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Low AMH does NOT mean DONOR egg
By Dr. Sujoy Dasgupta
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09 Jun 2020
What are the treatment options for low AMH?Only a low AMH cannot decide what treatment you should have. Age is the most important factor to decide the mode of treatment. We also have to check your duration of infertility, previous pregnancy (if any), condition of your tubes and also partner’s sperms. .If all other factors are favourable and you have only low AMH, a short period of Ovulation Induct...
Low AMH- What is it?
By Dr. Sujoy Dasgupta
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25 May 2020
Low Amh- What Is It?What is AMH? AMH (Anti Mullerian Hormone) is a hormone secreted by the ovaries into blood and it indicates the "ovarian reserve".What is meant by less number of eggs?A woman is born with finite number of eggs in her ovaries. This is called “Ovarian Reserve”. In every month, number of eggs are destroyed and this is unavoidable. From adolescent years, one mature egg is released f...
IVF myths dispelled
By Dr. Sujoy Dasgupta
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24 Apr 2020
There are lots of myths about IVF.Examples are"IVF is Painful"Initially you need to take some injections under the skin, just like insulin. These will cause littlediscomfort but are not painful.The egg collection,called Ovum Pick up, is done, by passing a fine needle through the vaginainside the ovaries, under anaesthesia. So, there is no question of pain. The final step, the embryo transfer is do...
Sperm Abnormality- Donor Sperm is NOT needed
By Dr. Sujoy Dasgupta
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24 Apr 2020
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. They ask, if they require sperm donor. The answer is "NO".Two things must be remembered- 1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-5 days. This is important, a...
Sperm Problems- IUI or IVF- What to do?
By Dr. Sujoy Dasgupta
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24 Apr 2020
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. Naturally, they are very much worried and want to know whether medicines can be helpful.Two things must be remembered1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of 3-...
Sperm Abnormal- Can Medicines Help?
By Dr. Sujoy Dasgupta
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24 Apr 2020
Often we see men are coming to us with abnormal semen analysis report showing very low ("Oligospermia") or absent ("Azoospermia") sperm count or very poor "motility" (ability to move) of the sperms. Naturally, they are very much worried and want to know whether medicines can be helpful. Two things must be remembered 1) Semen Report must be REPEATED from an AUTHENTIC LABORATORY after ABSTINENCE of ...
Polycystic Ovary in USG does NOT always mean PCOS
By Dr. Sujoy Dasgupta
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24 Apr 2020
Sometimes women are coming to us with ultrasonography (USG) report showing "PolyCystic Ovaries" and they are thinking that they have PCOS. What is PCO (Polycystic Ovary)? Polycystic ovaries have more number of follicles (fluid-filled spaces containing the eggs), which appear like cysts. However, the “cysts” in PCOS are not tumours.What is polycystic ovary syndrome (PCOS)? PCOS is hormonal disorder...
IVF in PCOS- When it is needed
By Dr. Sujoy Dasgupta
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24 Apr 2020
Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation). As a result, sperms cannot meet the eggs, leading to infertility. Unfortunately, there is no cure for PCOS. However, it can be kept under control. You should aim to keep your weight to a level that is normal.Is IVF ONLY treatment for PCOS? Treatment of PCOS-Infertility depends on your age, durati...
PCOS-Infertility- When to do Laparposcopy
By Dr. Sujoy Dasgupta
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24 Apr 2020
The basic problem in PCOS (Polycystic Ovary Syndrome) is that there are numerous eggs in the ovaries but they do not grow and Ovulate (release of eggs).The first line of treatment in PCOS is weight control. Medicines like Metformin or Inositol can be added, if needed.The second step is OVULATION INDUCTION (OI)- giving MEDICINES, ORALLY (Clomiphene or Letrozole) so that the eggs grow and get releas...
PCOS-Infertility- If Oral Tablets Fail
By Dr. Sujoy Dasgupta
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24 Apr 2020
The basic problem in PCOS (Polycystic Ovary Syndrome) is that there are numerous eggs in the ovaries but they do not grow and Ovulate (release of eggs).The first line of treatment in PCOS, therefore, is Ovulation Induction (giving medicine to grow and release the eggs). This has to be done VERY CAREFULLY. If medicines are ineffective, eggs won't grow. On the other hand, slight increase in dose can...
Pcos-Infertility- Treatment With Medicines Only
By Dr. Sujoy Dasgupta
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24 Apr 2020
How PCOS is related to the infertility? Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation). As a result, sperms cannot meet the eggs, leading to infertility. Additionally, obesity, diabetes, high testosterone and insulin level all can be risk factors for infertility.How PCOS is treated? Unfortunately, there is no cure for PCOS. However, it can be ...
Pcos- Infertility- How to Treat?
By Dr. Sujoy Dasgupta
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24 Apr 2020
How PCOS is related to the infertility? Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation). As a result, sperms cannot meet the eggs, leading to infertility. Additionally, obesity, diabetes, high testosterone and insulin level all can be risk factors for infertility.How PCOS is treated? Unfortunately, there is no cure for PCOS. However, it can be ...
PCOS is not disease of CYSTS
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is polycystic ovary syndrome (PCOS)? PCOS is hormonal disorder where there are irregular periods, excessive hair growth on face or body (“hirsutism”), loss of hair on head, oily skin, acne and weight gain along with polycystic ovaries found in ultrasound.The symptoms vary from woman to woman. Some women have very few mild symptoms, while others are affected more severely by a wider range of s...
LOW AMH- What to do?
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is meant by less number of eggs? A woman is born with finite number of eggs in her ovaries. This is called “Ovarian Reserve”. In every month, number of eggs are destroyed and this is unavoidable. However, in some women, this process of destruction is accelerated and this is called “Poor ovarian reserve (POR)” or “Less number of eggs”.How can I know that I have less number of eggs?Blood result...
Natural Conception after IVF Failure
By Dr. Sujoy Dasgupta
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24 Apr 2020
Natural Conception after IVF Failure and Successful outcome of a High Risk Pregnancy.When she came to us at 37 years of age, she was mentally devastated. She spent a lot of money, time and effort in IVF somewhere but unfortunately landed in early miscarriage. When we asked "What are you planning", she replied, "I won't do IVF. You try something else".Her problem was PCOS and age. All other factors...
Fallopian Tube Block
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is Fallopian Tube(s)?Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus. Inside the tube, the sperms and the egg meet (“fertilization”) to form the embryo.How the tubes are tested? 1. Hystero-salpingogram (HSG)- by a special X-ray, using a contrast material.2. Saline Infusion Sonography (SIS) or Sonosalpingography (SSG)- water i...
Abnormal Sperm Report- What to Do?
By Dr. Sujoy Dasgupta
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24 Apr 2020
Semen Report is Abnormal? If a single semen analysis report is abnormal, that does not mean that there is great problem. You need to repeat it from authentic laboratory.What are different types of abnormal sperm reports seen?Sperm count low (Oligospermia)Abnormal Sperm Motility (Asthenozoospermia)Azoospermia (Zero Sperm Count)Abnormal Morphology (Terayozoospermia)Pus Cell very highShould you take ...
PCOS Infertility- What treatment do you need
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is polycystic ovary syndrome (PCOS)?PCOS is hormonal disorder where there are irregular periods, excessive hair growth on face or body (“hirsutism”), loss of hair on head, oily skin, acne and weight gain along with polycystic ovaries found in ultrasound.The “cysts” in PCOS are not tumours. The main problem in PCOS is not the “cysts”, rather cysts are arising because of hormonal problems. Pres...
Pcos- Successful Pregnancy With Medicines Only
By Dr. Sujoy Dasgupta
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24 Apr 2020
Most of the women with PCOS-Infertility conceive easily with oral medicines,"Ovulation Induction (OI)" In PCOS, there are no "cysts" actually. It's a hormonal problem where the follicles (sacs inside the ovaries containing the eggs) cannot grow and rupture ("Ovulation"). Therefore, they have difficulty in conceiving and often have irregular periods.The first line of treatment of PCOS-Infertility i...
Should Fallopian Tubes Be Removed Before Ivf?
By Dr. Sujoy Dasgupta
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24 Apr 2020
Sometimes, people who came for IVF, are asking whether the Fallopian tubes need to be removed before IVF. Normally, what happens inside our body? The sperms, deposited in the vagina during sexual intercourse, are travelling through the uterus into the Fallopian tubes (attached on the either side of the uterus), where the eggs released from the ovaries ("Ovulation") are also entering. Thus, inside ...
