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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Sperm Abnormality- Donor Sperm is NOT needed
Posted by on Friday, 24th April 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, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.
2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.
Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.
That means, we may not be able to improve your sperm count in most of the cases, but we can definitely help you to become the biological father of your baby.
What is IUI (Intrauterine Insemination) ?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.
When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is higher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.
What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usually, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.
When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.
What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.
What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.
Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.
Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.
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Sperm Problems- IUI or IVF- What to do?
Posted by on Friday, 24th April 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 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.
2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.
Unfortunately, in many of such cases, medicines cannot work. Still, you can become biological father using your own sperms. Initially you can take medicines. but even after taking medicines, sperm counts remain abnormal, you should consider IUI or IVF.
What is IUI (Intrauterine Insemination)?
Medicines (tablets, injection) are given to your wife to help her eggs grow. By ultrasound, we see whether eggs are growing. If the eggs about to rupture, husband’s sperm is collected, processed (“preparation”) and then inserted inside the uterus. The success rate is 10-15% per cycle. That means out of 100 couples trying IUI, 10-15 can conceive after the first cycle. You can try maximum 3-4 cycles of IUI.
When IUI can be done?
If the sperm count is mildly/ moderately low, IUI can be tried. However, for doing IUI, at least one fallopian tube of your wife MUST be open. Moreover, the success rate of IUI is hiogher if your wife's age is less than 35 years, she is having good number of eggs in the ovaries and you are not trying for pregnancy for long time.
What is IVF (in vitro fertilization)?
Your wife will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. She has to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usualy, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from her body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then transferred after 2-3 days (Fresh Transfer) or after 2-3 months (Frozen Transfer). The success rate of IVF is 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle.
When IVF should be done?
If you have tried IUI for 3-4 cycles and failed, you should consider IVF. If your wife's fallopian tubes are blocked, her age is on the higher side, she is having less number of eggs in the ovaries and you have been trying for pregnancy for longer time, you should NOT delay IVF.
What to do if the sperm count is severely low?
In that case, you require a special type of IVF, called ICSI (Intracytoplasmic Sperm Injection). Here, the sperms collected from you, will directly be injected inside the eggs collected from your wife to form the embryo. It increases the success rate.
Whether IUI or IVF/ ICSI will be done using your sperms or donor sperms?
We always encourage the couples to become biological parents. Therefore, we always prefer using your own sperms. Donor sperms are used for IUI ONLY when your sperm count is very low, you require IVF-ICSI but unfortunately you cannot afford. Donor sperms can ONLY be used after taking consent from BOTH the husband and the wife.
What to do if there is no sperm (Azoospermia)?
There is also no need to use donor sperms. You can father your own baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Sperm Aspiration). Those sperms can be used for ICSI.
Conclusion-
In most of the case, you can become biological father of your own baby using your own sperms by IUI or IVF. If the problem is mild, IUI can be tried. In case of severe problem, you should not delay IVF. Donor sperm is not usually needed.
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Sperm Abnormal- Can Medicines Help?
Posted by on Friday, 24th April 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 3-5 days. This is important, as the sperm count varies day to day. It takes almost 3 months to produce the sperms. therefore, if today you wear very tight underwear or you have high fever, your sperm count (checked after 3 months from today) will be low. As a result, a SINGLE ABNORMAL SEMEN ANALYSIS report does NOT HAVE ANY SIGNIFICANCE. You need to repeat it.
2) Both Male and Woman should be seen together. What treatment is required, actually depends on the reports of both the partners, their age and duration of infertility. Moreover, the pregnancy will ultimately happen on the woman. That's why, we need to see both together.
What medicines should I take if the second semen analysis report is also abnormal?
It all depends on how abnormal the report is. In case of mild abnormalities, we give medicines called "Antioxidants" (special types of minerals and vitamins that act on the sperms) for 2-3 months and ask to repeat the test again to see if there is any improvement. At the same time, some life-style changes are advised. These include avoidance of smoking and alcohol, reducing weight, avoidance of using tight underwear, prolonged sitting and driving.
However, if the problem is severe, you can take antioxidants. But it is more IMPORTANT to do some tests to FIND OUT THE CAUSE. Sometimes, we can find the cause like diabetes, which if controlled, can improve your sperm count without any other treatment.
What tests are required?
You may need physical examination of your genital organs by the doctor. You may be advised some blood tests for hormones (Testosterone, FSH, LH, Sugar etc). Some ultrasound examination of your testicles or prostate gland may be advised. In severe cases, some genetic testing (blood test to see if there is any chromosomal problem) may be needed.
Can any medicines help if there is severe problem?
