a baby , because they are no longer willing to trust any other IVF clinic .

They ruin their chance of taking advantage of high quality IVF treatment, and end up hurting themselves in the long run.

Now this doesn’t mean that a clinic is good just because it is expensive ! Some of the busiest brand name clinics in the metropolises charge an arm and a leg because they need to pay huge kickbacks to the doctors who refer patients to them for IVF treatment.

The rule is simple: you need to do your homework before signing up at any clinic. IVF clinics should have to earn your trust – it’s too precious to be given away !

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 !

How you can treat infertility because of sexual dysfunction at home using self-insemination

 

One of the commonest problems that prevents couples from having a baby is sexual dysfunction .

This includes male issues such as premature ejaculation and erectile dysfunction, as well as female issues such as vaginismus.

These are surprisingly common, but because these are taboo topics , they are not discussed, and even extremely well educated couples don’t know what they are suffering from.

This is especially a major issue with vaginismus , because they don’t know which doctor will be able to help them . Many gynecologists can be surprisingly unkind , because they don’t know how to treat this distressing problem.

Making the diagnosis of erectile dysfunction and premature ejaculation is easy - it's a self diagnosis after all. However, because of the psychological stress this causes , couples are often unwilling to seek treatment for this . For one thing , the man feels very ashamed , and the woman is reluctant to broach the topic because she doesn't want to hurt his feelings . As a result of this mutual conspiracy of silence, the problem festers, and they try to sweep the elephant in the room under the carpet, and they will often not even talk about this to their doctor unless he asks directly ( and most doctors fail to do this in a sensitive fashion, which means patients hide the truth).

The tragedy is that even though they may have completely normal fertility , they are not able to get pregnant . Sexless unconsummated marriages are surprisingly common, but because couples think they are the only ones having these issues , they don’t talk about it, which makes the problem even worse, because they don't know how to seek help and from whom.

Also, because it's such a touchy and sensitive issue, they are understandably reluctant to seek medical help ! 

If you take the time and trouble to do your homework , you will be able to determine what the problem is for yourself. While treating these problems can be surprisingly difficult and complex, because the underlying cause is psychological and not physical , the good news is that if your primary goal is to have a baby , it's possible for you to solve the issue by yourself by bypassing the problem and doing self insemination at home , which is simple , easy and inexpensive.

The even better news is that the pregnancy rates are extremely high , because there is no underlying fertility issue , especially if the wife is young !

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 dark dirty secret behind busy brand name IVF clinics

 

Most patients naively believe that busy IVF clinics which have a good reputation must be good because so many doctors refer their patients to these clinics for their IVF treatment.

However, the reality is very different .

Because they are so busy, these clinics often provide extremely poor quality care. Patients are treated like widgets on an assembly line, and their focus is to maximize their profits by treating as many patients as possible. They do many unnecessary and expensive tests, both before , during, and after the IVF cycle, so they can squeeze as much money out of the patient as possible.

However , they take so many shortcuts, that it makes my blood boil.

They routinely do Day 2 and Day 3 transfers, instead of blastocyst transfers, because their lab is not good enough, and their embryologist is not skilled enough. They do not provide any documentation, and insist on keeping the medical records with them, even though the Supreme Court has ruled that the medical records are the patient’s property. They refuse to share photos of embryos with patients, and will often transfer 3 or 4 embryos at a time , in order to maximize the chances of the patient getting pregnant and cover up their incompetence.

Not only does this mean that the patient has no spare embryos to freeze ( which means if the cycle fails, the patient has to pay money for a new fresh cycle, which is much more expensive than a frozen cycle), it also subjects the poor patient to the unnecessary risk of a multiple pregnancy . The doctor can then claim that the IVF cycle succeeded – and then charge even more money to do a selective foetal reduction in order to manage this iatrogenic complication ! Sadly, many of these patients end up miscarrying, and losing the entire pregnancy , which just adds further insult to injury .

The biggest tragedy is that these brand name IVF clinics continue to get away with this poor quality care, partly because there is no government regulation , but mostly because patients are completely clueless, and don't know what to expect .