Opening Blocked Fallopian Tube- Hysteroscopic Tubal Cannulation (Under Laparosco
By Dr. Sujoy Dasgupta
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24 Apr 2020
What are the options if tubes are found blocked in HSG?You still can consider SSG (Sonosalpingography) or SIS (Saline Infusion Sonography) as a second test to check tubal patency. SSG is an option before you take the final decision. However, if SSG also shows the “block”, then there are simply two options. You can consider laparoscopy or go for IVF straightforward. It depends on your age, other fe...
Ejaculation Problem- Fatherhood is Possible
By Dr. Sujoy Dasgupta
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24 Apr 2020
What are the causes of Ejaculation problems? The problem may be due to some previous surgery (in the prostate gland, hernia, in the abdomen for cancer), diabetes neurological problems, spinal cord injury, diseases of prostate, some obstruction in the sperm conducting ducts etcWhat is the next step? Please do not hesitate to inform your doctor. He/ she will ask some questions and examine you to fin...
Hydrosalpinx (Swelling of the Fallopian Tube)
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is hydrosalpinx? Sometimes, the Fallopian Tubes (the tubes remaining on both sides of the the uterus, where the sperms and the eggs meet to form the embryo) become swollen and contains fluid. This condition is called hydrosalpinx.What are the reasons for hydrosalpinx?The most common reason is PID (Pelvic Inflammatory Disease), where sexually transmitted infection (STI) can damage the tube and...
when one Fallopian Tube is Blocked in HSG
By Dr. Sujoy Dasgupta
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24 Apr 2020
In some cases, we find one Fallopian tube is Open in HSG and another tube is blocked in HSG. What to do in that case?Please remember, one Fallopian tube can be sufficient for pregnancy. So, you DO NOT need any Laparoscopy or IVF if all other factors are normal.If one tube is blocked and other is open, do I need Laparoscopy? In this case, laparoscopy is needed ONLY in the following circumstances-1...
when Both Fallopian Tube Are Blocked in HSG
By Dr. Sujoy Dasgupta
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24 Apr 2020
What are the options if tubes are found blocked in HSG? You still can consider SSG (Sonosalpingography) or SIS (Saline Infusion Sonography) as a second test to check tubal patency. SSG is an option before you take the final decision. If tubes are open on SSG, you can avoid both Laparoscopy and IVF. If the SSG shows tubes are open, depending on the reports of you and your husband, we can advise me...
How Fallopian tubes are tested
By Dr. Sujoy Dasgupta
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24 Apr 2020
How can one know that the Fallopian tubes are blocked?Unfortunately, most women do not have signs or symptoms suggesting tubal block. However, if you had previous infections in pelvis, tuberculosis in any part of the body, previous ectopic pregnancy, appendicectomy or gynaecological surgery, or feel severe pain during periods or during intercourse, there is a chance of tubal blockage.How the tubes...
Semen Collection Problems and Embarrassments
By Dr. Sujoy Dasgupta
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24 Apr 2020
How semen collection and analysis is done? The easiest and the most commonly used method is masturbation. You should collect it in the laboratory in a room with adequate privacy and comfort. Of course, for most of the men, it seems awkward to collect semen in unfamiliar environment, away from home. Usually most laboratories provide a separate room where you can bring your partner with you. Is any...
Semen Analysis- How, Where, Why?
By Dr. Sujoy Dasgupta
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24 Apr 2020
Why Sperm analysis is done?Sperm analysis is an essential part of evaluation of an infertile couple. In most cases, this is the only test, a male partner requires. However, a single abnormal semen analysis does not always mean that there is any abnormality in the man.In a man, sperm production requires 3 months and it needs cool temperature than rest of the body. This is why, men have their testes...
How PCOS and Infertility can be treated
By Dr. Sujoy Dasgupta
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24 Apr 2020
How PCOS is treated?Unfortunately, there is no cure for PCOS. However, it can be kept under control. Majority of the women can keep the disease under control with lifestyle changes (diet and exercise), rather than medicines. These can also help to prevent the long-term consequences. You should aim to keep your weight to a level that is normal. Losing only a small portion of weight will improve reg...
Treatment of low AMH
By Dr. Sujoy Dasgupta
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24 Apr 2020
What are the treatment options for low AMH? Only a low AMH cannot decide what treatment you should have. Age is the most important factor to decide the mode of treatment. We also have to check your duration of infertility, previous pregnancy (if any), condition of your tubes and also partner’s sperms.If all other factors are favourable and you have only low AMH, a short period of Ovulation Inducti...
Effects of PCOS
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is polycystic ovary syndrome (PCOS)?PCOS is hormonal disorder where there are irregular periods, excessive hair growth on face or body (“hirsutism”), loss of hair on head, oily skin, acne and weight gain along with polycystic ovaries found in ultrasound.The symptoms vary from woman to woman. Some women have very few mild symptoms, while others are affected more severely by a wider range of sy...
Azoospermia Treatment
By Dr. Sujoy Dasgupta
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24 Apr 2020
What treatment can be done in Azoospermia?If the pituitary gland is found to be defective, the treatment gives excellent results by hormone replacement, which will improve the sperm count and you can father your baby by natural conception. However, in other cases, it may not be possible to improve your sperm count by any medicines, still you can father your baby using your own sperms.Is there any ...
All Reports are OK, still cannot conceive. What to do?
By Dr. Sujoy Dasgupta
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24 Apr 2020
All Reports are OK, still cannot conceive. What to do?What is Unexplained Infertility (UI)?When after more than one year of regular frequent intercourse a couple is unable to conceive and all of the 4 of the following reports are normal, that is called UI.1. Semen analysis of male2. Ultrasound of female- to look for uterus and ovaries3. Hormones tests for female (Blood)- to look for ovarian functi...
Azoospermia Diagnosis
By Dr. Sujoy Dasgupta
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24 Apr 2020
How can a man know that he is having azoospermia?Unfortunately, in most of the cases, the men are not aware that he is having azoospermia. However, if you have any problems in genital organs since birth, any operations (particularly hernia), infections (mumps, tuberculosis, STI), injury, then he should be alert. Men treated for cancers (by chemotherapy), taking anabolic steroids, having problems i...
Low AMH What is meant by it
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is AMH?AMH (Anti Mullerian Hormone) is a hormone secreted by the ovaries into blood and it indicates the "ovarian reserve".What is meant by less number of eggs?A woman is born with finite number of eggs in her ovaries. This is called “Ovarian Reserve”. In every month, number of eggs are destroyed and this is unavoidable. From adolescent years, one mature egg is released from the ovaries and i...
Fallopian Tube Block - Causes
By Dr. Sujoy Dasgupta
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24 Apr 2020
What is Fallopian Tube(s)? Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus. Inside the tube, the sperms and the egg meet (“fertilization”) to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts. Tubal factor accounts for 20-25% cases of female infertility. It’s more common in secondary ...
Azoospermia- causes
By Dr. Sujoy Dasgupta
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24 Apr 2020
Azoospermia means absent of sperms in the semen. Causes of Azoospermia are:1. Problems in the Pituitary gland in the brain- due to tumour, head injury, birth defects, some medicines or surgery2. Inability of the testicles to produce enough sperms- due to mumps orchitis, varicocele (sweling of veins of the testicles), undescended testes (testes not present in the scrotum at birth), infections (tube...
Bangladesh Success Story
By Sujoy Dasgupta
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03 May 2019
Message by our patient from Dhaka, Bangladesh.The doctor-patient relationship solely stands on one factor, that is the MUTUAL TRUST. .This couple came to us last year (2018 April) with HSG Report done in Bangladesh. The report showed "BOTH THE FALLOPIAN TUBES ARE BLOCKED". In addition she is having PCOS (Polycystic Ovary Syndrome).Before coming to us they decided for Laparoscopy to confirm tube bl...
Twin Pregnancy after Ovulation Induction
By Sujoy Dasgupta
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22 Apr 2019
Twin pregnancy after Ovulation Induction. The lady is having PCOS. She received Ovulation Induction for 6 months before coming to us.We checked the tubes and Husband's Semen and then started Ovulation Induction. We added them to come regularly for TVS Follicular Study to confirm ovulation. She conceived after the 1st cycle. Please pray for them.Uploaded with kind permission.
