Patient: I know this sounds weird, but I read something recently that really disturbed me, Dr. Malpani. After the baby is born, some people advise couples who used IVF to get a DNA fingerprint test. Is that even required? That seems a little extreme, doesn’t it?
Dr. Malpani: That isn’t odd at all. Actually, I think it’s a really good question, and I appreciate you bringing it up. Unfortunately, there are so many unethical IVF practices in the world today, particularly in India, that this test might be the only way to verify the truth. I realise it may sound paranoid at first.
Patient: However, why is it necessary for a couple to examine the DNA of their own child? The clinic would have used their sperm and eggs, isn’t that clear?
Ideally, yes, says Dr. Malpani. Every couple assumes that, and with good reason. The goal of IVF is to help you conceive a biological child. Unfortunately, not all IVF clinics maintain that level of confidence. Numerous cases of clinics using donor sperm, eggs, or even embryos without the patient’s full, informed consent have been reported.
Patient: Without permission? That seems like a serious infraction!
It is, Dr. Malpani. And people don’t realise how common it is. Success rates are frequently the only driving force behind these clinics. Certain clinics covertly use donor gametes or embryos to boost the likelihood of pregnancy if the woman has a low ovarian reserve, the man has a low sperm count, or the couple has previously experienced unsuccessful IVF cycles.
Patient: However, isn’t that against the law?
Dr. Malpani: Definitely. It is against the law and unethical to use donor gametes without both the patient’s and the donor’s express informed consent. However, a lot of clinics get away with it because they are good at hiding their activities.
Patient: How are they able to deceive the patient?
Dr. Malpani: It typically occurs during embryo transfer, when patients are at their most vulnerable and overwhelmed emotionally. In passing, the doctor might remark that the embryos “may not be top quality” or say something ambiguous like, “We’ll do what’s best.” A lengthy, intricate consent form full of medical jargon is then given to them. The couple signs it without realising the consequences because they are desperate for a child and have faith in their doctor.
Patient: So the doctor says the patient agreed while hiding behind the form?
Dr. Malpani: That’s right. On paper, it’s consent, but not in practice. Informed consent isn’t what that is. Additionally, clinics occasionally don’t even bother to obtain consent. They won’t ask too many questions because they just assume the patient will be content if they become pregnant.
Patient: However, what if the couple later decides they would like to know the truth?
Dr. Malpani: A DNA fingerprint test can help with that. It’s the only surefire method to verify that the child is genetically yours and your partner’s. It’s a straightforward test that many accredited labs offer. All you need is a cheek swab from the infant and both parents.
Patient: What would happen if the results revealed the baby wasn’t genetically related? That sounds very emotional.That could be a devastating discovery, Dr. Malpani said. Imagine undergoing nine months of pregnancy or even years of infertility treatment only to discover that the child you believed to be biologically yours is not. Some couples experience profound regret, others feel deceived, and many are too embarrassed or scared to discuss it in public.
Patient: However, wouldn’t the majority of people just rather be in the dark?
Dr. Malpani: Yes, some would. However, the truth is important. Furthermore, I urge couples to think about taking this test not only for their own peace of mind but also as a means of holding dishonest clinics responsible. Clinics will be compelled to adhere to ethical standards if more patients begin to demand transparency and to confirm the results of their treatments. It’s about preventing future parents from being taken advantage of.
✅ 5 Justifications for Considering a DNA Test Following IVF :
- To confirm that your child is biologically yours : This is the most fundamental IVF expectation. That confirmation comes from a DNA test.
- To Protect Yourself from Medical Misconduct : Having DNA evidence is your ethical and legal recourse in the event that you suspect a problem occurred during treatment.
- To Promote Openness in the IVF Sector : Clinics become more accountable as more patients ask questions.
- To Safeguard Upcoming IVF Parents : Your behaviour can serve as a model for others who might be too afraid or uninformed to enquire.
- To Respect Your Right to the Truth : You have a right to know your child’s biological origin. This is about informed parenting, not paranoia.
Patient: However, isn’t all of this highly suspicious? Isn’t the doctor-patient relationship harmed?
Dr. Malpani: I recognise that worry. However, trust needs to be earned and validated. Patients should defend themselves when clinics begin acting more like profit-driven enterprises than like healthcare providers. A DNA test is a precaution, not an accusation. Such a request will not intimidate morally upright physicians. Since transparency builds trust, we actually applaud it.
Patient: Dr. Malpani, thank you. All of this hadn’t occurred to me. You’ve given me a lot to ponder.
Dr. Malpani: I’m happy. IVF is a very emotional process, and patients should never be duped or misinformed at such a delicate moment. In the end, it’s not just about having a baby; it’s also about doing it with confidence and integrity, so my goal is to arm you with the information you need to make wise choices.
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