Dr. Sujoy Dasgupta

Dr. Sujoy Dasgupta
Obstetrician and Gynecologist, Kolkata

MBBS (Gold Medalist, Hons), MS (Gold Medalist- OBGY), DNB (New Delhi)

Dr. Sujoy DasGupta is possessing very bright academic career having number of Gold Medals, Honours, Awards and certifications. 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.

Dr. Sujoy DasGupta 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. Sujoy DasGupta 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.


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.


He 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.


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 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. Sujoy DasGupta 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.

Experience

Ex-Obstetrician and Gynaecologist, KPC Medical College, Kolkata July, 2015 -  January, 2016

Consultant Gynaecologist, Obsterician, Infertility Specialist, Sexologist, Upkar Nursing Home, College Street, Kolkata January, 2015 -  Present

Consultant Gynaecologist, Obsterician, Infertility Specialist, Sexologist, Friends Diagnostic Pvt Ltd, Garia, Kolkata January, 2014 -  Present

Consultant Gynaecologist, Obsterician, Infertility Specialist, Sexologist, Care IVF Central Avenue (Avenue X-Ray Clinic), Kokata - Currently working here

Consultant Gynaecologist, Obsterician, Infertility Specialist, Sexologist, Saha Polyclinic Sodepur, Kolkata February, 2015 -  Present

Consultant Gynaecologist, Obsterician, Infertility Specialist, Sexologist, Hindusthan Health Point Garia, Kolkata January, 2014 -  Present

Visiting Consultant, Remedy Hospital Garia, Kolkata July, 2013 -  Present

Visiting Consultant, RSV Hospital Tollygunj November, 2014 -  Present

Visiting Consultant, Iris Hospital Gangulybagan, Kolkata November, 2013 -  Present

Ex- SR, Gynaecological Oncology, Chittaranjan National Cancer Institute (CNCI)

Ex- Emergency Surgeon, Ramakrishna Sarada Mission Matri Bhavan, Kolkata

Ex-Medical Officer, Saranya Hoispital, Burdwan

Ex- Registrar, ILS Hospital, Dumdum, Kolkata

Ex- Registrar, Bhagirathi Neotia Women and Child Care Centre, Kolkata

IUI Incharge, Infertility and IUI Clinic, Medical College, Kolkata

Ex- PGT, Department of Obstetrics and Gynaecology, Eden Hospital, Medical College, Kolkata

Ex- RMO, Ruby General Hospital, Kolkata

Ex- RMO, Paramount Nursing Home, Hazra, Kolkata

Ex-RMO, Remedy Hospital, Garia, Kolkata

Ex- House Staff, Department of Endocrinology, Medical College, Kolkata

Ex- Internee, Medical College, Kolkata

Consultant Gynaecologist and Sexologist (Part Time), Indian Air Force, West Bengal September, 2015 -  Present

Consultant Obstetrician, Gynaecologist and Infertility Specialist, Behala Balananda Brahmachary Hospital and Research Centre, Kolkata November, 2015 -  Present

Specialities

  • Obstetrics and Gynecology

  • Obstetric Ultrasound

  • Obstetric Emergency

  • Gynecology

  • Andrology

  • Sexology

  • Reproductive Medicine

  • IVF & Infertility

  • Gynaecological Endoscopy

  • Sexual Medicine

Procedures

  • Abdominal Hysterectomy

  • Abdominal Surgery

  • Ablation

  • Abortion

  • Abscess Incision and Drainage

Conditions

  • Abnormal Female Sexual Function

  • Abnormal Menstruation

  • Abnormal Uterine Bleeding

  • Acute (or Transient) Urinary Incontinence

  • Acute Urinary Retention

Expertise

Dr. Sujoy Gupta lends his expertise in the following areas of gynecology:


  • 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, IUI, IVF
  • Ultrasonography
  • Laparoscopy, Hysteroscopy
  • 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

Education

MBBS (Gold Medalist, Hons), 2009, Medical College, Kolkata, Kolkata, India

MS (Obstetrics and Gynaecology- Gold Medalist), 2013, Medical College Kolkata, Kolkata, India

DNB (Obstetrics and Gynaecology), 2014, National Board of Examinations, New Delhi, New Delhi, India

Fellow- Reproductive Endocrinology and Infertility, 2015, American College of Obstetricians and Gynecologists (ACOG, USA), USA

Practice Information

Upkar Nursing Home, Kolkata

Upkar Nursing Home, Kolkata

Gate No.3, Opp. Medical College, 30D, College Street, Kolkata, West Bengal - 700073

THU & SAT

04:00 PM - 06:00 PM

Friends Diagnostic, Kolkata

Friends Diagnostic, Kolkata

128, Friends Diagnostic Building, Garia Main Road, Patuli Main Road, Baroda Avenue, Garia, Kolkata, West Bengal - 700084

THU

07:00 PM - 08:00 PM

SAT

07:00 PM - 09:00 PM

Saha Polyclinic, Kolkata

Saha Polyclinic, Kolkata

Barasat Road, Kachkol More, End of Sodepur Flyover East, Near Sodepur Rail Station Platform Number 4, Sodepur, Kolkata, West Bengal - 700110