They blindly trust that their IVF doctor is the best one, because their doctor referred them to the clinic, but the reason for this referral is not the competence of the clinic, but because these clinics provide the biggest kickbacks and commissions to the referring doctor ! These are the doctors who are often office-bearers of medical associations, and who throw parties for their referring doctors, to keep them happy.

IVF treatment is expensive and lucrative. As a result, most gynecologists and family doctors will refer patients to IVF clinics that give them the biggest kickback, rather than the best .

Most patients are completely clueless about what is happening in the background , and how much money is changing hands under the table .

If the clinic refuses to provide photographs of your embryos, this should be a red flag ! Also, any doctor who asks for cash payments and does not issue a receipt can’t be trusted. If he is willing to cheat the Income Tax Department , what's going to stop him from cheating you ?

Life used to be easier in the past , when people had a trusted family doctor , who was a part of the family. He had a long-term, lifelong relationship with his patients, and had a fiduciary responsibility towards them. He would send them to the best specialists , because he had their best interests at heart. Today , unfortunately , this entire relationship has become corrupted. As a result, the trusted family doctor has become a dying breed, as a result of which patients are helpless and vulnerable and get exploited all the time.

Need help 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 !

 

 

 

When can you start your next IVF cycle after IVF failure ?

 

A common question many patients ask is how soon they can start the next IVF cycle when the first IVF cycle fails .

It’s very hard to bounce back to normal when your HCG comes back as negative, because you had hope that your IVF cycle would work. After all, no one would start a cycle if they didn’t believe in their heart of hearts that this would be the one that would give them a deeply longed-for baby !

However, when your hopes get shattered, you no longer feel confident that IVF will ever work for you . You are extremely worried and anxious , and question whether you should start a second cycle or not . After all, if the first cycle failed, what is the certainty that the next one will work ? And how many will you have to do in order to be successful?

These doubts are completely normal , because everyone starts IVF , and expects to hit the jackpot in the first cycle itself. Even though their head understands the success rate is not 100%, in their heart they are sure that they are going to be one of the lucky ones, which is why they go to pieces when the cycle fails.

It takes time to recover emotionally from the failure of your first cycle , so please be kind to yourself, and give yourself time to grieve, so you can bounce back.

From a medical perspective, however , you can start your next cycle immediately , if that's what you want to do , especially if this was a frozen cycle , because your body goes back to normal immediately . After a fresh cycle , the doctor will need to do a scan on Day 2 to make sure that your ovaries are quiet before starting your treatment, - which could be another fresh cycle , or a frozen cycle .

Rather than worrying about whether it's medically fine to start again, you actually need to ask yourself: – are you mentally prepared to start again ?

Some patients feel so sorry for themselves after the first failed IVF cycle that they just can’t muster the courage to go back to the IVF clinic to start another one . If that’s true for you, then please take a break , until you feel more optimistic .

On the other hand, many patients are eager to start the next cycle as soon as possible, because they know that sitting at home is not going to give them a baby. They would rather attempt a new cycle as quickly as possible , so at least they have something to look forward to, rather than brood about their failure.

The truth is that a second cycle is often much easier to do than the first cycle , because you've " been there , done that ", and you know exactly what's involved . Your anxiety levels in terms of treatment minutiae are much lower, and you have demonstrated that a failed IVF cycle is not the end of the world, that you are resilient, and that you can start over.

Uncertainty about the outcome will always be true for any IVF cycle, so the sooner you start again, the better your chances of having a baby sooner. If you are mentally prepared , there is no advantage to wasting time sitting at home , obsessing about your bad luck and feeling sorry for yourself !

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 !

How to maximise your chances of success in an IVF cycle

 

Patients are often confused to how many embryos to transfer in an IVF cycle . Obviously, everyone knows that the more the embryos you transfer , the better your chances of getting pregnant in that cycle itself , but like everything else in life, there is a price you pay for transferring more embryos, and you need to understand what the trade off is.