PCOS, UTI, High Risk Pregnancy
By Sujoy Dasgupta
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22 Apr 2019
They came with Infertility and PCOS. We advised simple weight loss and started Ovulation Induction. 3 cycles of treatment failed and she felt depressed. Only that time she fell pregnant.Hypothyroidism was well controlled.But she needed hospital admission twice in pregnancy for liver disease (with severe abdominal pain) and Urinary Tract Infection (UTI).Delivery was done after steroid injection to ...
Laparoscopy for Ectopic Pregnancy
By Sujoy Dasgupta
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22 Apr 2019
Laparoscopy for Ectopic Pregnancy.When an infertile patients conceive after treatment, we remains scared, because until both the mother and the baby go home safely, there are uncertainties.We feel very sorry for this woman, who conceived after trying for 5 years with simple ovulation induction but was diagnosed to have Ectopic Pregnancy in TVS. We decided for laparoscopy as Emergency procedure at ...
Pregnancy Possible in Undescended Testes
By Sujoy Dasgupta
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21 Apr 2019
It is good to see that the couples are aware of FERTILITY and INFERTILITY. But, no need to worry unnecessarily. .This young couple has been trying to conceive for 4 months and they visited us. We explored the reason for their concern..The man is having only one testis. The other was removed when ge was 22 years old, as that testis was not in right position inside the scrotum ("Undescended Testis")...
Successful 4th Pregnancy after 3 Miscarriage, Infertility, IUI, PCOS
By Sujoy Dasgupta
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21 Apr 2019
Picture sent by the patient, with permission to upload it.It's the perseverance, confidence and obstinence.They visited us in 2016 after having long duration of Infertility and 2 previous miscarriages both around 6 weeks (no heart beat was seen). She underwent laparoscopic ovarian cystectomy outside. We found that she was having PCOS and endometriosis. She was not well responding to the oral medic...
IVF is possible if Husband Stays abroad
By Sujoy Dasgupta
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21 Apr 2019
IVF is possible with FROZEN SPERMS if the husband stays away..This couple was suffering from "UNEXPLAINED INFERTILITY" (All reports normal, still unable to conceive). They tried several cycles of Ovulation Induction outside..When they visited us, we came to know that nowadays the husband stays abroad. They asked whether Infertility Treatment is possible. We offered then 2 options IUI and IVF using...
Why you should NOT delay Infertility Treatment
By Sujoy Dasgupta
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21 Apr 2019
Sometimes, it's important NOT TO DELAY treatment of Infertility. The main determinant of success of any treatment is the age. As you delay treatment, the age increases and the success decreases.Often the couples give reasons for delaying the treatment1) Monetary reasons (often they decide not to treat now because of financial reasons)2) Family commitment (taking care of somebody at home or even ma...
Azoospermia- What tests are necessary?
By Sujoy Dasgupta
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31 Mar 2019
How can I know that I am having azoospermia? Unfortunately, in most of the cases, the men are not aware that he is having azoospermia. However, if you have any problems in genital organs since birth, any operations (particularly hernia), infections (mumps, tuberculosis, STI), injury, then he should be alert. Men treated for cancers (by chemotherapy), taking anabolic steroids, having problems in pi...
Azoopsermia- How to Collect the Sperms?
By Sujoy Dasgupta
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06 Mar 2019
Azoospermia means absence of any sperms in the semen. If there is Azoospermia, we advise to repeat the test after few days, preferably from a second laboratory. Sometimes, careful examination may reveal few sperms.If the second test also suggests no sperms, we need to find out the cause by some tests- physical examination, blood tests and sometimes ultrasound.What is the next step?If the pituitary...
Which tests are UNNECESSARY in Infertility?
By Sujoy Dasgupta
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02 Mar 2019
Few tests are needed before starting the treatment in an Infertile Couple.These include1) Semen Analysis of the Husband2) Wife's Blood test for AMH, Rubella and Thalassemia3) Wife's TVS to look for the ovaries and the uterus4) Wife's HSG to look for the Fallopian Tubes.In majority of the cases, treatment can be started after these tests. ONLY in some cases, further tests are necessary.Why further ...
Infertility- What Tests are needed
By Sujoy Dasgupta
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27 Feb 2019
What is needed for pregnancy? In the male partner, sperms are produced in the testes and are then carried through the sperm conducting ducts (epididymis, vas, seminal vesicle and prostate gland). Finally the sperms are deposited inside the vagina. In female partner, the deposited sperms travel from vagina into the uterus and then reach the Fallopian tubes (the tubes that are attached to the...
Not able to conceive- When to visit to doctor?
By Sujoy Dasgupta
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26 Feb 2019
It should be kept in mind that, if there is no risk factors for Infertility or the wife’s age is less than 35 years and the husband’s age is less than 40 years ; after one cycle (one month) of regular frequent intercourse, the chance of conception in human being is only 15%. That means, out of 100 couples trying for conception, only 15 will be able to succeed after one month of trying.The word “Re...
Bed Rest in Pregnancy- Is It Helpful?
By Sujoy Dasgupta
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17 Feb 2019
Pinki, a 29 years-old-woman, was very much excited when she got positive pregnancy test for the first time. She is a school teacher. As she did not feel much problem, she continued her routine daily activities. Unfortunately she landed in miscarriage at 8 weeks. This time her friends and in laws- everybody told her that "she had miscarriage because she did not take rest". But can anyone guarantee ...
Is there any ABNORMALITY in the baby?
By Sujoy Dasgupta
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13 Feb 2019
Is there any ABNORMALITY in the baby?.Pregnancy is a long nine-month journey. So anything can happen at anytime, quite unexpectedly..Nowadays, we have ultramodern technologies, which can detect whether the baby is having any serious abnormality, before birth. Usually testing should be done 2 times1) 11-13 weeks- Combined Test or First Trimester Screening (FTS)- which includes blood test and a spec...
When you should NOT delay the Fertility Treatment?
By Sujoy Dasgupta
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13 Feb 2019
When you should NOT delay the Fertility Treatment?Almost all the couples want to conceive naturally. We also try our best to fulfill their wishes. But, unfortunately, sometimes we see the couples for whom the only way to achieve pregnancy is the IVF (In Vitro Fertilization). They are the couples who CANNOT conceive naturally.This includesBoth the Fallopian Tubes are Blocked in Laparoscopy.Severe (...
Azoospermia- Always Look for the Cause
By Dr. Sujoy Dasgupta
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08 Feb 2019
In Azoospermia, its important to look for the cause.This man came to us with Azoospermia. On examination, his testicular size appeared normal and hormonal profiles (FSH, LH, testosterone) all were normal. However, we could not feel any Vas deference on either side of the Scrotum. Vas deferens is a long tube extends from the Epididymis (the upper part of each testicle) and then enters inside the ab...
Ovulation Induction- very useful method of Infertility Treatment
By Dr. Sujoy Dasgupta
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08 Feb 2019
Ovulation Induction is a very useful method of Infertility Treatment, provided it is applied in judicious manner.What is Ovulation? In the ovaries, in each month (menstrual cycle), one follicle (the sac containing the egg inside) grows and finally ruptured to release the eggs. This release of eggs is called "Ovulation".What is "Ovulation Induction" (OI)? OI means taking medicines to help the foll...
Azoospermia does not always mean Donor Sperms
By Dr. Sujoy Dasgupta
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05 Feb 2019
Azoospermia (No Sperms in the Semen) does not always mean Donor Sperms.This couple had been trying for pregnancy for ten long years. Wife's age is 29 years and all of her reports were normal. Husband's age is 35 years. Repeated Semen Analysis showed absent Sperms in the Semen. After physical examination (of Testicular Size) and investigations (blood for FSH, Testosterone), it was confirmed as a ca...
You Can Become Father After Cancer Treatment
By Dr. Sujoy Dasgupta
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04 Feb 2019
You Can Become Father After Cancer TreatmentStory 1: Saikat, a 35-years-old school-teacher has been trying to conceive for two years. When he consulted the doctor, it the doctor found that there was no sperms in his semen. Further inquiry revealed that she received chemotherapy for Hodgkin’s Lymphoma (“blood cancer”) when he was 14 years-old. However, he is completely cured of the cancer right now...
