Special Message:
Dr Sujoy Dasgupta is one of the leading doctors in Kolkata, who believes in patient's autonomy and patient-centred care, that means he strongly encourages patients to take their own decision, rather than imposing his own decision on his patients. He provides all the information related to the patient's particular diseases and provides all treatment options (like doing no treatment, medicine or surgery) and explains merits and demerits of all options, so that patients can take their own decision after judging all the aspects.
He is available at Garia, Narendrapur, Tollygunge, Behala, College Street, Salt Lake, Shakespeare Sarani and Sodpur.
Dr keeps himself updated regularly on the latest developments occurring in the field throughout the world and also keeps his patients updated by various means. He is possessing very bright academic career having number of Gold Medals, Honours, Awards and certifications. He has, to his credit two post graduate qualifications from India (MS, DNB) and number of certifications. He obtained MRCOG degree from the prestigious Royal College of Obstetricians and Gynaecologists, London, United Kingdom.
He has delivered invited lectures in various conferences at Regional, National and International Levels. He is actively involved in various organizations regarding social, academic and scientific acitivities- like Bengal Obstetric and Gynaecological Society (BOGS), Federation of Obstetric and Gynaecological Societies of India (FOGSI), Indian Association of Gynaecological Endoscopists (IAGE), Medical college Ex Students Association (MCESA) and Indian Medical Association (IMA) etc. He is managing the patients in line of "Evidence based Medicine"- that is according to the most recent scientific information obtained from Medical Literature.
Dr. is skilled to perform Infertility Work up, Infertility Counseling and Infertility Management in couples having all types of Infertility (Male, female and Unexplained). Many of his patients have experienced the joy of parenthood after long periods of Infertility. After his treatment, many couples with infertility problems like PCOS (Polycyctic Ovaries), Fibroids, Endometriosis conceived naturally after drug treatment, ovulation induction, surgery (laparoscopy, hysteroscopy in some cases) and in some advanced cases conception was possible by IUI (Intrauterine Insemination) and IVF (In vitro Fertilization- "test tube baby"). Many of his patients with low sperm counts are enjoying parethood after successful drug treatment, IUI and IVF. He continued his care to these couples throughout the pregnancy till delivery and afterwards. To give few examples- one patient with severe endometriosis, who refused surgery, conceived naturally after 3 months of injection therapy. Another patients with very low sperm counts was found to have hormonal imbalance, which was managed by medicines and sperm counts improved a lot to permit IUI and they conceived after 1st cycle.
Dr. has the expertise to treat successfully men and women with sexual problems. After his counseling, support and treatment, many patients with problems like ED (Erectile Dysfunction), PE (Premature Ejaculation), Painful Intercourse (Dysparaenia), Vaginal Dryness, Low libido etc are enjoying their conjugal life. To site an example, there was a couple where male partner had ejaculation problems. They were concerned about fertility problems. Doctor advised them to feel relaxed and performed IUI. The couple conceived and later on the ejaculatory problems subsided on its own. In another patient with severe premature ejaculation, he performed IUI and the couple had successful pregnancy.
Dr has made many couples with repeated miscarriage smile after successful treatment by giving them baby at or near term. He performs few investigations judiciously and finds out the cause to treat the cause. Even if no cause is found, he treats them with supportive care and many of them continued pregnancy with support and treatments. A Case report was published by him showing his successful management of a case of woman who conceived Triplet pregnancy after prolonged period of Secondary Infertility following Repeated Miscarriage (previous 3 loss) due to congenital abnormality in the uterus (Bicornuate Uterus) and delivered the babies in preterm condition. Another women with 3 previous miscarriage without any apparent cause conceived spontaneously and had successful live birth at term.
Dr is competent in counseling, diagnosing and managing woman before conception (Preconceptional Care), during pregnancy (Antenatal Care), Delivery (Normal Delivery and Cesarean Section) and after delivery (Postnatal care). He is especially interested in managing Medical Disorders in Pregnancy (e.g., women with Diabetes, Thyroid disorders, Hypertension, Epilepsy, Renal disease, Bleeding disorders, Clotting disorders etc in pregnancy). He managed many of his patients with High Risk Pregnancy successfully. To exemplify, recently one patient aged 38 years, conceived after IVF with twin pregnancy developed uncontrolled hypertension (high blood pressure), and for this reason he performed Cesarean Section on her at 30 weeks of pregnancy (just after 7 months). Fortunately mother's condition improved after delivery and the babies are doing well. Thus all the three lives have been saved. Another mother with IVF pregnancy had no movement of the baby. A prompt CTG was advised, following which the baby's life was saved by emergency C-section at midnight.
