Surrogacy in India at this time next year, will have changed completely. There many unscrupulous doctor's involved in the business of surrogacy, sadly, just reading positive blogs is not enough to protect you. The majority of intended parent's do not blog about surrogacy in India, for a host of reasons. Sadly, many wish to keep the veiled secrecy that they even used a surrogate in India, and for many, after so many negatives they have given up. With that said, there is hope that you can have a baby born via a surrogate in India, but buyer beware. Do not look for the least expensive doctor that you can find in India, because you will pay one way or the other.
Bad IVF doctors and how to protect yourself
While IVF technology has miraculously made successful pregnancy
possible for almost every couple, not all IVF Clinics are created equal.
Protect yourself from ineffective treatment and possible physical
damage by learning how to differentiate between a good IVF clinic and a
bad one.
There is no doubt that IVF technology represents one of
modern medicine's success stories. Using IVF , we can help couples who
could never have a baby with any other technique to start their own
family.
However, woe betide the patient who ends up in a bad IVF
clinic ! For example , one of the IVF clinics in New Delhi is owned by a
skin specialist. This doctor, who is not even a gynecologist , offers
IVF treatment ! Not only are your chances of getting pregnant in a bad
IVF clinic very low, you also run a major risk of losing a lot of time,
money and energy. Not only do you pour your money down the drain, you
also end up losing confidence in IVF technology, thus depriving yourself
of your best chance of having a baby . And when you do find out
afterwards that the IVF clinic you selected was a bad one, there is
little you can do about it ! Blaming yourself or cursing the doctor
afterwards does not help, which is why you need to be very careful when
deciding which fertility clinic in which to do your treatment ! Caveat
emptor - and this is why it's very important that you do your homework
carefully - you are making a major investment !
Some useful guidelines to help you find the best IVF doctor are here.
How
do you identify a bad IVF clinic ? It's important to be critical and
careful, and not to take everything the IVF clinic says for granted. A
common problem is that even bad clinics will quote high pregnancy rates
because these are published in the medical literature, rather than share
their own
success rates.
Unfortunately,
many patients naively assume that all IVF clinics are equally good.
They often select a fertility clinic because it is close to them;
because they charge less; or because they know of someone who took
treatment there and got pregnant. However, remember that there is a
world of a difference between a good IVF clinic and a bad IVF clinic -
not all IVF clinics are equally good ! It can be far more cost-effective
to fly down to a good IVF clinic with a high pregnancy rate, even if
this does cost a little more, as your "cost per baby " is likely to be
much less, rather than to do IVF in a local fertility clinic with a low
pregnancy rate !
Some IVF clinics in India depend upon the
services of a part-time embryologist, who flies down only once or twice a
month to perform the IVF or
ICSI
procedures. These fertility clinics batch all their patients together,
and then perform about 5-20 treatments over a period of 2 days. This can
be dangerous for you ! Not all patients grow eggs at the same rate !
Suppose yours grow too slowly ? Or too fast ? The doctor has no choice,
but to perform your
egg collection on the pre-scheduled date, thus resulting in a major drop in your chances of conceiving.
TopOther
IVF doctors are only "part-time" IVF doctors. They spend most of their
time delivering babies or doing hysterectomies ( which is often far more
profitable). They do IVF simply to provide an additional service. Such
an attitude often results in their providing a sub-optimal service
because they cannot devote the time and energy needed to provide high
pregnancy rates. Full-time IVF doctor who do nothing else have much
higher pregnancy rates, because their entire reputation and income
depends upon their IVF pregnancy rates !
Other IVF doctors enjoy
jetting around or travelling from place to place. They set up a "chain
of IVF clinics" all over the country to get more patients, and then
spend their energies running around from clinic to clinic. This often
means that they are not available to monitor your treatment. You may
find that you only see the "big-name" doctor once - for your first
consultation. Afterwards, this doctor is never available for you !
Other
fertility clinics cut corners and compromise by using underhand methods
and dirty tricks. They "share" your eggs with other patients without
informing you, thus earning an additional income from their egg sharing
programs, which they advertise to attract infertile women who need
donor eggs ! However, not only is this grossly unethical, it also means that your chances of getting pregnant are drastically reduced !
Many
bad IVF clinics do not offer the full range of services a good IVF
clinic does. Thus, they do not offer embryo freezing facilities, and
they "bad-mouth" embryo freezing technology, claiming that the pregnancy
rates with frozen embryos are poor ! Fertility Clinics which cannot
freeze embryos are technically inadequate; and will often "donate" your
spare embryos to other patients without your consent !
Others buy
second-hand incubators; or poor quality equipment. They try to save
pennies by not servicing their microscopes; using cheap IVF culture
medium ; or "recycling" disposables such as catheters and
egg collection
needles, thus increasing your risk of acquiring an infection and
reducing your chances of getting pregnant. Many have very old, poor
quality
ultrasound scanners, which make it hard for them to see the follicles or do an
egg collection.
I
agree that it's very hard for the average infertile patient to judge
the technical competence of an IVF clinic. Ideally, your clinic should
be open and above-board ; and should be happy to show you around, and
share information with you during your treatment.
TopSigns of a bad clinic include:
- When they refuse to show you their equipment or facilities
- When you do not get a chance to talk to the same IVF doctor
- When they do not show you the ultrasound screen during your monitoring or tell you how many eggs you are growing
-
When there is a major discrepancy between the number of follicles you
grow on scanning and the number of eggs they collect from you
- They do not show you your embryos under the microscope
- They do not offer embryo freezing facilities
- They do not give you a discharge summary at the end of your treatment
What
happens in many IVF clinics is very distressing. It pains me when I see
patients who have been through many IVF treatment cycles, but know
pathetically little about their treatment details, because the clinic
never provided them with this information.
Embroidering pregnancy
rates is an art some ART clinics are very good at. I know of some
doctors who deliberately give their patients repeated HCG injections
after
embryo transfer,
( Inj Profassi, or Inj Pregnyl) and then measure the blood level of
beta HCG a few days later to prove to the patient that she conceived !
Since the beta HCG level is positive, the patient naively believes she
did get pregnant (when it become negative, the doctor explains that she
miscarried) , little realizing that the positive test result was just a
result of the HCG hormone administered to her in the injection !( If the
doctor gave her husband the same injection, he would have a positive
pregnancy test too ! ) Such a cruel trick not only gives the patient
false hope which is dashed to pieces, it also hooks her to the clinic
for life, since she "nearly" got pregnant in her previous cycle.
Even
"internationally reputed" clinics resort to some underhand practices -
and perhaps this is even more dangerous, because few patients dare to
question them , given their reputation. Thus, some push unproven
treatments such as immunotherapy for recurrent pregnancy losses,
offering their patients false hope after making them spend lots of
money. Since these treatments are still controversial and unproven, it
would only be fair to offer them as part of a controlled clinical trial,
at no charge to patients. However, these patients are often so
desperate, that they are happy to grasp at straws - especially when
these are cloaked in the garb of scientific gobbledygook.