You Can Become Mother After Cancer Treatment.
By Dr. Sujoy Dasgupta
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04 Feb 2019
You Can Become Mother After Cancer Treatment.Story 1: Rupa, a 27-years-old woman has been trying to conceive for two years. When she consulted the doctor, it was found that she had very few eggs inside her ovaries. Further inquiry revealed that she received chemotherapy for leukaemia (“blood cancer”) when she was nine years-old. However, she is completely cured of her cancer right now.Story 2: Sal...
Higher age does NOT always mean Donor-Egg-IVF
By Dr. Sujoy Dasgupta
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01 Feb 2019
Higher age does NOT always mean Donor-Egg-IVF.This couple came to us from Asansol. The husband's age is 44 years, wife's age 40 years. The lady became pregnant 3 times. First pregnancy was 21 years ago, resulting in a male baby. The second pregnancy was terminated as they were not ready for that. In the third pregnancy, she delivered a female baby, 7 years ago. All of them were spontaneous pregnan...
Diabetes in Pregnancy may be MISSED and be a SERIOUS issue
By Dr. Sujoy Dasgupta
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01 Feb 2019
Diabetes in Pregnancy may be MISSED and be a SERIOUS issue. Many women DO NOT have Diabetes before pregnancy. Some may have Diabetes before pregnancy but it was UNDIAGNOSED. If these women develop Diabetes in pregnancy or it is detected for the first time in pregnancy, then it is called GESTATIONAL DIABETES MELLITUS (GDM). Why GDM is so important? GDM carries risk to the mother and baby, both duri...
HSG can INCREASE the Chance of Pregnancy
By Dr. Sujoy Dasgupta
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30 Jan 2019
What is HSG (Hysterosalpingogram)? HSG is a test done as a part of Female Infertility Evaluation, to check whether the Fallopian Tubes are open. Fallopian tubes (commonly called “the tubes”) are the structures that are connected to both sides of the uterus. Inside the tube, the sperms and the egg meet (“fertilization”) to form the embryo. HSG is a type of X Ray, done by inserting a special liquid ...
PCOS is not the disease of "Cysts"
By Dr. Sujoy Dasgupta
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28 Jan 2019
PCOS (Polycystic Ovary Syndrome) is not the disease of the "Cysts". What appear as "cysts", are actually the follicles (the sacs containing the eggs inside) which have not grown larger. In a woman, there are follicles in the ovaries. In one month only one can enlarge and rupture, releasing the eggs ("Ovulation"). However, in PCOS, thus ovulation cannot happen properly. Therefore, there is no actua...
Self Insemination can give successful pregnancy in Sexual Dysfunction
By Dr. Sujoy Dasgupta
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25 Jan 2019
PS- Uploaded with kind permission. This couple came to us in June 2017 with Non-Consummation of Marriage. The husband's age was 43, wife's age was 38. The man had Erectile Dysfunction (ED).After initial examinations and investigations, no apparent cause for the ED was found. We tried all possible medicines at the highest possible doses but unfortunately, nothing worked for him. Finally, we advised...
PCOS Conceived by Injections without Laparoscopy or IVF
By Dr. Sujoy Dasgupta
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25 Jan 2019
PCOS Conceived by Injections without Laparoscopy or IVF.The first line of treatment in PCOS (Polycystic Ovary Syndrome) is weight control. Medicines like Metformin or Inositol can be added, if needed.The second step is OVULATION INDUCTION (OI)- giving MEDICINES, ORALLY (Clomiphene or Letrozole) so that the eggs grow and get released ("Ovulation"). But while taking medicines, its important to see...
Spontaneous Pregnancy in Low AMH before Egg Donation-IVF
By Dr. Sujoy Dasgupta
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23 Jan 2019
Everything is POSSIBLE in Infertility. The couple had been trying for pregnancy for EIGHT long years. The woman was diagnosed with Poor Ovarian Reserve (POR), that is low Egg Count as seen by low AMH and Low AFC. She was advised to try for IVF with Self-eggs and also IVF with Donor-eggs. She could not afford IVF.She came to us last week. She is already 38 years old and is not having periods for la...
PCOS can conceive with Correct Treatment
By Dr. Sujoy Dasgupta
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20 Jan 2019
In women with PCOS, there are sufficient number of eggs inside the ovaries. The only problem is that the eggs cannot grow and are released ("Ovulation"). Therefore, if the Fallopian Tubes and the Sperms are normal, the treatment of PCOS Infertility is "Ovulation Induction (OI)"- the treatment to stimulate the eggs to grow and ovulate.Before ovulation induction, the main advice is weight control. I...
Male Infertility- Always IVF NOT Needed
By Dr. Sujoy Dasgupta
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18 Jan 2019
If there is abnormal Semen Report, it's important to see the whole report, NOT merely the count. It's also important to ensure that the test has been done from an authentic laboratory and that laboratory should follow the WHO 2010 guidelines for semen analysis (Not the older version of WHO 1999 or WHO 1992). .Again, we must see what's the Total Motile Count (TMC) of the sperms. If TMC is normal or...
Ejaculation Problem, Infertility, Self-Insemination
By Dr. Sujoy Dasgupta
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18 Jan 2019
Self Insemination is a process of "Natural Conception" that can help to achieve pregnancy in Ejaculation Problem.This couple came to us with the Ejaculation problem. They were married for 3 months. The man could not ejaculate during intercourse. However, he was able to ejaculate during masturbation and he also experienced "night fall".We tried to find out the cause by taking detailed history, phys...
IVF Success in Unexplained Infertility
By Dr. Sujoy Dasgupta
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14 Jan 2019
Sometimes, a very strong determination can make you win the game.The lady is 36 years-old. The man's age us 38 years. They were trying for pregnancy for last 5 years. However, all reports were fine. So, it was "Unexplained Infertility".They tried Ovulation Induction several times, before coming to us. We offered them IUI. They wanted to take time.One day, the lady came to us, demanding IVF. We exp...
![IMG_20190103_173309[1].jpg](https://s3.amazonaws.com/data.needstreet.com/gallery/photos/c0723aa0-c24e-4f6a-94ad-3626a279528f/7954379c-b_ml.jpg "IMG_20190103_173309[1].jpg")
Successful 2nd Pregnancy After Death of 1st Baby Inside Uterus
By Dr. Sujoy Dasgupta
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04 Jan 2019
The Best New Year Gift for this Couple.They came to us one year ago. Three months prior to that, the lady lost her first pregnancy, because the baby died inside the uterus at 30-week of pregnancy. We provided them TLC (Tender Loving Care).We explained them that we need to do some tests to find out the cause of fetal death (IUFD- Intrauterine Fetal Death). If any cause would be found, we could take...
Azoospermia- No to Donor Sperms- New Policy
By Dr. Sujoy Dasgupta
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03 Jan 2019
The first step in managing a case of AZOOSPERMIA is to find out the cause. However, in manjority of the cases, no cause can be found. If no cause is found, and the man wants to become biological father, the treatment is sperm collection from the testicles by TESA (Testicular Sperm Aspiration- inserting small needle inside the testicles) or TESE (Testicular Sperm Extraction- making a small cut i...
IVF- Success in Difficult Case
By Dr. Sujoy Dasgupta
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03 Jan 2019
This couple was referred to us by our Colleague from Tamluk.Husband's semen test, done outside showed "No Sperms". We repeated the test at our centre and found the result better, although it was abnormal. However, after doing tests, no cause for such abnormal result was obtained.The woman had severe endometriosis. In laparoscopy, there was frozen pelvis (all organs like uterus, tubes, ovaries were...
Low AMH- Natural Conception
By Dr. Sujoy Dasgupta
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02 Jan 2019
This is another patient with "less number of eggs" who conceived NATURALLY without any treatment. The couple had been trying for pregnancy for 6 months. The reports showed AMH 0.05. Her age is 32. All other reports were normal. We checked AFC (Antral Follicular Count) which was borderline. They were anxious about the AMH. We said, "We treat the patients, we do NOT treat a report".As her age is low...
