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Malpani Infertility Clinic is a boutique
infertility clinic, and we pamper all our patients. Most of our
patients feel the care we provide is often much better than the care
provided in clinics in USA and UK.
Here is what one of our patients had to say.
“Thank you for providing us the best care and
treatment for our IVF cycle. This is our fourth cycle and we hope it
would be a successful first. Our last two cycles were done in US. It
is but natural that we would draw comparisons between our treatment
processes in US and in India and you will be glad to know that in
our minds, your clinic ranked much higher. We feel it important to
acknowledge some of your clinic's best features
- We were very impressed with the prompt and clear responses to each
and every e-mail and phone queries. In most of the cases, responses
were within a few hours or overnight.
- We, as patients, get to interact directly with the doctor in your
clinic most of the times. This is very different from US IVF
processes, where we had to wait months to get a consult with the
doctor. Most of the questions and info was provided through nurses.
We did not always feel confident we were getting the right answers
or the complete attention. This caused us ample emotional distress
in our US IVF cycles. Thanks to the unique Indian personalized
culture, with the specialized knowledge of doctors in your clinic,
we never felt that emotional void during our treatment period.
- In terms of equipment, technology and the protocol of keeping the
patients updated with the process, your methods are on par with US
standards, if not better. Each of you explained with very systematic
visual aids the scan results, the ICSI process and the embryo
development. Even a non-medical layman like me could very easily
relate to the process we are going through.
- Amongst the major challenges we faced in the US , the most
complicated is that of medical insurance. After our several years of
stay in US, we still have not been able to comprehend their process
of insurance, which is a cause for substantial stress. Your
reasonable costs and simple procedures helped us get past that
hurdle.
- Your books and written material is definitely informative and easy
to understand.”
We feel we provide better care because we
provide all your care ourselves – from A to Z. I answer all the
emails. I run this website. I do all the consultations and design
your treatment plans. Dr Anjali does all the ultrasound scans. Dr
Anjali does all the egg collections. Dr Anjali does all the embryo
transfers. What does this mean ? It means that you get very high
quality consistent care throughout. We are very experienced and very
skilled, because we do everything ourselves, and we do nothing else.
Our nurses are very skilled, and we could easily
allow them to do a lot of this clinical work themselves, just like
most clinics in the US do. We are now quite senior, and we could
employ assistants to do a lot of this work, just like most clinics
in India do. However, we don’t. We feel your treatment is extremely
important, and we pride ourselves in our skills and abilities. We
are not comfortable delegating or “outsourcing “ your clinical care
to anyone else. We feel it’s important that we do it ourselves. This
allows us to maintain high quality standards – after all, if doctors
are too busy to take care of patients, then what are they good for ?
In most other IVF clinics, on the other hand, the only time you see
the doctor is when you go in for your fist consultation, at which
time the doctor will spend a lot of time with you. After this, once
you have started your IVF cycle, you will most probably never see
him again. The scans will be done by ultrasound technicians; the
medication instructions and lab results will be discussed with you
by the nurses; and the egg collection and embryo transfer performed
by whoever happens to be on duty that day. Is this what you are
paying for ? To be taken care of by assistants and nurses ( however
good they may be ) ?
It’s very common in most IVF clinics for the
ultrasound scans to be done by a technician; a nurse; or a
radiologist ( ultrasonographer). However, Dr Anjali does all your
scans herself. The reason for this is simple – the eye only sees
what the mind knows, and doing the scans allows Dr Anjali to
fine-tune your medications and help you grow optimal quality eggs.
It’s very common for patients to report that they had 10 follicles
on the ultrasound scan; but only 6 eggs were retrieved at the time
of egg collection. This is bound to happen when one person does the
scans and someone else does the actual egg collection. This is never
a problem in our clinic, because Dr Anjali does all the scans and
egg collections herself !
We are a full-service IVF clinic. We offer all
services under one roof, including all the latest technologies, such
as ICSI, embryo cryopreservation, PESA, TESE, laser assisted
hatching; blastocyst transfer; PGD. This flexibility allows us to
customize a treatment plan for you which maximizes your pregnancy
rates.
We offer all our services in one facility only –
our clinic in Colaba, Bombay. We do not go anywhere else, which
means you are sure you will always find us here ! This is in sharp
contrast to many other IVF doctors in India, who run around from one
clinic to another, and even one city to another, in order to try to
treat as many patients as possible. If they are busy in another
city, how much time can they spare for you ?
We cycle patients throughout the year. We do not
“batch “ patients, which means we can treat you to suit your
convenience ! You don’t need to wait for us.
We carry out 300 cycles a year. Since there are only 2 doctors in
our clinic, this means we are quite busy, which allows us to keep
our skills sharply-honed and ensure a high pregnancy rate. Since we
perform an average of about 2-4 procedures ( egg collections and
embryo transfers) daily, this also allows us to spend enough time on
each procedure and do it properly and carefully, so we don’t have to
rush through them. This is in sharp contrast to certain clinics,
which do about 10 procedures daily – and don’t have the time or
energy to do them well. For example, we use a double-lumen needle to
do egg collections. This allows us to flush each follicle
individually, so that we can be sure we will get an egg from each
follicle we puncture, if the egg is there. This means that it often
takes us about 20-30 minutes to collect all the eggs. By contrast,
most other clinics use a single lumen needle. The only advantage of
this option is that it allows the doctor to finish the egg
collection procedure quickly, so he can move on to the next patient
! While a single lumen needle works well for most patients, it’s not
good for 2 groups of patients – those with few eggs; or those with
too many. If patients have few eggs, doctors who use a single lumen
needle often miss these and lose them. After spending so many
hundreds of dollars in growing these eggs ( which means that each
egg is worth a lot !), we are surprised why doctors take such a
cavalier attitude towards the technical minutiae of egg collection
for this group of patients. Similarly, because we flush the follicle
of patients with PCOD, we can reduce the risk of their developing
OHSS dramatically.
Another example of our ability to customize care
for our patients is our ability to do a ZIFT for patients who have
few eggs. In conventional IVF, we keep embryos in the incubator for
2-3 days, and then transfer them into the uterus. Now, neither the
uterus nor the incubator is the ideal place for these embryos, but
for patients with many embryos, it does not really matter, and
pregnancy rates with IVF are very good. However, for poor
responders, we have the ability to do a ZIFT for them , in which we
can transfer the embryos directly into the fallopian tubes.
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