Dr. Narendra Malhotra
MBBS (Obs & Gyane), MD,
FICMCH, FIAJAGO, FICOG,
Past President - FOGSI (The Federation of Obstetric and Gynaecological Societies of India; President Elect - ISAR (Indian Society For Assisted Reproduction)
Achieving global standards is the goal
DR NARENDRA MALHOTRA completed his MBBS and MD (Obstetrics and Gynecology) from AMU, Aligarh. He was motivated to move ahead in this field because of his passion for work and care for patients. In 1987 he started doing laparoscopy at Malhotra Nursing and Maternity Home and in 1990 an IUI clinic was set up. The Malhotra Test Tube Baby Centre came into existence in 1997. Since the scope for further expansion at the location was lim- ited therefore they built a whole new multi-spe- cialty set up and Rainbow Hospital started operation in 2013.
Dr Malhotra says there are several common myths related with infertility in our society. One of the commonest is that infertility is the problem of the female, whereas this is absolutely untrue. In 35% of the cases it is associated with the male partner. An- other common belief is that the delay is getting pregnant is only a matter of time and one must keep trying. He says that it must be understood that infertility is a medical issue and needs to be treated as such. Time, according to him, is of utmost im- portance as with advanced age the quality and number of eggs produced decreases and so does the success rate.
The issue of ‘unexplained infertility’ is also impor- tant to be understood because it is a complicated matter. Unexplained infertility is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually including semen analy- sis in the man and assessment of ovulation and fal- lopian tubes in the woman. He says it is really hard to explain this to patients and that is why counsel- ing is of utmost importance. His center has a dedi- cated counselor who takes care of such cases and keeps the morale of such patients positive.
At the same time he explains the risks associated with ART. It is important to understand that any medical or surgical treatment always has some risks or side effects associated with them. Some of the risks associated with ART are multiple pregnancies, OHSS, risks of anesthesia etc.
With more than 20 years of experience in the field of infertility, at Rainbow IVF their patients are al- ways their first priority. At the centre they have a holistic approach, cutting edge technology, a prob- lem-solving mindset, counseling by experts, vari- ous relaxation exercises such as fertility stretch, yoga, aroma therapy and massage for improving circulation. These features make Rainbow IVF cen- tre different from other centers. He says Rainbow IVF offers to its patients the best that the world has to offer. With a dedicated and hard working team of doctors and the latest technology the level of care at the center is unmatched.
He says that according to recent guidelines if a cou- ple is unable to get pregnant even after a year of un- protected intercourse then they should definitely consult an expert without wasting any time. He be- lieves that having a positive mindset definitely helps in getting better outcome and taking care of the emotional needs of the patients takes top prior- ity. The dedicated counselor also holds group classes focused on enabling the patients to cope with infertility-related stress.
He admits that ART is one of the hardest things to cope with, especially for the Indian patient. There are still some taboos associated with infertility es- pecially in the rural and suburban regions. In urban areas patients are now more aware of ART proce- dures and deal with the treatment in a better way. He feels there is a lot of awareness still required and utmost dedication from a patient is also required. This dedication ranges from strictly following the schedule of injections, to reducing weight etc. It is a tedious process and therefore there are coordina- tors in place to help make the journey better
His advice for the patients is to go for dedicated in- fertility specialists, who are not busy in obstetrics, proper clinic and laboratory, counseling, patient- friendly approach, transparency and dedicated consultants who give time to explain the treatment. For him each case of infertility is a challenge. But older women with very sad stories about losing teenage children pose the biggest challenge. Such patients, he says, need a lot of counseling and the grief is always there during the treatment cycle. Usu- ally such women are aged over 50 and the ethical dilemma of offering treatment to older age group is always challenging. Similarly, treatment of young women with premature ovarian failures is also a big challenge.
At the end of a hectic day he relaxes by reading, which he loves. He also enjoys writing medical books, listening to music, playing sports, doing yoga and meditation.