PCOS related Infertility is EASIER to treat
By Dr. Sujoy Dasgupta
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02 Jan 2019
PCOS related Infertility is EASIER to treat if you receive proper medicine, come for TVS Follicular Study and control your weight.PCOS is NOT the disease of "Cysts". It's a hormonal problem and is NOT curable. However, it's quite possible to keep this disease under control. The main treatment to keep it under control is Lifestyle changes, that is Weight Control.In PCOS, infertility is a common pro...
Low AMH- Always IVF Not Needed
By Dr. Sujoy Dasgupta
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02 Jan 2019
Low AMH does not mean you cannot get pregnant.What is AMH?AMH (Anti Mullerian Hormone) is a hormone secreted by the ovaries. AMH indicates the "ovarian reserve". It is checked by a blood test. This blood can be checked any time.What is Ovarian Reserve?"Ovarian reserve" means the number of eggs inside the ovaries of a woman at particular time.In women, the eggs are produced in the ovaries before th...
Secondary Infertility Success
By Dr. Sujoy Dasgupta
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02 Jan 2019
Problem in conceiving second time- this problem is called "SECONDARY INFERTILITY". This lady 33-year-old, came from Singur, West Bengal. They have a baby boy born 8 years ago and he is doing well. That time, the lady conceived naturally without any treatment. They tried for pregnancy for last 4 years but in vain.We performed investigations like Semen analysis of the husband, Tube check by SSG (...
Pcos, Ovulation Induction, Amniocentesis, Pregnancy
By Dr. Sujoy Dasgupta
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02 Jan 2019
They came to us in May 2017 for the first time with difficulty in conceiving. All the reports were normal except that the lady had irregular cycles for PCOS, because of which she did not have "OVULATION" (eggs were not growing and getting ruptured).Additionally she was suffering from hypothyroidism, for which L Thyroxine supplementation was started.She was also overweight. So we advised Weight ...
PCOS, Sperm Motility, Growth Restricted Baby
By Dr. Sujoy Dasgupta
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29 Dec 2018
They came to us in December 2017 with Inability to conceive. The woman had PCOS. The man had mild problems in Sperm Motility. All other reports were normal.The woman had Hypothyroidism, which was well controlled with Medicine.They agreed to try Ovulation Induction (medicines to help the eggs grow) for 2-3 months. We performed TVS Follicular Scan to see if eggs were growing after taking the medicin...
PCOS, Hypothyroid, Pregnancy
By Dr. Sujoy Dasgupta
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29 Dec 2018
They came to us with inability to conceive. They tried many medicines and even IUI. We found all tests normal except PCOS (Polycystic Ovary Syndrome). We gave them time to decide. They returned after a year and requested Ovulation Induction (Medicines to help the eggs grow). We advised medicines and TVS Follicular Scan (to see if eggs were growing after taking the medicine). There was no resul...
High Blood Pressure in Pregnancy, Preeclampsia
By Dr. Sujoy Dasgupta
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17 Dec 2018
PS- Published with kind permission from the patient.She was referred to us by our Colleague from Chandannagar, as she required delivery at NICU Set Up.Young lady had Hypertension (high Blood Pressure- BP) diagnosed before pregnancy ("Chronic Hypertension") but she was not taking medicines properly. She did not visit the Gynaecologist before pregnancy.She visited the Gynaecologist at 16 week of pr...
Successful IVF with donor eggs
By Dr. Sujoy Dasgupta
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17 Dec 2018
She came to us last year, at 38 years of age, with inability to conceive despite trying for 3 years. She has a baby, 8 years old, conceived spontaneously. She did not have Periods for last 5 years. We performed all necessary tests to find out the cause and found it as "Premature Menopause" or "Premature Ovarian Failure" (POF). However, no reason for POF was found despite all possible investigati...
Mumps Can Affect Your Sperm Count !!!
By Dr. Sujoy Dasgupta
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16 Dec 2018
What is Mumps?Mumps is viral disease, that can cause fever and infection of Parotid Glands (The salivary glands located on both the cheeks). As a result, there will be pain and swelling in one or both cheeks and difficulty and pain during swallowing. In most cases, the disease resolves by itself without any complications.How Mumps can affect the sperms?In some cases, if Mumps happens after the...
Single Fallopian Tube Block, Pcos, Pregnancy
By Dr. Sujoy Dasgupta
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16 Dec 2018
PCOS women often conceive with simple weight reduction and Ovulation Induction (giving medicines to help the eggs grow and rupture). But while advising Ovulation Induction, it's extremely important that the patient is monitored by TVS Follicular Study to see if the medicines are effective in causing Ovulation.Often we find one tube is blocked in HSG and other tube is open. If one tube is open, tha...
Infertility, Erectile Dysfunction, Sperm Freezing, Vibrator
By Dr. Sujoy Dasgupta
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16 Dec 2018
This young couple came to us 2 years ago with "Infertility". On further enquiry, we discovered that the problem was not purely "Infertility", rather they did not have SINGLE ACT of INTERCOURSE (despite having been married for 4 years) due to severe Erectile Dysfunction (ED) of the husband.They did not take any treatment for ED before. After they visited us, different medicines were tried but all...
Infertility- what couple wants
By Dr. Sujoy Dasgupta
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16 Dec 2018
In Infertility, it's very important to LISTEN to the couple's Voice and RESPECT that. A Doctor should NOT take any decision. Rather the doctor explain to the couple, different treatment options, the merits and demerits of each option, so that the COUPLE CAN TAKE DECISION. We encourage the couples to take time, to discuss between themselves and to read different articles BEFORE TAKING the DECIS...
Endometrial Polyp, Infertility, SSG
By Dr. Sujoy Dasgupta
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15 Dec 2018
Polyps are small overgrowths of the tissues (like a "fleshy mass").If there are polyps in the Endometrium (the inner lining of the uterus), these must be removed, when a woman is having Infertility or abnormal bleeding or if the polyp is of large size.Polyps are often not accurately diagnosed by ordinary ultrasound (not even by TVS- where ultrasound probe is inserted inside the vagina).However, th...
IUI-Pregnancy, Triplet, PCOS, Erectile Dysfunction
By Dr. Sujoy Dasgupta
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14 Dec 2018
It’s the perseverance, trust, Confidence and strong Positive Attitude that gave the results.Couple with 3 years of Infertility. Woman having PCOS and the man having some Sexual Dysfunction.After discussion of merits and demerits, opted for IUI.1st IUI cycle FAILED but the woman’s positive attitude persisted and so she camefor 2nd cycle in next month.This time urine test was POSITIVE for pregnancy ...
Repeated Miscarriage and Infertility
By Dr. Sujoy Dasgupta
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14 Dec 2018
Patient presented to us with previous 2 early miscarriage (no heart beat seen) followed by secondary Infertility.All investigations were normal (hormones, ultrasound, tubes, semen). Regarding Miscarriage- karyotype, Anti Phospho lipid antibody, 3D ultrasound all were normal.She was obese with hypothyroid.As a treatment of "UNEXPLAINED INFERTILITY" she received several cycles.The Recurrent Miscarri...
Problems in Sperms
By Dr. Sujoy Dasgupta
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14 Dec 2018
Semen AnalysisSemen analysis is an indispensable part of evaluation of an infertile couple. It is accepted that if semen analysis report is normal, male factor is usually said to be normal. However, a single abnormal semen analysis does not always mean that there is any abnormality in the man. This is, because, semen consists of 2 parts- the sperms and the fluid ("seminal plasma"). In a man,...
Growth restriction of the baby- unusual Findings
By Dr. Sujoy Dasgupta
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14 Dec 2018
An UNUSUAL finding in C section- Very thick cord with a Growth Restricted Baby.Obese lady has been diagnosed with GDM (GESTATIONAL DIABETES MELLITUS) by OGTT (with 75 gram glucose) done in early pregnancy as per International Recommendation.Sugar was controlled with oral tablet (Metformin), regular sugar check , dietary restrictions and consultation with Endocrinologist.Serial GROWTH SCAN with C...
Pregnancy is Unpredictable
By Dr. Sujoy Dasgupta
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14 Dec 2018
Pregnancy is sometimes very much unpredictable.This woman conceived spontaneously while she was abroad. She came to us last week with ultrasound report showing Fetal Growth Restriction (FGR). We planned for delivery by 37 weeks.On 11.06.2018 she presented as EMERGENCY with labour pain at 6 PM. We decided to proceed for Emergency Caesarean Section at 9 PM. It was at 35 weeks.As per our protocol, hu...
