Thursday 4 July 2013

Dr Malpani discusses the commonest complaints:The pain of a failed IVF cycle.

The pain of a failed IVF cycle

IVF specialists and patients need to figure out a way to live with the fact that most IVF cycles do not succeed. For each patient who gets pregnant, there will be at least one who doesn’t and we can never predict who will be the lucky one.
So is IVF like a game of roulette where one continues to take a chance until she gets lucky?
Regrettably, it appears as though it is. Human reproduction is not a particularly effective venture – regardless of the fact whether it is being completed in an IVF facility or in the bedroom. While we can make embryos in the IVF lab, their implantation is still uncharted territory which is not in our control. Even after completing 4 IVF cycles and transferring beautiful embryos, if the patient has still not been able to get pregnant, the patient will bombard the specialist with questions , which sadly still cannot be answered us.
However, patients are not satisfied with the fact that their IVF expert does not have all the answers for a failed attempt. As they are investing so much cash, time and energy , they feel cheated when they do not get the answer, and a very honest “we do not know” is not sufficient.

 After an IVF cycle falls flat , all the flak is directed towards the specialist. Patients have lots of complaints and they feel that their specialist might have been incompetent ! Or did he goof up during the process? Because doctors are human as well, the specialist might also feel that he has let his patient down.

Due to this reason certain specialists 
resort to doing very expensive tests or experimental treatments, to “help” patients who have failed IVF cycles. These are done to keep their patients happy, and to stop them from complaining. Patients are fooled, because they feel their doctor is now going one step further – and they are finally on the path to success !

This is irrational , and it’s best to tackle the problem logically rather than to clutch at straws out of desperation.

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