It might appear that a twin pregnancy would be the ideal solution to every infertile couple’s problems – and having twins is often something which infertile couples dream about . You get an instant family , which means you don't need to go back to your IVF doctor for your second baby , and the bonus of a second baby means that your treatment is extremely cost-effective.

However, the reality is that while a twin pregnancy may appear to be a great outcome for the IVF doctor , it is often not great for you , because there is a real risk of premature delivery , and many of these patients will have a premature birth , and the babies will end up in the NICU ( Neonatal Intensive Care Unit ), and will end up with lifelong problems because of the risks associated with pre maturity and low birth weight .

All good clinics all over the world will transfer only a single embryo at a time , so that you have only one baby when you get pregnant in your IVF cycle.

It might appear that the price you pay for transferring only a single embryo is you reduce your chances of getting pregnant , but even that's not true ! While your chance of getting pregnant in that individual cycle does decrease, your cumulative conception rate over two cycles actually increases ! This is because if you transfer one embryo and don't get pregnant in that cycle , you can then transfer your second frozen embryo in the next cycle , so that the cumulative pregnancy rate over two cycles is actually better than transferring two embryos in a single cycle .

This is why you need to find an IVF clinic which does only single blastocyst transfers, which provides you with photos of your blastocysts routinely and proactively, and which has a robust freezing program , so that the survival rate of the frozen blastocysts is 100% when they are thawed.

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 !

IVF failure - Causes | What is the most common reason for IVF failure?

Causes for IVF Failure

In vitro fertilisation (IVF) has a global success rate of less than 50%. This implies that nearly half of all IVF patients do not become pregnant, and sadly, your doctor may not always be able to tell you why IVF failed.

IVF is a costly technique that comes with no assurance of success. Once you've figured out how much IVF would cost, the most pressing problem is usually the likelihood of success. After paying tens of thousands of dollars, you don't want to be dissatisfied.

Don't get too worked up just yet; if you understand why IVF fails and discuss your issue with a qualified doctor, you should be able to find a solution.

Why does in vitro fertilisation (IVF) fail?

The IVF clinic you choose, lab parameters, the manner of doing the process, the doctor's expertise and talents, and the embryologist's competency are all elements that might affect your IVF results, but even if all of these conditions are ideal, over 50% of IVF cases will fail.

IVF failures can be caused by a variety of factors.

If you're still wondering why your IVF failed despite picking the best IVF clinic, read on to learn about the personal aspects that could be to blame.

Pregnancy and the growth of an embryo inside the human womb, like other biological processes, is a complicated process. What we don't know about pregnancy is far more important than what we do.

Fertility doctors have been able to pinpoint certain particular elements that may be to blame when it comes to IVF failure:

1. Failure of embryo implantation

The IVF process is difficult, and there's no way of knowing where the success is being thwarted. The failure of the embryo to connect to the uterus lining is one of the most common causes of IVF failure.

Embryo implantation failure can be caused by either a problem with the embryos or an issue with the uterus, but it's impossible to say which one caused the failure in your situation.

In almost 90% of cases, most infertility doctors feel that embryo arrest is to blame for implantation failure.

Several of the embryos generated will die before day 5, but even those that survive the first few days and appear to be healthy will die after being transplanted to the uterus at some point.

There are a variety of factors that might result in poor-quality, weak embryos that do not develop past a certain stage, but these problems are still considered a "black box" in the IVF field, and there is no foolproof technique to figure out what's wrong with the embryos.

Sometimes the embryo is too weak for IVF due to genetic or chromosomal problems, while other times the embryo just does not have enough cells to live and will not grow.

PGS testing with IVF is one technique to boost your chances of IVF success by studying the genetic composition of embryos before transferring them to the uterus. This allows the clinician to choose the embryos that have the best probability of surviving.

2. Eggs of good quality

Embryo implantation rates are higher (about 50%) in women under the age of 35, compared to just around 12% in women over the age of 40.

What is wrong with my uterus? would be a common question among older ladies. Why isn't it taking embryos?

Some people are tempted to hire a surrogate at this point, but science disagrees.

