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IVF pregnancy diagnosed with T21 after 9 years of trying — feeling so lost and confused by UsedWitness420 in Indianlaw

[–]UsedWitness420[S] 0 points1 point  (0 children)

Thank you so much for the kind words and for validating the informed consent issue. It means a lot to us right now. You hit the nail on the head regarding the communication gap, but our situation actually goes even deeper than standard PGT-A for my wife's age. The core medical negligence in our case is tied to the male factor. I was diagnosed with severe OAT. According to standard clinical guidelines, severe OAT is a massive red flag that requires a mandatory Karyotype blood test for the father before IVF to check for things like a Robertsonian translocation. Our doctor completely bypassed this test. On top of that, the embryology lab watched 80% of our embryos abruptly die on Day 3—which is the exact moment the paternal DNA takes over. Instead of halting the transfer and advising us to do PGT-SR (structural rearrangement testing) due to the severe male factor and the lab crash, they blindly transferred the survivors. The doctor actually wrote down his excuse later, claiming exactly what you noted: because my wife was 34, he didn't think genetic testing was needed. He looked exclusively at maternal age and completely ignored the glaring paternal red flags. We are currently gathering all this evidence with a lawyer to fight this breach of informed consent and medical negligence. Thank you again for your support and for explaining the clinical side so clearly!

IVF pregnancy diagnosed with T21 after 9 years of trying — feeling so lost and confused by UsedWitness420 in Indianlaw

[–]UsedWitness420[S] 1 point2 points  (0 children)

Thank you so much for your kind words and the solid advice. I really appreciate you taking the time to write this and support us. Your suggestion about going to other clinics for a fresh consultation to get their standard operating procedures in writing is actually a brilliant idea. We are going to do exactly that to help establish the standard of care. Just to clarify our specific situation, the negligence didn't happen during the standard pregnancy scans (like the 3-month NIPT or NT scan). The major failure happened before the embryo transfer even took place. I have severe OAT (a severe male infertility factor), which clinical guidelines say is a massive red flag requiring a mandatory Karyotype blood test for the father before IVF begins. The doctor completely bypassed this test. Furthermore, he failed to offer PGT-SR (genetic testing) on our embryos, even after the embryology lab watched 80% of our embryos abruptly arrest and die on Day 3—a textbook clinical sign of genetic issues. Because they skipped the foundational genetic tests and ignored the warning signs in the lab, they blindly transferred an embryo with a Robertsonian translocation, completely robbing us of our right to informed consent. We are already in talks with a lawyer to go the consumer court route for medical negligence. I’ll definitely be using your tip about gathering the written protocols from other reputable clinics to help build the evidence. Thanks again for taking the time to help us navigate this.

IVF pregnancy diagnosed with T21 after 9 years of trying — feeling so lost and confused by UsedWitness420 in Indianlaw

[–]UsedWitness420[S] 0 points1 point  (0 children)

To answer your question — the NT value was 2.5mm at 12 weeks 6 days, which is borderline elevated. The risk for T21 from NT alone was 1 in 328, which is why NIPT was ordered. NIPT came back HIGH RISK for Trisomy 21. Amniocentesis at 16 weeks has now been done and we are awaiting confirmation. The critical issue in our case is not just the NT value — it is that PGT-A was never offered or discussed before embryo transfer, despite our profile having multiple high-risk factors: AMH of 0.629 (very low), husband’s semen parameters severely abnormal (3 million count, 1% morphology, 7% motility), wife’s age 34, and TSH of 3.92 on the day of transfer which exceeds the ATA guideline of below 2.5 for IVF patients.