Pregnancy Is Possible if Husband Is Having HIV
By Dr. Sujoy Dasgupta
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01 Dec 2018
Having been in relationship for last five years, Amit and Rupa decided to marry. Everything went on smoothly. They were enjoying their married life happily. Suddenly Amit met an accident and required blood transfusion. However, he recovered well. Three years after their marriage, they decided to extend their family. They consulted their gynaecologist. It was a bolt from the blue when they ca...
No Sperms (Azoospermia)- Even then you can father your baby
By Dr. Sujoy Dasgupta
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26 Nov 2018
https://www.youtube.com/watch?v=O3-WSNGbuOgWhat is azoospermia?Azoospermia means absence of any sperms in the semen. It can only be diagnosed after semen is tested in the laboratory. https://www.youtube.com/watch?v=1dudOmTubrs&t=5sWhat are the reasons for azoospermia? The most common cause is failure of the testes to produce adequate sperms. The reason may be problems since birth (congenital), ge...
If you have less number of eggs- What to do?
By Dr. Sujoy Dasgupta
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26 Nov 2018
If you have less number of eggs- What to do?What is meant by less number of eggs?A woman is born with finite number of eggs in her ovaries. This is called “Ovarian Reserve”. In every month, number of eggs are destroyed and this is unavoidable. From adolescent years, one mature egg is released from the ovaries and if it can meet with the sperm, pregnancy is possible, However, the process of destruc...
All Reports are OK, still cannot conceive. What to do?
By Dr. Sujoy Dasgupta
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26 Nov 2018
All Reports are OK, still cannot conceive. What to do?What is Unexplained Infertility (UI)?When after more than one year of regular frequent intercourse a couple is unable to conceive and all the reports are normal, that is called UI.After what tests, it is called “Unexplained”?Pregnancy requires 4 things- adequate number of healthy sperms, release of eggs from the ovaries (Ovulation), open tubes ...
Fallopian Tube Block- You still can become mother
By Dr. Sujoy Dasgupta
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26 Nov 2018
What is Fallopian Tube(s)? Fallopian tubes (commonly called “the tubes”) are the structures that are connected to the both sides of the uterus. Inside the tube, the sperms and the egg meet (“fertilization”) to form the embryo, which then travels down the tubes into the uterus and then the pregnancy starts. Tubal factor accounts for 20-25% cases of female infertility. It’s more common in secondary ...
PCOS is not an obstacle to your motherhood
By Dr. Sujoy Dasgupta
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26 Nov 2018
PCOS is not an obstacle to your motherhoodWhat is polycystic ovary syndrome (PCOS)?PCOS is hormonal disorder where there are irregular periods, excessive hair growth on face or body (“hirsutism”), loss of hair on head, oily skin, acne and weight gain along with polycystic ovaries found in ultrasound.The symptoms vary from woman to woman. Some women have very few mild symptoms, while others are aff...
You can become mother even with Endometriosis
By Dr. Sujoy Dasgupta
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26 Nov 2018
What is endometriosis?Endometriosis occurs when cells that normally line the womb (the endometrium) are found elsewhere, usually in the pelvis and ovaries. It is a very common condition, affecting between 2 and 10 women out of 100.What is the problem with endometriosis?Common symptoms include pelvic pain and painful, sometimes heavy periods. It can cause pain during sex, pain in lower back, bleedi...
Fibroids in Infertility- may NOT need Surgery
By Dr. Sujoy Dasgupta
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24 Nov 2018
Fibroid always DOES NOT NEED REMOVAL. Patient presented with Infertility because of PCOS in 2016. We advised weight reduction and offered investigation. All tests were normal except polycystic ovaries and multiple FIBROIDS in the uterus.We advised her try for natural conception first. She could not come for follow up because of personal and career commitment. However, all of a sudden she visited ...
Infertility, PCOS, High Risk pregnancy
By Dr. Sujoy Dasgupta
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21 Nov 2018
Infertility and High Risk Pregnancy go hand in hand.She is having PCOS, in 1st cycle with 100 mg Clomiphene Citrate (CC), she had OHSS (Ovarian Hyperstimulation Syndrome- where ovaries respond in unusual excessive manner to the medicines given for increasing the chance of rupture of the eggs). That cycle was cancelled and they were asked to abstain from sexual intercourse.Next cycle she was giv...
Thalassaemia Testing Before Pregnancy
By Dr. Sujoy Dasgupta
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21 Nov 2018
Story 1: Saikat and Tania; They had arranged marriage 6 months ago. Family members on both the sides considered all possible factors before they agree to this marriage. Within 6 months of their marriage they were able to give good news to the family that they were going to be the parents. Everything was alright. There was no problem in pregnancy. In right time Tania gave birth to a baby boy....
Smoking Can Affect Your Fertility
By Dr. Sujoy Dasgupta
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20 Nov 2018
I am 35 years old male and we are planning for a baby. Can stop-smoking help me to improve fertility?Smoking can reduce the quantity (sperm count) and the quality of the sperms (motility and morphology). In addition, smokers are more likely to suffer from erectile dysfunction and lack of sex desire (low libido). Stopping smoking can improve natural fertility.I am a 25 years old woman. We have bee...
Sperm Test- Your Problem and Embarrassment During The test
By Dr. Sujoy Dasgupta
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20 Nov 2018
Why Sperm analysis is done? Sperm analysis is an essential part of evaluation of an infertile couple. In most cases, this is the only test, a male partner requires. However, a single abnormal semen analysis does not always mean that there is any abnormality in the man. In a man, sperm production requires 3 months and it needs cool temperature than rest of the body. This is why, men have their t...
Infertility- What's the probability
By Dr. Sujoy Dasgupta
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20 Nov 2018
Not all things are understood ...The purpose of science is to analyze the reasons for what is happening in nature. Medicine also follows the same. But the difference between medicine and the other branches of science, is its limited knowledge. The knowledge of medicine is continuously enriched. The study which was taken the right thing yesterday, may prove totally wrong tomorrow. Similarly, w...
Dermoid Cyst Removal by Laparoscopy in Infertility
By Dr. Sujoy Dasgupta
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20 Nov 2018
Dermoid cyst is a benign tumour of the ovary that may contain hair (seen in this picture), oil (like skin secretion), skin, teeth, bones, cartilages etc.The chance of malignancy is very rare. But if left untreated, it can undergo TORSION (twisting of the ovary, causing severe pain and may cause gangrene of the ovary if untreated, an ACUTE EMERGENCY) and also hemorrhage inside the cyst. It is one...
If the BABY DIED in previous Pregnancy
By Dr. Sujoy Dasgupta
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19 Nov 2018
What are the causes of death of the baby inside the uterus before birth (IUFD- Intrauterine fetal death)?It is very painful experience for the mother and family. But many a times, no definite cause can be found out.In each pregnancy, there is 1:200 risk of Fetal death (if 200 women are pregnant, one will lose the baby before delivery, without any Apparent cause).The most common cause is because...
You can conceive even before IVF
By Dr. Sujoy Dasgupta
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19 Nov 2018
When you are planning for IVF, that does NOT mean that you can never conceive NATURALLY. The same applies when IVF fails.What matters is, whether you conceive, NOT how you conceive.This lady had previous ectopic pregnancy. When she came to us at 37 years in April 2018, we found severe endometriosis with both tubes blocked and low AMH. We gave them two options1. Laparoscopy.2. IVF.They were plan...
Y Chromosome Microdeletion in Azoospermia
By Dr. Sujoy Dasgupta
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19 Nov 2018
Y Chromosome Micro deletion Test. If a man is suffering from Azoospermia (No sperms found in the Semen), and he wants to become biological father of his baby, first thing we need to know is the cause.It may be obstruction in the sperm conducting tract or may be inability of testicles to produce the sperms (Non Obstructive Azoospermia- NOA).In NOA, if the man wants to father his own baby, the only ...
Thalassaemia carrier, gestational Diabetes
By Dr. Sujoy Dasgupta
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19 Nov 2018
Successful outcome after diagnosis of Thalassemia Minor and Gestational Diabetes Mellitus (GDM) in 1st Pregnancy.The mother came to us for the first time at around 16 weeks of pregnancy.Ideally screening for Chromosomal Abnormalities of the baby should be done by 11-13 weeks by COMBINED TEST. However, that test was not done here. So we advised Quadruple Test to look for Chromosomal Abnormalities. ...