In most of the cases, medicines cannot help. You can take antioxidants but SHOULD NOT RELY solely on it. In most cases, you will require IUI or IVF. However, there is ONLY ONE CASE where medicines can ACT DRAMATICALLY. That is if there is problem in the pituitary gland (situated in the brain). In that case, taking gonadotrophin injections for 3-6 months will significantly improve your sperm count.
What's the problem if medicines are taken for long time?
As such, medicines will not harm. But if you take medicines despite the fact that your sperm count is not improving, you can land up in azoospermia. This is because, in male having severe oligospermia, there is a tendency that sperm count may further decrease over time. Therefore, relying on medicine will INDIRECTLY HARM you. Rather, you should think of IUI or IVF.
Can Testosterone be taken?
Even if your testosterone is low, if you start taking tablet/ injection of testosterone from outside, your SPERM COUNT WILL DECLINE FURTHER. Therefore, under any circumstances, if you want to become father, you SHOULD NOT TAKE TESTOSTERONE. Sometimes, after hormonal tests, we can advise tablets like Letrozole, which can help to improve the testosterone level, indirectly.
IUI or IVF- What to do?
If the sperm count is mildly/ moderately low, IUI (Intrauterine Insemination) can be tried. however, if its severely low, you should go for special type of IVF (in vitro fertilization), called ICSI (Intracytoplasmic Sperm Injection). All of these will be done using your sperms only.
What to do if there is no sperm (Azoospermia)?
You need some investigations to find out the cause. If there is pituitary gland problems, injections can be helpful. In most of the other cases, no medicines can help. But you can become the biological father of your baby using your own sperms, collected from your testicles, by small needle (TESA- Testicular Spwerm Aspiration). those sperms can be used for ICSI.
Conclusion-
In most of the case, we may not be able to improve your sperm count by medicines. Taking medicines years after years, can rather be harmful. In most cases, you can become biological father of your own baby using your own sperms.
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Polycystic Ovary in USG does NOT always mean PCOS
Posted by on Friday, 24th April 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 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 main problem in PCOS is not the “cysts”, rather cysts are arising because of hormonal problems.
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.
When a woman is said to have 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.
Therefore, if you have PCO in USG but you do NOT have irregular periods and you don't have excessive hair growth etc, then you DO NOT have PCOS. You just have polycystic Ovaries.
It is a quite common condition, affecting 2 to 26 in every 100 women. Unfortunately, there is no cure for PCOS. However, it can be kept under control.
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IVF in PCOS- When it is needed
Posted by on Friday, 24th April 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, duration of infertility and other fertility factors. Usually the first line of treatment is OI (Ovulation Induction). If patient fails to conceive with OI, then IUI is offered. If IUI also fails, then ONLY IVF is usually advised. Therefore, majority of the women with PCOS conceive without IVF; especially if they are young (age less than 35 years), infertility duration is short, husband;s sperm condition is OK and Fallopian tubes are alright.
When IVF is suggested for PCOS?
If your age is on the higher side (age more than 35), infertility duration is of longer time, husband's sperm reports are not good or your fallopian tubes are blocked then you should consider IVF. Moreover, if you tried OI several cycles (4-6 cycles) with oral tablets and injections and also tried IUI 3-4 cycles, the chance of pregnancy is low, without IVF. Therefore in that case, you should seriously consider IVF.
What should you do before IVF?
First of all please remember, the success rate of IVF is only 40-50%. That means out of 100 couples undergoing IVF, 40-50 can conceive after the first cycle. Some may need additional cycles. Keep your weight normal. reducing weight helps to improve success rate of IVF.
How IVF is done?
You will be given some injection (gonadotrophin) to promote growth of the follicles (fluid filled sacs in the ovaries containing eggs). Injections are NOT painful and are needed to be taken under the skin. You have to come to TVS (ultrasound by putting probe in the vagina) follicular study regularly to see if the follicles are growing. Usually, injections are needed for 10-12 days. After that, under anaesthesia, eggs are collected from your body by inserting small needle. The eggs are then fertilized with the sperm to produce the embryos. The embryos are then frozen and are transferred after 2-3 months.
Why embryos are not transferred in the same cycle and are frozen?
In PCOS, there is a risk called, OHSS (Ovarian Hyperstimulation Syndrome), where excessive number of focllicles can develop, leading to fluid accumulation in tummy and chest. It may turn serious, sometimes. Therefore, if we freeze the embryo, the OHSS severity decreases. At the same time, during IVF, we give some medicines to reduce the risk of OHSS, ask to come for regular monitoring and request the women to take protein rich diet and plenty of water.
Overall, the success rate is higher in PCOS, after IVF, compared to other causes of infertility.
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