US couple successful at Malpani IVF Clinic despite Dr. Malpani complaints

Contrary to claims found on the internet about Dr. Malpani’s poor service and his so called unauthorized charges, a couple from the United States fell pregnant after IVF Infertility Clinic in Mumbai, India. Here is their story of despair, sadness and ultimately… pregnancy!

I am a computer engineer in California, United States. My wife and I tried for a baby for three years after we got married. After consultation with doctors here in California it was established that I have a low sperm count, and if we wanted to have a baby, it would have to be by means of IVF infertility treatment.

We had no idea what IVF treatment was, but we had heard that such treatments were very expensive, sometimes close to $20.000 per cycle, with a success rate of only 35%. To top it all off, hardly any medical insurance company covers these kinds of procedures. We were desperate and very, very sad. There was no way we could afford to pay this kind of money and we were at a loss as to what to do.

At some point my wife suggested we have a look on the internet to see what we could find about IVF treatment abroad. She found some clinic in India, and my immediate response was: No way. I don’t think they’ve ever even heard of IVF in that country.

Luckily my wife was very persistent, and she eventually found the Malpani Clinic in Mumbai. When we contacted Dr.Malpani, he was very accommodating and explained all the options to us in detail and with a lot of patience. I was actually not so hesitant anymore after that call. But to be certain, I decided to email some of Dr. Malpani’s patients in the USA to get some feedback, and each and every one of them were full of praise about Dr. Malpani.

At that point we decided to go for it. We travelled to India to meet the doctor at his clinic. He explained the entire IVF process in detail, from A to Z so to speak. His book also helped us a lot, and we got a lot of information from his website. During the treatments, the doctor explained everything very carefully each time. His wife, Dr. Anjali, is a very skilled doctor as well. She did an amazing job at the egg retrievals and she was wonderful during each visit.

During the embryo transfer process, Dr. Malpani let us see the embryo lab, where he took us through the IVF process, and showed us how they mix the sperm with the eggs, at all times ensuring we were comfortable with everything.

In the second week, we did the blood test. I can tell you at that time we were the happiest couple on the planet, we were pregnant! Thanks to Dr. Malpani and all the wonderful medical staff at the clinic. We also had some embryos frozen for our next babies.

Finding a doctor like Dr. Malpani is very difficult in a world where money and selfishness rule. And although others may talk about Dr.Malpani unauthorized charges and expensive fees, he is far more reasonable than the clinics in the US. Moreover, I truly believe that he is doing these treatments to serve the community and help couples  conceive.

Our baby is born and everything is going very well. We are a very happy family. I can recommend Dr.Malpani to anyone who is struggling to fall pregnant. Go and see him, without any doubts in your mind!

POSTED BY DR.MALPANI

 Articles:

• Dr.Malpani Infertility clinic
• Dr.Malpani Complaints Blogs (Dr.Malpani ratinale behind the Complaints on the Expensive medications)
• Dr.Malpani Complaints Blog (Dealing with patients compliants on infertility)

Dr.Malpani Complaints and Reviews

Dr.Malpani differentiates between unexplained infertility and incompletely evaluated infertility

In some cases the patient is unable to conceive , even if all the tests conducted are reported as normal . This causes a lot of frustration , and they go on spending a lot of money , to little avail.

Such cases are labelled unexplained infertility. In these patients, the results of all their fertility tests (hormonal blood tests for LH, FSH, PRL, TSH and AMH to determine the egg quality; semen analysis; ultrasound scanning for monitoring ovulation ; and HSG or hysterosalpingogram to determine the tubal patency) are all normal.

These cases are very frustrating for the patient, because they are unable to understand why the doctor is still unable to pin point the exact cause of their infertility. Normally patients expect a scientific answer and a precise diagnostic label from their doctor , and if he fails to provide this, they are likely to complain, because they  feel he must not be competent to find the reason for their infertility.

They are unable to understand why they are not able to get pregnant if all their tests are completely normal ! If the truth be told, the technology being used for the identification of reproductive problems is quite crude. Thus we can check if the fallopian tubes are closed or open , but testing their functioning is another cup of tea ! Similarly , we can easily check the motility of the sperms , but cannot say anything definitive regarding their ability to fertilize the egg. In cases of unexplained fertility the basic reproductive apparatus (tubes, uterus, sperms and eggs) seems to be working fine. However most patients have the complaint that if the doctor is not able to find the problem , then how he will find a solution for it.

An even better term for this type of infertility will be undiagnosed infertility , as it is due to the limitations of the techniques , rather than the doctor or the patient.