Hydrosalpinx Removal before IVF
By Dr. Sujoy Dasgupta
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19 Nov 2018
REMOVAL OF HYDROSALPINX. If the Fallopian tube us swollen and filled by the fluid/ pus/ blood, the tube is not functioning. This is called Hydrosalpinx. The tube can even damage the Embryo which is implanted after IVF. Thus, the affected tube must be removed before IVF to improve the success rate of IVF. It can be done by Laparoscopy. The picture shows Laparoscopic Tube Removal (Salpingectomy) in...
Male Infertility, ICSI, Blastocyst, Success
By Dr. Sujoy Dasgupta
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19 Nov 2018
For this couple, nothing can be better than this Durga Puja Gift! They came with Male Factor Problem. The man, 36 years, overweight, was on medicine Sulfasalazine (SSZ) for back pain (Ankylosing Spondylitis- AS). SSZ is known to reduce sperm count. However, after stoppage of the medicine SSZ and replacing with better medicine for AS could not improve sperm count. They tried different medicines...
Pregnancy while Waiting for IVF
By Dr. Sujoy Dasgupta
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19 Nov 2018
There are something, we do NOT understand. This couple came to us in December 2017 with Infertility of 10 years with history of one miscarriage earlier. The lady is having PCOS (Polycystic Ovary Syndrome) with irregular periods. They tried several cycles of Ovulation Induction outside. .They went for one cycle of IUI but it could not be done due to "Semen Collection Problem" in husband. We tal...
Successful IUI, PCOS, GDM
By Dr. Sujoy Dasgupta
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18 Nov 2018
You have to have faith on yourselves.This couple came to us in early 2017. The woman was having PCOS (Polycystic Ovary Syndrome).After reviewing all reports we advised Ovulation Induction (OI) with different medicines and injections. However all failed to give pregnancy.We are thankful to this couple as they bore with us when we had problems with TVS monitoring (machine disturbance, change of pl...
PCOS, Diabetes before Pregnancy, Sperm DNA Fragmentation
By Dr. Sujoy Dasgupta
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18 Nov 2018
This early morning message made our day.The woman is diabetic, because of PCOS (Polycystic Ovary Syndrome). The man had increased DNA fragmentation in the sperms.If a lady is diabetic, it needs lots of preparation before and during pregnancy for safety of the mother and baby during pregnancy.Uncontrolled Diabetes can lead to Miscarriage, congenital abnormalities of the baby (specially in heart,...
Pcos Not Responding to Medicine
By Dr. Sujoy Dasgupta
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18 Nov 2018
The basic problem in PCOS (Polycystic Ovary Syndrome) is that there are numerous eggs in the ovaries but they do not grow and Ovulate (release of eggs).The first line of treatment in PCOS, therefore, is Ovulation Induction (giving medicine to grow and release the eggs). This has to be done VERY CAREFULLY. If medicines are ineffective, eggs won't grow. On the other hand, slight increase in dose c...
If you are taking Medicine for Ovulation
By Dr. Sujoy Dasgupta
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09 Nov 2018
1. You have to give time .2. If you take medicines for Ovulation Induction, it's important to do Follicular scan to see if eggs are growing with the medicines, at least in the 1st cycle.When all reports (Semen, Tubes, Hormones) are OK , still you struggle to conceive.This couple came to us in April 2018. All reports were normal except Tubal Patency test, which we performed by SSG and found normal....
PCOS, Sperm Motility, Pregnancy
By Dr. Sujoy Dasgupta
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09 Nov 2018
The young couple visited to us in July 2017 with Infertility. The lady had PCOS (Polycystic Ovary Syndrome). She tried Letrozole tablets for Ovulation Induction outside, before coming to us but did not respond to that medicine.The man had mild problem in sperm motility. The rest of the tests were normal.So, after discussion with us, they planned for 3 cycles of Ovulation Induction with oral medici...
"Infertility" and "Sexual Dysfunction"
By Dr. Sujoy Dasgupta
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09 Nov 2018
PS- Published with kind permission from the patient. For any couples coming with Infertility it's important to ask for Sexual Dysfunction, frequency of Intercourse and duration of trying for the baby. This couple visited some other place, after having tried for 6 months for pregnancy. They were advised all the tests like Semen, Hormones, Ultrasound etc. However, when they went for HSG of the wom...
Successful IUI Pregnancy- Triplet to Twin
By Dr. Sujoy Dasgupta
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09 Nov 2018
They came to us in May 2017 with inability to conceive for 2 years. They did some tests outside and these were normal. We carried out rest of the tests and all were normal. So it was "UNEXPLAINED INFERTILITY".After discussing the merits and demerits of different treatment options, they agreed to try medicines for 3 months. We gave Tablet Clomiphene Citrate (CC) for 3 months and performed TVS folli...
Reduction of TRIPLET to TWIN
By Dr. Sujoy Dasgupta
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09 Nov 2018
It's the picture of Placenta. But it's not like other placentae. The lady conceived after Infertility Treatment with Triplet. After explaining the merits and demerits of continuing the pregnancy as Triplet against the "Reduction" into Twin, she opted for "FETAL REDUCTION". The GREEN arrow and the WHITE arrow in this picture point towards the separate placenta of EACH baby of Twin. However, both ...
Bangladesh Patient Infertility Success
By Dr. Sujoy Dasgupta
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09 Nov 2018
They came to us with their desire to have a baby, after having struggle for long time. The woman has PCOSThey came to us in Kolkata for the first time in December 2017 and we performed initial tests.We advised them to take Tablet LETROZOLE from Bangladesh for 5 days and return to us to do TVS Follicular scan to see if eggs were growing after taking the medicine. They stayed in Kolkata for one werk...
Successful result in High Risk Pregnancy
By Dr. Sujoy Dasgupta
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09 Nov 2018
Successful result in High Risk Pregnancy is possible if proper care is provided.This lady is 37 year-old in her 1st Pregnancy. She conceived naturally and came to us after getting pregnant. Pregnancy at age more than 35 years, can carry high risk for mother (high BP, diabetes, clotting of blood- Thrombosis, Bleeding and even life risk) and for baby (miscarriage, birth defects, sudden death, i adeq...
If Testicles are NOT in RIGHT position
By Dr. Sujoy Dasgupta
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09 Nov 2018
Infertility can happen if the testes are not in proper position.In female, the ovaries, which produce the eggs are there inside the abdomen. But why the testes, which produce the sperms are hanging outside the body in the sac, called scrotum? The reason is sperm production needs temperature at least 3 degree less from body temperature. To keep the temperature of the testes lower, they remain insi...
Testing for 17 Hydroxy Progesterone
By Dr. Sujoy Dasgupta
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09 Nov 2018
It's not a very popular test, albeit costly. It should not be done in all cases.What is it? 17 hydroxy progesterone (17OHP) is a steroid produced by the adrenal glands of both male and female, ovaries and testes. It is converted into other steroid hormones like corticosteroid (controls body metabolism), androgen (male sex hormone) and estrogen (female sex hormone).When it is raised? In some condit...
Infertility- WHEN NOT TO TREAT
By Dr. Sujoy Dasgupta
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09 Nov 2018
Sometimes you must know WHEN NOT TO TAKE TREATMENT. The science of Fertility is not completely understood. That's why there are many areas of controversy. There are many medicines, available in the market but their effectiveness is NOT known. Moreover, these are COSTLY also and sometimes can have SERIOUS SIDE EFFECTS. However, sometimes the couples feel frustrated after trying for pregnancy for so...
No Sperms (Azoospermia)- Even then you can father your baby
By Dr. Sujoy Dasgupta
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17 Jun 2018
What is azoospermia? Azoospermia means absence of any sperms in the semen. It can only be diagnosed after semen is tested in the laboratory. What are the reasons for azoospermia? The most common cause is failure of the testes to produce adequate sperms. The reason may be problems since birth (congenital), genetic causes, undescended testes (testes not lying properly within the scrotum), infect...
What foods to be avoided in PREGNANCY
By Dr. Sujoy Dasgupta
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13 Feb 2018
Pregnancy is a journey of a woman from womanhood to motherhood. Each and every pregnancy is precious and so women usually remain anxious about their lifestyle and food habits. Most of the pregnant mothers do not hesitate to sacrifice their comfort and habit, only to keep their baby safe. Here are the few tips which describes what are the common food items that must be avoided in pregnancy.1) Some ...