IVF failure due to egg quality

Switching to IVF using donor eggs is more likely to offer you success if your uterus is totally healthy but the quality of your eggs (and the resulting embryo) is inadequate. Even transplanting your eggs to a surrogate's uterus will achieve the same effect if your eggs are the cause of the IVF failure.

A 70-year-old Indian woman gave birth to a baby she conceived through IVF in 2016. The idea is that if there are no underlying medical concerns, an older woman's uterus can carry a pregnancy to term.

The majority of IVF failures in older women are due to aged eggs that are no longer viable for conception.

3. Ovarian response and female age

IVF success is also influenced by the woman's age, uterine health, and how her body reacts to IVF drugs.

A woman's ovary normally releases one egg every month, from a collection that is fixed at birth and drastically diminishes after the mid-30s.

Medication is given before an IVF round to encourage the ovaries to generate more eggs. Your body may not respond correctly to IVF drugs if you already have a low number of eggs or high FSH levels, which is not a good sign.

If your body responds well to the medicine and produces more eggs, you have a strong chance of having a successful IVF procedure because it suggests that your hormones are operating normally. If it doesn't, your chances of IVF success may be diminished as well.

These simple fertility tests for women will give you an indication of your fertility levels and assist your doctor in determining the best treatment option for you.

4. The sperm's quality

Sperm play a complex role in fertilising the female egg, and they must be healthy, motile, and in sufficient quantity to accomplish so.

Both the eggs and the sperm have receptors on their surfaces that allow them to interact. During this contact, enzymes released by the sperm head break down the egg's outer membranes, allowing it to pass through.

However, with the exception of chromosomal factors, sperm are rarely a cause of IVF failure because any quantitative or qualitative issues with the sperm are easily detected during semen analysis, and patients are then given the choice of intracytoplasmic sperm injection (ICSI) or IVF with donor sperm.

5. Genetic and chromosomal factors

Human embryos with chromosomal abnormalities are one of the most common causes of IVF failure.

Several studies have found that after the mid-30s, the rate of chromosomal abnormalities in human eggs (and thus in human embryos) begins to rise dramatically.

IVF in women over 40 generally results in poor-quality embryos, with over 75% of them having chromosomally abnormalities. As a result, older women have a lower success rate with IVF.

It's thought that older eggs have an ineffective spindle apparatus that can't correctly align the chromosomal pairs. When chromosomal pairs are not divided properly, the essential balance of 23 chromosomes per egg is disrupted.

Chromosomal abnormalities in sperm can also result in chromosomally defective embryos, but the risk is said to be low compared to the risk in human eggs.

According to the Translational Andrology and Urology Journal, 15% of males with normal sperm analysis may have defective sperm DNA. Sperm DNA fragmentation analysis can uncover genetic issues in sperm, which, while not frequently used, has been a crucial turning point in the treatment regimen of some of our customers.

Pregenetic screening (PGS) tests can determine an embryo's chromosomal integrity.

How do you figure out why IVF didn't work?

IVF rounds do not always succeed, and pinpointing the specific causes for failure can be difficult.

Understanding the probable causes of failure—age, egg/sperm quality, uterine health, and so on—could be important to proper treatment planning and a clear opportunity at a healthy pregnancy.

If you've tried IVF numerous times and still haven't gotten pregnant, it's time to modify your strategy.

Dr.Malpani of one of India's most successful IVF clinics explains why IVF doesn't work and what you can do about it:

Even if there are two or three plausible reasons for IVF failure in your case, it is preferable to follow a firm treatment plan following a thorough diagnostic rather than jumping right into IVF. A comprehensive evaluation may find that you require supplements or minor surgery before attempting to conceive, or that you do not require IVF and merely need to change your lifestyle.

Before throwing tens of thousands of dollars at random therapies, you can contact with some of the most experienced IVF professionals at Infertility Aide and select the proper treatment.

The significance of a correct diagnosis

A modification in medication protocol could help if there aren't enough eggs developed for extraction. If you have PCOD or thyroid issues, you may be referred to an endocrinologist to help restore your hormone balance and prepare your body for a healthy pregnancy.

