My IVF cycle failed. What do I do next?
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
Failing an IVF cycle can be heartbreaking. It's often your worst nightmare coming true. You've gathered all that money, taken that big risk, taken all those shots, and done everything possible in order to get pregnant, and blindly followed all the advice given. No, you have not complained even once. And the doctor was so hopeful and optimistic and yet the cycle failed and you feel you've let everyone down - that your body doesn't work properly. That the embryo didn't implant, that you must be cursed, that your fate is bad. And that if that cycle fail, you're never going to get pregnant. Aft ..read more
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What to do if you are stuck with a bad IVF doctor
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
  Most patients are very naïve when selecting an IVF clinic, because they believe that all IVF clinics are equally good. They will sign up for IVF treatment at the nearest clinic , or at a clinic to which they have been referred by their family doctor , or perhaps to a clinic they have read about in an ad . However, after they start their treatment , they realise that they are receiving very poor quality care . After they have paid their fees, they don’t get to see the brand-name doctor, and their treatment is handled by clueless juniors and disinterested assistants. They have no idea ..read more
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What to do when the doctor isn't able to collect any eggs
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
  One of the reasons IVF cycles fail is because doctors tell patients that they weren’t able to collect any eggs during the egg retrieval . This can come as a rude shock, because patients expect doctors to be able to collect one egg from each follicle , and it’s very hard to understand why they weren’t able to retrieve any eggs at all . When doctors don’t get any eggs, they commonly lie to the patient,and tell them they suffer from the rare condition called empty follicle syndrome ! This is not true, because empty follicle syndrome is a very specific condition which can be diagnosed onl ..read more
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Embryo transfer versus embryo implantation
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
  One of the problems that plagues IVF today is that most IVF patients are still very poorly informed about the medical details of an IVF treatment cycle . Patients justify their ignorance by saying that they don’t need to worry about the technical minutiae , because that is the job of the doctor ; they don’t understand the medical jargon, and that a little knowledge can be dangerous ! If you do go to a good doctor who takes the time and trouble to explain the details to you, and is transparent and accountable , you will be fine . But what happens if you don't go to a good doctor ? Or ..read more
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The difference between menstrual periods , ovulation and fertility
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
You have learned in your high school biology classes ( hopefully you were paying attention !) that a fertile woman ovulates regularly, which is why she has regular menstrual cycles, and that the central key event in the menstrual cycle is ovulation – the release of a mature egg from a ripe ovarian follicle, which normally occurs once a month. If your cycles are irregular , this suggests that you are not ovulating. This is called anovulation, and you can read more about this at  www.drmalpani.com/knowledge-center/articles/anovulation  A common reason for this is PCOD ( polycystic o ..read more
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How to identify a bad IVF clinic
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
Many patients can’t travel to Mumbai to take treatment in our clinic, which is why a common question they ask me is – how do we identify a good IVF clinic? After all, the better the IVF clinic you choose , the better your chances are of getting pregnant ! The trouble is all IVF doctors are very friendly when you visit them for the first time. They are happy to promise you a baby , and they all claim to have the highest success rates when you go for a consultation. You only learn how incompetent they are after your cycle has failed, because they refuse to provide you with any information. He ..read more
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What are my chances of IVF success ?
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
  One of the commonest questions every IVF patient asks at the time of a consultation is - Doctor, what are my chances of success ? This seems to be a very simple question , and one would expect that IVF doctors should be able to answer this easily – after all, we are medical specialists , with years of experience and expertise ! However, the reality is we can't answer this question, and the truthful answer is – No one knows . Unfortunately , this is not the answer which patients want to hear , and because doctors are smart , rather than be honest and tell them that no one in the world ..read more
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How to bounce back when your IVF cycle fails
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
It can be very hard to accept the fact that your IVF cycle has failed, because every patient does every IVF treatment with the hope that it's going to work ! Many women will repeat the HCG test multiple times, because they aren’t willing to confront this bitter truth, while others will go into mourning. It’s important to be prepared to deal with failure , because it’s impossible to predict which cycle will succeed. Having realistic expectations and arming yourself with Information Therapy can help you deal with these ups and downs, and make you more resilient. When your beta HCH comes back ..read more
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How to win the IVF jackpot !
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
Most patients think of IVF as being a highly scientific , precise, and accurate process , and whenever they start an IVF cycle , they do it with the expectation that they are definitely going to get pregnant . After all, the doctor is making an embryo in the IVF lab and putting it back in the uterus , and there is absolutely no reason why the cycle should fail if the embryo is good, the uterus is healthy, and the doctor is competent. After all, isn’t an embryo the starting stage of a baby ? Sadly, the reality is very different . The truth is that most IVF cycles fail, no matter how medicall ..read more
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Stress does not cause IVF failure !
Dr.Malpani's Blog | Helping patients and doctors to talk to each other!
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1y ago
When an IVF cycle fails , patients are understandably upset , and demand answers for the failure, especially when the doctor told them at the time of transfer that the embryo was a top quality embryo, that their uterus lining was superb , and that their chances of getting pregnant were 90% (clearly a lie, but providing false hope is something which bad doctors resort to very often). When their hopes come crashing down, they turn to their doctor for answers . Many doctors respond by blaming the patient for the failure ! They say the embryo did not implant because she was too stressed out, or ..read more
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