Fertility Treatment for Couples with Sexual Problems
By Dr. Sujoy Dasgupta
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07 Aug 2017
Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are despera...
Fallopian Tube Block in Infertility- What you can do?
By Dr. Sujoy Dasgupta
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01 Jun 2017
https://www.youtube.com/watch?v=LmsEaOcieLMIntroduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets...
IUI (Intrauterine Insemination)- Treatment Option for Infertile Couples
By Dr. Sujoy Dasgupta
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18 Nov 2016
Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desp...
Endometriosis and Infertility
By Dr. Sujoy Dasgupta
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26 Aug 2016
When couples start their family, they have many dreams. Subsequently many of them, if not all, plan to extend their family to give a sense of accomplishment. That is a journey from being couples to being parents. But unfortunately, in some couples the journey is not smooth and some of them have to struggle a lot for it. Yes, you are right. We are talking about difficulty to conceive, popularly kno...
Repeated Miscarriage- A Painful experience for the couples
By Dr. Sujoy Dasgupta
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03 Jun 2016
Pregnancy gives a woman completeness by turning her into mother from a simple woman. It is the thing which makes the couple parents, the dream which they nurture right time from their marriage. Of course there are many couples who are not fortunate enough to achieve pregnancy and they are usually termed infertile and we have discussed it in separate post. But there are other couples who may or may...
Thyroid and Reproduction (Sex and Fertility, Pregnancy)
By Dr. Sujoy Dasgupta
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25 May 2016
Today 25th May is the World Thyroid Day. Thyroid disorders are one of the most common disorders of hormones in our body. Thyroid is a small gland situated in front of the neck and secretes hormones like thyroxine (T4) and tri-iodo-thyronine (T3). These hormones control various functions of our body like heart, blood pressure, digestion, metabolism, growth, blood formation, brain function etc. But ...
8 ways to avoid Irregular Menstruation
By Dr. Sujoy Dasgupta
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16 May 2016
How to make your menstrual cycles regular?In our clinics everyday some patients at different ages will come with complaint of irregular menstrual cycles. But there are other patients who feel embarrassed to seek doctor's help for this problem. While it seems to be a simple problem related to reproduction only, often it is associated with diseases that are matter s of concern.First, you should know...
Premature Ejaculation (Early Discharge during Intercourse)
By Dr. Sujoy Dasgupta
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30 Apr 2016
Often many men come to our clinic with complaint of early discharge to such extent that they cannot enjoy sex. Often the partners are also disturbed by this short duration of intercourse. We call it Premature Ejaculation (PE). The problem of premature ejaculation occurs either prior to or a few moments after sexual penetration, leading to unsatisfactory sex for both you and your partner. What is ...
Infertility or Sex Problems- Make sure that it's not DIABETES
By Dr. Sujoy Dasgupta
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07 Apr 2016
Scenario one: Mr PS, 35 years old, married for 5 years, now planning to have a child, suddenly felt that his erection of penis is not as good as it was earlier. initially he tried medicines shown in TV and newspaper and then many treatments through internet. but his problems persisted. Finally when he came to doctor, he was diagnosed to have ERECTILE DYSFUNCTION. Finally after checking, when docto...
Gynaecological cancer
By Dr. Sujoy Dasgupta
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04 Feb 2016
Today is the WORLD CANCER DAY and the theme of this year is "We can, I can".... Yes we all can battle the cancer. But the irony is that majority of women ignore early signs and symptoms of cancer and do not consult doctors in time. And even some of these cancers are preventable if proper action is taken. Ovarian Cancer- What will you do if you feel gaseous distension (gas, bloating), acidity, cons...
Common SEX problems in Conjugal Life
By Dr. Sujoy Dasgupta
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13 Dec 2015
In our modern hectic schedule, sexual problems are very common but often people ignore them and try to take help of drugs directly shown in television or newspaper advertisements. These may give temporary solutions but in the long run, they can be harmful. Because, most of the sexual problems have definite causes and the cause should be properly diagnosed and treated by a trained doctor. 11...
Men's Health
By Dr. Sujoy Dasgupta
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19 Nov 2015
Today 19th November is International Men's Day (IMD). So, some tips for men's health- as well as an attempt to eliminate some myths and misconceptions. Men’s health1. Stay healthy Check regularly whether foreskin of penis (the skin covering the red portion of the penis, called “glans penis”) can be retracted backwards or not. This is for male who are not circumcised. And clean...
Diabetes and Reproduction, Sex, pregnancy
By Dr. Sujoy Dasgupta
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14 Nov 2015
Today 14th December is World Diabetes Day. India is nowadays considered the “Diabetic Capital” of India. The rate at which diabetes is increasing in modern societies is, indeed, a matter of concern. Diabetes does not merely mean increased and sometimes uncontrolled blood sugar. It affects various organs and systems of our body , particularly affecting heart (coronary artery disease), brain (stroke...
MENOPAUSE
By Dr. Sujoy Dasgupta
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19 Oct 2015
Today 18th October is WORLD MENOPAUSE DAY....Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is o...
PCOS
By Dr. Sujoy Dasgupta
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07 Oct 2015
Polycystic Ovarian Syndrome (PCOS) is a very common syndrome among many young girls and women. Problems like irregular periods, weight gain, acne, hair loss and other hormonal imbalances are the common symptoms. It is a common cause of infertility and pregnancy problems. If left untreated it may lead to diabetes, heart disease and even cancer.Here are the most natural ways to handle PCOS problem- ...
Infertility - Never to lose Hope
By Dr. Sujoy Dasgupta
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07 Oct 2015
Last week I got a call from one of my patients, who conceived after long period of infertility. She called me to remind me that, that very days was the birthday of her son, that is the wealth that she gained after long battle. And even the son tried to talk to me over phone with his soft voice. And this success is really rewarding for any Infertility Specialists.Introduction When couples get ...
Down Syndrome
By Dr. Sujoy Dasgupta
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07 Oct 2015
Down syndrome is caused by genetic defect where there are three copies of chromosome number 21 (we all have 2 copies of each of 23 chromosomes). The babies can die before birth. After birth, they look chubby, cheerful with mongoloid feature (like people from Chinese/ Mongolian Origin) but MENTALLY RETARDED. They have reduced life span and mostly die from lung or heart disease, leukaemia etc. They ...
Nutrition for women
By Dr. Sujoy Dasgupta
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07 Oct 2015
A woman's body needs a lot of nourishment. There are many vitamins and minerals that ensure a healthy body. However, as you reach puberty and age more, a few nutrients become vital for healthy functionality, reproduction as well as vitality. On this International Day Of Action For Women's Health, 28th May, learn more about the women's health so that you or women around you stay healthy. Here are ...
Erectile Dysfunction
By Dr. Sujoy Dasgupta
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07 Oct 2015
Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. So, what are the causes. In some male, it is psychological, caused b...
Abnormal Sperm Count- What to do
By Dr. Sujoy Dasgupta
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07 Oct 2015
Introduction When couples get married, they often view parenthood as the next stage in their family life. They want to have a child, they want to be “mom” and “dad”, they cannot imagine that this may be hard to achieve or may not be a natural process. When several trials to conceive fail, they are shocked. Their basic expectation about family life gets shattered. Most of the couples are desp...
Pre-Conceptional Care (Care Before Pregnancy)
By Dr. Sujoy Dasgupta
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07 Oct 2015
Most of us have an idea that the couple should go to gynecologist only after they fall pregnant or when there is difficulty in conceiving. But we all know that prevention is better than cure. Then why should not we take precaution to avoid complications in pregnancy so that we can have healthy mother and healthy baby. Some of the diseases can manifest during pregnancy, like some diseases of hea...
Stress and Sexual Life
By Dr. Sujoy Dasgupta
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07 Oct 2015
In our modern life, stress is an indispensable part. Career, jobs, studies, incomes, business, money, property- all are associated with some sorts of stress. The problem gets exaggerated when it affects the family life. Because, at the end of the day, we all want to enjoy a happy family life. And a family life has its sense when the husband and the wife are in harmony. Needless to say, that a fami...
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Gynaeclogist, Infertility Specialist, La...