IVF failure is difficult for everyone, but it occurs when the embryos you're developing are unhealthy or your body isn't ready to deliver a pregnancy.

Do not be discouraged. Choose a qualified, experienced fertility doctor who can assist you in determining the possible causes of IVF failure in your instance and offering treatments that can help you get closer to having your kid.

Do you know of any other less obvious reasons for IVF failure? Do you believe any of the aforementioned factors influenced your IVF success?

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!

If not pregnant after IVF when does period start? | What will the period be like after a negative pregnancy test and what to do next?

If not pregnant after IVF when does period start?

The time when menstruation appears depends mainly on the treatment used. 

The period normally begins on the usual and expected day in individuals who have had an embryo transfer in a natural cycle.

We will begin administering hormone medication two or three days after the treatment has been stopped. It is recommended that you see a doctor if it does not occur after two or three days.

It's possible that the first period is shorter and less intense than usual.

What options do I have, following a period or negative pregnancy test after a failed IVF cycle?

LISTEN TO YOUR BODY AND ALLOW IT TO EXPAND. Allow yourself time to "digest" the situation; everyone has their own pace. Allow your emotions to emerge as they arise, without judgement or expectation of feeling a certain way; allow them to flow and your energy to shift gradually. Take care of yourself and pay attention to your body.

DIRECT YOUR ATTENTION TO YOURSELF. Observe your sensations and emotions, and engage in activities that promote inner calm. Try not to think thoughts like "What could I have done wrong," "If I hadn't done such a thing..." because they are accompanied by guilt and can make you feel uncomfortable.

MAKE A CONNECTION WITH THE CURRENT MOMENT. It is not necessary to make decisions or ask ourselves absolute questions about the future, such as "what if I never become a mother?" after a negative -hCG. On the contrary, now is the moment to focus your emphasis on the present. Reframe your thoughts as follows: "Today, I have potential; I will continue to attempt."

Have faith in yourself. Trust your body, the doctors you've chosen, and the possibilities and opportunities that in vitro fertilization provides.

MAKE YOURSELF READY FOR A NEW WELCOME. Make sure you're prepared for the next transfer. Examine your food habits, physical activity, sleep, mental hygiene, and other factors to see if they need to be improved. They'll make you feel a lot better.

MAKE CHOICES. It's time to make decisions after a few days and with a medical explanation of your condition. Make a plan for your next transfer or action.

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!

Any IVF clinic which does Day 3 embryo transfers is a bad clinic

 

Many IVF clinics bulldoze their patients into transferring embryos on day 3 . They tell them that the uterus is the best place for a day 3 embryo rather than the incubator, and that’s why it’s best to transfer them back as soon as possible.

They also scare them by telling them that if they continue culturing the embryos in the incubator and try to grow them to Day 5 ( blastocyst), their embryos may arrest , and they will not have any embryos left to transfer .

Patients are scared about taking that risk , and because they trust the doctor blindly , they accept the doctor’s advice, and go ahead with the day 3 transfer . Because these are day 3 embryos, and the IVF lab is not very good, the doctor often ends up transferring more embryos to increase the chances of at least one of these embryos implanting.

This means that these patients don’t have any spare embryos to freeze , and they also run a real risk of a multiple pregnancy , because the doctor has put back so many embryos.

The reason doctors take this shortcut is not because it's the right thing to do . In fact, they are lying to their patients. They do this because they don't have any confidence in their IVF lab or the ability of their embryologist to be able to grow embryos reliably to Day 5 . A lot of these clinics use travelling embryologists to do their lab work, and they don't have full-time expert, experienced embryologists on their staff.

This is why they try to put back embryos as quickly as possible into the uterus , even on day 3, because if the cycle then fails , they can blame the patient’s bad luck , rather than accept responsibility for the fact that the cycle failed because they did not have the right medical facilities and were not able to grow embryos to Day 5.

Most patients learn the bitter truth only after the IVF cycle fails, which is when they start doing their homework . This is when they find out that the right place for a day 3 embryo is the fallopian tube , and not the uterus !

