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IVF in most clinics is very
regimented and protocol
driven. In IVF treatment there
is little involvement fo
doctor and usually supervised
by nurses who often apply same
pattern to all their patients.
This means that they are not
taking care of patient as per
their individual need.
The doctor then simply needs
to check that these steps have
been performed by the nurses ,
so that no one is really
applying their mind to each
individual patient’s response.
Typically, an IVF cycle
has:
Use
less test problem
:
A long list of tests prior to
starting an IVF cycle. Most of
these tests are of no use
whatsoever, because they do
not affect the treatment or
its outcome. However, they all
need to be performed
mindlessly, because “that’s
the way we do things here” !
No one has ever bothered to
evaluate whether these tests
are useful or cost effective,
so they continue to be done
“routinely” for all patients.
To add insult to injury, most
clinics will not accept
results from non-US labs or
clinics, so patients are
forced to repeat all their
tests again – a sad drain of
resources and energy.
Pre Treatment :
Many clinics follow standard
long procedure of IVF. Often
patients are pre-treated with
a month of birth control
pills; and then down regulated
with lupron which starts from
the month prior to the actual
IVF cycle. This often means
that a typical IVF cycle takes
over 6-8 weeks to complete !
Daily
Test :
During the IVF cycle, patients
are subjected to daily blood
tests. While most IVF doctors
normally agree that most of
these tests are just a waste
of time. Doing tests on a
selective basis can be useful
in some patients.
By this each IVF cycle usually
ends up taking 2 months, and
often drains a patient
emotionally ( and
financially). It’s bad enough
being infertile, but going
through IVF in most clinics
just adds to the stress.
However, keeping the treatment
complex helps doctors in the
US to justify the abnormally
high fees they charge – over
four times as much as
comparable clinics in India !
This is the simplified FAST
IV Procedure we practicing
successfully:
1. The tests we need prior to
IVF are tests to check the
quality of the eggs , sperm
and uterus. We need only the
following:
a. semen analysis
b. blood tests for FSH, LH,
PRL and TSH
c. vaginal ultrasound scan to
confirm the uterus is normal
2. Our IVF start from day 1.
3. We monitor egg maturation
with the help of vaginal
ultrasound scans. Since we do
it ourselves, it’s easy to
correlate scan results with
the treatment given, and to
modify the treatment
accordingly. We normally do
not do any blood tests during
the IVF cycle .
4. We provide luteal phase
support with prog esterone
suppositories. We do not give
the painful injections of
progesterone after transfer,
because there are much less
effective than vaginal
progesterone.
This means our IVF treatment
protocol is easy, simple, less
stressful, with a high
pregnancy rate, and is much
more patient-friendly and more
repeatable .
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