However, when patients are told about their unexplained fertility, they try and pressurise the doctor to run more tests. Most patients conclude that if their infertility is unexplained, this means it has not been diagnosed completely or properly . This is why doctors are browbeaten to conduct unnecessary tests – some of which are very expensive and complex. Many of these are not related to fertility at all ! However , the problem which arises with ordering a bewildering multitude of tests is that sooner or later , one of them will turn out to be abnormal , even though it doe snot affect your fertility. The doctor will then proclaim that he has finally found out the cause of your inability to conceive. To add insult to injury, he will conclude that he is better than your earlier doctor, who was co incompetent, that he had not even bothered to order this test !

The major problem with such an approach is that many of these abnormalities are incidental, and might not be related to your infertility problem at all. However if there is a problem , then the doctor needs to provide a “solution” for it. This results in wastage of a lot of money and time. After several failed attempts , many patients get frustrated , and no longer wish to explore more sensible options like IVF , which could have allowed them to bypass all their problems, and would provide them with a cost effective solution !  

POSTED BY DR.MALPANI

 Articles:

• Dr.Malpani Infertility clinic
• Dr.Malpani Complaints Blogs (Dr.Malpani ratinale behind the Complaints on the Expensive medications)
• Dr.Malpani Complaints Blog (Dealing with patients compliants on infertility)

Dr.Malpani Dealing with patients complaints on Infertility

GIGO AND INFERTILITY

The ability to ask the right questions about infertility will ensure you save valuable time and effort.

I just saw an infertile patient who had more than 3 thick files , bulging with numerous medical tests and reports. They had sought advice from over 10 infertility specialists, who had recommended every possible medical test under the sun possible to figure out what their problem was. They had tested her for antisperm antibodies, NK cells, hostile cervical mucus, tuberculosis, Chlamydia, sperm DNA fragmentation; she had done any test you can name ! And after each test done , they felt more and more helpless, because each  result was normal. “Why can’t I get pregnant, doctor, if everything is normal?” was her lament.

It amazed me on how little she had learnt from her visits to so many doctors.

She was constantly seeking answers to the wrong questions and not learning from her past experiences! She expected the same from me, to ask her to do a few more tests, or advice the latest new technique to diagnose and find the problem.

She had to be reminded that the kind of answers we get to our questions depends on the quality of question we ask. Instead of asking about “What is the problem? Why aren't I getting pregnant?”, her question should have been – “ What can I do to get pregnant?” People only care about solutions – no one cares about problems.

By asking a better question, one gets a better answer! She had to be made to understand about this new perspective and I had to guide her through this viewpoint. The important thing was not her reason for infertility– the only thing which mattered was how we could go about fixing the problem.

Everyone knows about GIGO: Garbage In, Garbage Out. If the only question you keep asking is “What’s the problem?” then you will end up wasting a lot of time, money and energy in order to identify the problem. Most of the diagnostic labels that we use in reproductive medicine are inaccurate, unreliable or even completely wrong. A few years ago, we had wrongly diagnosed many patients for having an “inadequate luteal phase” and even treated them for the problem. We realized later, with retrospection, that not only there was no such condition, that we also did a major disservice to the patients by treating them for a non-disease.

It brings great grief to my heart to see so much time and money being wasted by infertile patients and their doctors in pursuing a pointless diagnosis. Is it the endo, doc? Could I have antisperm bodies? These are futile questions !

Thus, after an unsuccessful IVF cycle, the first thing a patient asks me is – Why didn’t I get pregnant? (Ironically, none of the patients who do get pregnant after IVF ever bother to ask - Why did I get pregnant? We are not in a position to answer either of these questions reliably - more often than not , it is a matter of chance as to which cycle works !)

The correct thing to ask after a failed IVF cycle would be to – What should my next course of action be ? Most of the times, the best option is to repeat the IVF (In Vitro Fertilization) cycle. You may feel it’s like buying a lottery ticket- there is no compulsion to do so, but if you do not buy, you do not win either! And the more often you buy, the better are your chances of winning!

The ideal question to ask would be- What would be the next step? It is a good idea to enumerate all the possible treatment options- starting from stopping treatment and remaining child-free; adopting, repeating the IVF cycle, doing the IVF cycle at a new clinic; or using third party reproduction. Once that is done, you can then eliminate the options that you would not be willing to consider, so that you are left with the options that you are willing to explore. You need to think about all these options carefully until you come to a decision as to which option would suit you the best.

More often than not, after using this approach , you will find that the absence of alternatives makes decision making easy, and you can then plan your next step and navigate your path through the infertility maze with much greater ease!

POSTED BY DR.MALPANI

 Articles:

• Dr Malpani - Patients with poor ovarian reserve - flogging a dead horse ? (drmalpani.wordpress.com)