This does not mean that Day 3 embryos cannot implant , but there is no reason to transfer Day 3 embryos to the uterus if you have a good quality IVF lab . A good IVF lab is very confident in its ability to grow embryos routinely to Day 5 – after all, that is the purpose of a good IVF lab !

The advantage of doing only day 5 transfers is that you only need to transfer one single top quality blastocyst, and can freeze the rest , which means patients can have multiple transfers, without having to go through the expense of another fresh cycle !

The cumulative conception rate with single blastocyst transfers is better as compared to transferring three Day 3 embryos in one single fresh cycle .

Please do your homework , and make sure that you choose a clinic that does only blastocyst transfers,  and provides photos of embryos routinely and proactively to all their patients.

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 !

Signs of failed IVF in 2ww | Symptoms that can tell you whether or not you're pregnant before you take a pregnancy test

Signs of failed IVF in 2ww

It's reasonable to be concerned about the fate of the embryos implanted to the uterus during the 2ww (2-week period between embryo transfer and pregnancy test). Every lady who has had an embryo transfer wishes to know how her IVF cycle turned out. The 2ww is the longest wait for every woman who has had IVF, lasting an hour for every minute.

Women who are going through the 2ww become acutely aware of even the tiniest alteration in their bodies. I'm feeling warmer than normal; my breasts are tingling; my nipples are hurting; I feel like a muscle in my pelvic region is being strained; I have a peculiar vaginal discharge; I urinate frequently; I'm feeling nauseated - does this suggest I'm pregnant? This is the question that every woman wonders about, whether she admits it or not. This can be exacerbated by a concerned partner who inquires every day, "How are you feeling?" Many ladies are continually searching the internet for information on the 2ww symptoms of women who became pregnant following an embryo transfer. Although this can make the 2ww more intriguing for some women and perhaps help them cope, many women become anxious when they don't see any symptoms. Others begin to wonder if they are pregnant or if they are experiencing any of the above symptoms. Are there any symptoms that can tell you whether or not you're pregnant before you take a pregnancy test?

Unfortunately, the answer is no. While every woman is different, the truth is that your body cannot give you any clues about whether or not you are pregnant during the second trimester. Women who have no symptoms at all may become pregnant, while those who have all of the symptoms may have a negative pregnancy test. The two most significant sex hormones, oestrogen and progesterone, are in charge of your body throughout the second week. Many of your physiological functions are influenced by these sex hormones. Your body becomes warmer than usual as a result of excess progesterone; your digestive system becomes slow, and you may experience constipation; water collects in your tissues, causing sore breasts and nipples; and you may experience low-back discomfort, cramps, and other symptoms. High oestrogen levels might make you feel nauseated, induce breast pain, and make you smelly. So the symptoms you're having during 2ww are solely caused by high amounts of these hormones, which is why they're so similar to PMS symptoms ( premenstrual syndrome). A positive blood pregnancy test is the only way to know if you're pregnant or not.

Visit http://blog.drmalpani.com/2012/03/symptoms-after-embryo-transfer.html for additional information.

What is the definition of implantation bleeding?

When the embryo buries itself into the uterine lining - when implantation occurs - some women experience some bleeding. Although some women do, the majority do not. So, if you don't see any spotting during the second week, don't assume you're not pregnant. Implantation bleeding is a mysterious phenomena with no scientific explanation. Your embryo is really little, and its implantation does not result in any bleeding! This little bleeding is thought to be caused by hormonal changes that occur around the time an embryo implants. Please do not be alarmed if you detect a few days after your embryo transfer. If the spotting persists, please contact your clinic.

Should I stop taking all of my medications if I'm bleeding before my pregnancy test?

Even if you are bleeding profusely, do not stop taking your medications without consulting your doctor. During pregnancy, many women may experience bleeding. To gather more information, the doctor will need to order a beta HCG blood test. Click here to learn more.

Symptoms of unsuccessful implantation

Changes in the tendency to smell, increased sensitivity of the breasts, and minor stomach cramping are all common side effects following implant surgery. If these don't appear after a few weeks post-IVF, it could be a sign of failure. However, it does not guarantee any positive or negative result.

 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!