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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Effects of PCOS
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 symptoms vary from woman to woman. Some women have very few mild symptoms, while others are affected more severely by a wider range of symptoms.
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. 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.
A diagnosis is made when you have any two of the following:
1. Irregular, infrequent periods or no periods at all
2. An increase in facial or body hair and/or blood tests that show higher testosterone levels
3. An ultrasound scan that shows polycystic ovaries.
It is a quite common condition, affecting 2 to 26 in every 100 women.
What causes PCOS?
The exact cause of PCOS is not yet known but it often runs in families.
The symptoms are related to abnormal hormone levels:
1. Testosterone is a hormone that is produced in small amounts by the ovaries in all women. Women with PCOS have slightly higher than normal levels of testosterone
2. Insulin is a hormone that controls the level of glucose (a type of sugar) in the blood. If you have PCOS, your body may not respond to insulin (“insulin resistance”), so the level of glucose is higher. To try to prevent the glucose levels becoming higher, your body produces even more insulin. High levels of insulin can lead to weight gain, irregular periods, fertility problems and higher levels of testosterone.
Effects of PCOS
Is PCOS related to other diseases?
Effect of PCOS is not limited to the ovaries. 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).
The risks are higher for obese women.
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.
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Azoospermia Treatment
Posted by on Friday, 24th April 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 role of surgery?
If the problem is due to adequate sperm production but blockage in the sperm conducting duct, surgery can be done to relieve the obstruction, to help you to father your baby by natural conception. However, the results of the surgery are not always satisfactory. But sperms can be collected and frozen at the time of surgery for future use, in case the surgery fails.
What is the actual treatment?
In most cases the men are offered a special type of IVF (In Vitro Fertilization) using the technique called ICSI (Intracytoplasmic sperm injection). In standard IVF, your wife will be given some injections to mature her eggs, which will be collected under anaesthesia through the vagina using ultrasound. These eggs are then mixed with the sperms in the laboratory and the embryos, thus produced, are either directly put inside your wife's uterus or some may be frozen and kept for future use.In ICSI, the sperms collected from your body are directly injected, under the microscope, inside the eggs.
How sperms are collected?
If any obstruction in your sperm-conducting passage is suspected, sperms can be collected from the epididymis (small gland above the testis) by small needle (PESA- Percutaneous Epididymal Sperm Aspiration) or and or sometimes, by a small cut (MESE Microsurgical Epididymal Sperm Extraction). All these are done under anaesthesia. If these fail, TESA or TESE (see below) are done to collect the sperms. If there is problem in sperm production, there may still be some sperms found inside the testes. These can be collected using small needle (TESA- Testicular Sperm Aspiration), or a small cut in the testes (TESE- Testicular Sperm Extraction); all under anaesthesia. In all cases, sperms can be frozen for future use.
What are the chances that sperms can be collected from the body?
If there is obstruction, the chance is nearly 100%. That means, out of 100 such men, almost all cases, sperms can be obtained from his body. If it’s due to inadequate sperm production from the testes, then the chance of collecting sperms is 50-60%.
However, in small number of cases, the sperms collected from your body may not be of good quality. In that case, you may be offered using donor sperms; it is never used without consent from you and your partner.
When donor sperm is used and how?
If a man cannot afford ICSI, donor insemination is an alternative. But it is done only with consent from both husband and wife. The process will remain confidential and the identity of the donor is not revealed. Donor is tested for diseases like STI, HIV, Hepatitis B or C, thalassaemia etc. Usual attempt is taken to choose donor having blood group and skin colour similar to those of the husband.
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All Reports are OK, still cannot conceive. What to do?
Posted by on Friday, 24th April 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 male
2. Ultrasound of female- to look for uterus and ovaries
3. Hormones tests for female (Blood)- to look for ovarian function
4. Checking the tubes- HSG/ SIS/ Laparoscopy
Is UI very rare?
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. Out of 10 couples struggling to conceive, 3 are found to have UI.
How UI is treated?
The treatment depends on your age and duration of trying. The usual steps are ovulation induction (OI), Intrauterine Insemination (IUI) and In Vitro fertilization (IVF) respectively.
In OI, Medicines (tablets, injection) are given to help your eggs grow and rupture. If the eggs rupture, the chance of pregnancy per cycle is 15% and after 4-6 cycles of OI, it is nearly 50-60%.
In IUI, along with medicines given for OI, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 15-20% per cycle.
If a woman fails to conceive after 4-6 cycles of IUI, if the age is on higher side, infertility is of more than two years duration, IVF is advised. The success rate is 40-50% per cycle. IVF is considered the “most advanced” treatment, as it could give explanation why natural trying or IUI failed.
How is the success rate?
UI has one of the best chance of success.
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Azoospermia Diagnosis
Posted by on Friday, 24th April 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 in pituitary gland or liver diseases are at high risk. Men, having inadequate body hair, sexual dysfunction and varicocele should also discuss this issue with their doctor.
The semen test shows no sperm. What should I do?
A single report is not conclusive. This is, because, sperm production requires 3 months and it needs cool temperature than rest of the body. This is why, men have their testes hanging outside the body in the scrotum. Thus, today's semen analysis reflects a man's health 3 months before. Again, the results can vary from one laboratory to another.
So, we usually advise repeating the test after few days, preferably from a second laboratory. Sometimes, careful examination may reveal few sperms, that can be used for ICSI.
The repeat test also showed azoospermia. What is the next step?
The next step is to find out the cause. Your doctor may ask you some questions and with your permission, may check your body areas (hair growth, breast development, penis, scrotum, testicular size etc). Doctor can advise you some tests like ultrasound of your testes, or sometimes of your prostate gland. Some hormonal tests are advised (blood tests- LH, FSH, Testosterone, prolactin etc) and in some occasions, karyotyping and Y chromosome Microdelection (chromosomal analysis).
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Low AMH What is meant by it
Posted by on Friday, 24th April 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 if it can meet with the sperm, pregnancy is possible, However, the process of destruction continues. As a result, when she attains menopause (permanent cessation of menstruation), there ovarian reserve is severely diminished, making pregnancy almost impossible. However, in some women, this process of destruction is accelerated and this decreases the ovarian reserve markedly, compared to her age. This is called “Poor ovarian reserve (POR)” or “Less number of eggs”.
What may be the possible reasons?
In most cases, the exact reason is not known. It may be due to chromosomal problems, diseases running in families, surgery done in ovary, endometriosis, exposure to chemotherapy or radiation etc. Smoking and environmental factors may also be responsible.
How can I know that I have less number of eggs?
Unfortunately, majority of the women, who are having “less number of eggs”, do not know that they are suffering from it. It is suspected if you have any risk factors like previous operation, family history or chemotherapy treatment. Blood results can show low AMH. The most definitive test is checking for the eggs (called AFC- Antral Follicular Count) by ultrasound probe inserted in vagina (TVS- Transvaginal sonography).
However, it must be kept in mind that a single result is not confirmatory.
AMH level varies from one laboratory to another. A single low AMH does not always mean POR. Similarly, low AFC needs to be interpreted with care. In short, we have to look into age, AMH and AFC together, not separately.
Only a low AMH or low AFC cannot decide what treatment you should have. Age is the most important factor to decide the mode of treatment.
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