Dr is trained to perform all types of Obstetric and Gynaecological Operations including Hysteroscopy and Laparosopy, Hysterectomy, Cystectomy etc. He performs all types of life saving surgeries, like Ectopic Pregnancy, management of abortion and miscarriage in pregnancy. He is specially trained to perform cancer Surgeries for women with Gynaecological Cancers. Not only for cancers, he is also expert in proving "Cancer Prevention Care" to women in form of Counseling, Screening, vaccination and also Colposcopy.
Dr has been actively involved in many Clinical Research projects like- projects on use of Magnesium Sulphate single dose in Hypertensive disorders, Managing women with Myasthania Gravis in pregnancy, IUI in various forms of Infertility, Pregnancy outcomes after Infertility Treatment, cervical cancer Screening based on HPV detection techniques etc.
Dr. Sujoy Dasgupta lends his expertise in the following areas of Gynecology, Infertility, Obstetrics, Sexual Dysfunction
Gynaecological Care- Menstrual disorders, PCOS, Fibroid, White discharge, Menopause, Hormone Therapy
Infertility- Drug treatment, Male and Female Infertility, Unexplained Infertility, Endometriosis, PCOS, Fibroid, Low Sperm Count, Ovulation Induction, TVS, HyCoSy, SIS, IUI, IVF, TESA, PESA, ICSI, Hysteroscopy, Laparoscopy
Ultrasonography
Laparoscopy, Hysteroscopy- Diagnostic, Adhesiolysis, PCOS Drilling, Cystectomy, Ectopic Pregnancy, Hysterectomy, Polypectomy, Biopsy, Tubal Recannulation, Salpingectomy, Myomectomy, Endometriosis
Sexual Disorders- Male and Female- Low libido, Erectile Dysfunction, Premature Ejaculation, Female Sexual Dysfunction, Painful Intercourse
Colposcopy, Cancer Screening, HPV Vaccination
Gynaecological operations- Hysterectomy, Cystectomy, Cancer Surgery
Pregnancy care- Pre-conceptional Care, Antenatal care, Postpartum Care
High Risk Pregnancy- Diabetes, Hypertension, Thalassaemia, Epilepsy, Thyroid Diseases, Babies with abnormalities
Delivery Service- Normal Delivery, Caesarean Delivery
Miscarriage- Repeated Miscarriage
Contraception Services- Family Planning, Abortion Services
Abortion Services- Medical, Surgical
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Low Amh- What to Do?
Posted by on Friday, 24th April 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 results can show low AMH and high FSH. The most definitive test is checking for the eggs (AFC- Antral Follicular Count). It must be kept in mind that a single result is not confirmatory. In short, we have to look into age, AMH and AFC together.
What are the treatment options?
Only a low AMH or low AFC cannot decide what treatment you should have.
We also have to consider your age, duration of infertility, previous pregnancy (if any), condition of your tubes and partner’s sperms. If all other factors are favourable and you have only low AMH and AFC, a short period of Ovulation Induction (OI) and IUI (Intra-uterine insemination) can be tried. If these fail, you may need to consider IVF.
Is IVF done as the last resort?
Low AMH does not always mean that you need IVF. However, if your age is on the higher side or duration of infertility of long, IVF may be the better option for you.
We always encourage the women to try IVF with your own eggs first. If that fails, then ONLY consider donor eggs.
What is the chance of success?
It depends on your age, duration of infertility and your response. In general, the chance of pregnancy after each cycle of IUI is 15-20% and after IVF, 30-40%. However, the chance is slightly lower in women with POR.
Is there no chance of natural conception?
In women who have menopause before 40 years, 10% can conceive spontaneously. In women with POR, this chance of natural conception is even higher. So, POR does not always mean that you have do OI, IUI or IVF.
What medicines can be tried?
Some medicines may be tried to improve ovarian response, like DHEA, testosterone gel or antioxidants, vitamin D etc. However, whether the medicines are actually helpful, is a matter of debate and it needs further research.
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Fallopian Tube Block
Posted by on Friday, 24th April 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 is inserted under ultrasound guidance- more accurate, causes less discomfort.
What are my options if tubes are found to be blocked in HSG?
You still can consider SIS as a second test to check tubal patency. However, if SIS also shows the “block”, then there are simply two options. You can consider laparoscopy or go for IVF straightforward.
When Laparoscopy is advised?
If you are at younger age, other fertility factors normal and the infertility is of shorter duration, laparoscopy may be the suitable approach for you. If laparoscopy confirms the patency of the tube(s), you can try for pregnancy naturally. Sometimes, attempt can be made to remove the block by laparoscopy.
