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The 10 Commandments of Choosing the Right IVF

Centre for your Infertility Treatment
(i) Foremost, is the doctor qualified by a degree recognised by the Medical Council of India
(example FNB)? Most IVF clinics would want you to ignore this fact as they are manned by
doctors who self-proclaim to be IVF specialists after just a few months of training!!

(ii) Do they have a QUALIFIED, IN-HOUSE SENIOR EMBRYOLOGIST? Most clinics have this
unfortunate trend of having only junior staff in the embryology laboratory and the senior ones are
“Fly-by” embryologists who’d only come for ICSI and rush off as soon as it is over. Do understand
that your precious embryos are made by the Embryologist, who is the single most important
person in this whole process of achieving pregnancy. Is the embryologist qualified and have
sufficient experience?

(iii) How is the technology? Do they have scientifically updated equipment? Do they have a
rigorous Quality Control and Quality Assessment (QC & QA) programs running in their labs
regularly?

(iv) Is the staff compassionate and humane towards their outlook? Do they offer emotional well -
being counselling? Do they even care about us like human beings or we are just part of sheer
‘numbers’?

(v) Does the doctor know about or offer Natural cycle IVF / mild IVF? Do they have sequential
transfer protocols or segmented IVF to enhance success rates? Are they a dedicated, stand -
alone IVF Centre or someone who is busy practising Obstetrics and have just started IVF as a
side-income?

(vi) Do they offer newest technological advances like IMSI, PICSI, Laser hatching, micro TESE
for Azoospermia, ERA, PGS (chromosomal screening of embryos), Time-lapse selection of
embryos or single embryo transfer?

(vii) Will my embryos be cultured in 20% O2 or 5% O2 bench-top incubators? What is the clinic’s
experience in Blastocyst transfer? What is their experience in giving pregnancies out of Frozen
Eggs?

(viii) Do they provide assurance or confidence about preventing mishaps like ‘embryo switch’ or
transferring misplaced embryos of other patient into myself? At Janini we have a sophisticated
“Matcher” technology that prevents exactly these accidents from happening. At every step of the
way your semen samples or follicular fluid is properly marked, labelled and undergoes “Double
witnessing” so that the Embryologists are double sure that the samples are not mixed up. In
addition, we offer a DNA testing of the baby to assure that your baby is indeed yours!

(ix) Are they really TRANSPARENT at every step of the way? Do they reveal the number of eggs
we retrieved at the time of pick-up or they hide this from us? Do they tell us about the number
and grade of embryos formed? Importantly, do they share transparently the total cost of the
treatment or they hike up the costs later on by adding hidden charges?

(x) Last but not the least, what are their success rates? Are other patients at their clinic getting
pregnant? Do they mostly offer donor treatment rather than focussing on my own sperms or own
eggs? Do they keep offering ‘packages’ for multiple cycles or focus on just one cycle at a time?