Wings Hospitals

It is matter of great debate whether a laparoscopic intervention is really required before starting an IVF treatment. Some clinicians have made it a protocol to conduct laparoscopy in each and every patient which seeks IVF treatment . Following is my honest opinion on surgery before IVF treatment: 1) According to me, Ovarian drilling 'kills fertility'. So it an honest request that please do not proceed with it unless that is the last resort. 2) Fibroids less than 4 cm in size doesn't require surgery before IVF treatment 3) Less than 4 cm endometrioma(chocolate cyst) doesn't require surgery. Only in cases of extreme pain, surgery should be considered. 4) Pre-IVF Hysteroscopy for all it is totally commercialization from some doctors 5) Adeno myomectomy is also unindicated surgery. Only due to some commercial clinicians, surgery has become a norm for infertility treatment. It is absolutely not mandatory unless doctors are unable to analyse the cause for infert...

Indian medical fraternity lacks guidelines for IVF regarding the type & standard of lab and instrumentation required. Also, no specific education and qualifications are fixed for an embryologist and the biggest menace is free lancing of embryology which directly impacts the results negatively and thereby increases IVF failures in the society. Main issue in the recurrent failure cases is female egg quantity and quality as multiple attempts depletes the ovarian reserve thereby leading to more failures and thereby needing third party donation. So a structured method adopted from day one of IVF treatment can guarantee a lesser need for third party donation. To improve the IVF results and reduce recurrent failures couples should keep a track of the below: (1) Visit only experienced IVF specialist which cannot be a routine Gynecologist. (2) Need to choose state of the art and advanced IVF lab with high tech instruments with proper QA/QC in the lab (3) In house experienced embryo...