When should I go for IVF?
If the conditions of your ovaries or partner’s sperms are not satisfactory, your age is on the higher side, or infertility is of long duration, directly going for IVF would be the better option for you. If tubes are found blocked in laparoscopy, you need IVF. Again, if you fail to conceive within 6-12 months’ time after laparoscopy, even when the tubes were found open, you may need to consider IVF.
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Abnormal Sperm Report- What to Do?
Posted by on Friday, 24th April 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 high
Should you take any medicines?
Medicines work ONLY in mild to moderate cases. Even then if you want to continue medicine WITHOUT active treatment, sperm counts may decrease further.
Can any Injections help?
ONLY if there is hormonal imbalance, gonadotrophin injections can help. But please DO NOT TAKE TESTOSTERONE injection or tablet, because it will further lower down sperm count. Testosterone should NOT be taken even if your blood level of Testosterone hormone is low.
Are any other tests needed?
If the report is severely abnormal, you may need some tests to find out the cause. These include
Physical examination- Doctor may examine your private areas including testicles and penis.
Ultrasound- of scrotum and prostate gland
Hormone tests in blood- Testosterone, FSH, LH, sugar etc.
Chromosomal tests- Karyotype, Y chromosome microdeletion etc.
When to go for IUI, IVF or ICSI?
It depends on severity of the abnormalities in sperms and the condition of your wife's fallopian tubes and ovaries. In mild cases, IUI can be tried. In severe cases, you should NOT delay IVF-ICSI.
Do you need TESA/ TESE?
Even when there is no sperms in semen, sperms can be collected from your body, from your testicles by inserting fine needle and that can be used for ICSI.
When Donor Sperm is required?
In most cases donor sperm is not needed. It is used when no sperms can be obtained or when you cannot afford ICSI.
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Pcos-Infertility- What Treatment Do You Need
Posted by on Friday, 24th April 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. Presence of polycystic ovaries does not always mean PCOS.
Is PCOS related to other diseases?
Women with PCOS are more prone to develop diabetes, high blood pressure, heart disease, stroke, depression and mood swings, snoring and daytime drowsiness and sometimes, cancer in the lining of the uterus (endometrium).
Why PCOS increases the risk of infertility?
Women with PCOS have good number of eggs inside the follicles but they cannot be released (Ovulation).
How PCOS is treated?
You should aim to keep your weight to a level that is normal. Treatment of fertility depends on your age, duration of infertility and other fertility factors. Usually the first line of treatment is OI (Ovulation Induction). Medicines (tablets, injection) are given to help your eggs grow and rupture. The next lines are IUI (Intrauterine Insemination) and IVF (In Vitro fertilization) respectively.
Is there any role of laparoscopy?
Only very few women who fail to ovulate with any medicines, some cysts are punctured using electric current (laparoscopic ovarian drilling- LOD). It should be done ONLY in selective cases. Otherwise it will do more HARM than GOOD.
Is any special precaution required in pregnancy?
Women with PCOS are at higher risk of developing miscarriage, diabetes (gestational diabetes mellitus- GDM), high blood pressure (preeclampsia), growth problems, premature delivery during pregnancy.
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Should Fallopian Tubes be removed before IVF?
Posted by on Friday, 24th April 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 the tube, the egg and the sperm meets ("fertilization") to produce the embryo, which then comes down inside the uterus. The embryo then attaches to the uterus and gives rise to pregnancy.
We need to understand how IVF is done.
By giving some medicines (injections) in the body, the eggs in the ovaries are grown and then they are collected with a fine needle from the ovaries. The sperms are collected from the male partner. In the laboratory, the eggs and sperms are fertilized to produce the embryo. The embryo is then transferred back inside the uterus, where it can give rise to pregnancy. Thus, basically what happens inside the fallopian tubes are done in the laboratory. Therefore, we are bypassing the function of the fallopian tubes during IVF.
So, IVF can be done whether the fallopian tubes remain open (Sperm problems, low egg counts, endometriosis, unexplained infertility, ejaculation problems, azoospermia) or blocked (in HSG, SSG and/or Laparoscopy). So, there is NO NEED OF REMOVAL OF THE TUBES BEFORE IVF.
However, there is one exception.
That is hydrosalpinx, where there is swelling of the fallopian tubes (one or both the tubes) because of accumulation of fluid. That fluid can come down from the tubes into the iterus and can damage the embryo transferred after IVF. In that case, the diseased fallopian tube is doing more harm than good. Therefore, the diseased tube MUST be removed before IVF. So, in most cases, IVF can be done keeping the Fallopian tubes inside the body.
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