SAT

02:00 PM - 03:00 PM

Behala Balananda Hospital and Research Centre, Kolkata

Behala Balananda Hospital and Research Centre, Kolkata

Plot No. 151 & 153, Diamond Harbour Road, Behala, Kolkata, West Bengal - 700034

THU

10:00 AM - 12:30 PM

Care IVF Central Avenue, Kolkata

Care IVF Central Avenue, Kolkata

Adjacent to Beadon Street and Centra Avenue Junction, Beside Cafe Coffee Day, 8B Jatindra Mohan Avenue, Kolkata, West Bengal - 700006

SAT

11:00 AM - 01:00 PM

Hindusthan Health Point, Kolkata

Hindusthan Health Point, Kolkata

Hindusthan More, Near WBSEB, 2406, Garia Main Road, Kolkata, West Bengal - 700084

FRI

10:00 AM - 11:00 AM

Private Practice Information

Care IVF Central Avenue (Avenue X-Ray Clinic)

Care IVF Central Avenue (Avenue X-Ray Clinic)

8B Jatindra Mohan Avenue, Near Crossing of Beadon Street and central Avenue, Beside Cafe Coffee Day, Beadon Street, Kolkata, West Bengal - 700006

SAT

11:00 AM - 01:00 PM

  • (+91) 8017559556, (+91) 9433716111
Doctors' Point, Tolygunj

Doctors' Point, Tolygunj

71/1E Netaji Subhash Chandra Bose Road, Near Malancha Cinema Hall Tollygunj, Kolkata, West Bengal - 700040, Tollygunj, Kolkata, West Bengal - 700153

SUN

07:00 PM - 09:00 PM

FRI

07:00 PM - 09:00 PM

  • (+91) 9163405537, (+91) 9433716111
Friends Diagnostic Private Limited Garia

Friends Diagnostic Private Limited Garia

128 Baroda Avenue, Garia, Near 45 Bus Stand, Beside Palki Restaurant, Kolkata, Kolkata, West Bengal - 700084

THU

07:00 PM - 08:00 PM

SAT

07:00 PM - 09:00 PM

  • (+91) 9433716111
Saha Polyclinic Sodepur

Saha Polyclinic Sodepur

Barasat Road, Kachkol More, End of Sodepur Flyover East, Near Sodepur Rail Station Platform Number 4, Sodepur , Kolkata, West Bengal - 700110

SAT

03:00 PM - 04:00 PM

  • (+91) 9432316865, (+91) 9433716111
Upkar Nursing Home College Street

Upkar Nursing Home College Street

30D College Street, Opposit to gate Number 3 of Medical College Kolkata, Kolkata, West Bengal

THU

05:00 PM - 07:00 PM

SAT

05:00 PM - 06:00 PM

  • (+91) 9433716111
Seba Doctor's Chamber Kamalgazi

Seba Doctor's Chamber Kamalgazi

New Health Care Pharmacy, NSC Bose Road, Kamalgazi, Beside Kamalgazi Masjid, Garia , Kamalgazi, Garia, Kolkata, West Bengal - 700103

THU

08:00 PM - 09:00 PM

  • (+91) 9831606866, (+91) 9433716111
Behala Balananda Bramhachary Hospital and Research Centre

Behala Balananda Bramhachary Hospital and Research Centre

Plot No. 151 & 153, Diamond Harbour Road, Behala, Behala, Kolkata, West Bengal - 700034

THU

10:00 AM - 12:00 PM

  • (033) 23961687, (+91) 9433716111
Hindusthan Health Point Pvt Ltd, Garia

Hindusthan Health Point Pvt Ltd, Garia

2406 Garia Main Road, Hindusthan More, Kolkata 700084, Kolkata, West Bengal - 700084

FRI

10:00 AM - 11:00 AM

  • 9433716111, 9831483585
Euor Clinic Gariahat

Euor Clinic Gariahat

6/5B Anil Maitra Road, Gariahat, Near South Point High School, Opposite- Besco factory, Gariahat, Kolkata, West Bengal - 700019

FRI

04:00 PM - 06:00 PM

  • 09433716111
DAMA Techno India Salt Lake

DAMA Techno India Salt Lake

Jal Vayu Vihar, LB Block, Sector III, Kolkata, West Bengal 700098, Salt Lake, Kolkata, West Bengal - 700098

WED

10:00 AM - 01:00 PM

  • 09433716111, 09433716111

Patient Experience

Your participation in the survey will help other patients make informed decisions. You will also be helping Dr. Sujoy Dasgupta and his staff know how they are doing and how they can improve their services.

Achievements & Contributions

  • Dasgupta S, Chaudhury K, Mukherjee K. Usefulness of chorionic villus sampling for prenatal diagnosis of thalassaemia: a clinical study in eastern India. Int J Reprod Contracept Obstet Gynecol 2015 Jun; 4(3):790-794.
  • Dam P, Chakravorty PS, Mukherjee P, Dasgupta S. An Atypical Successful Outcome of Multifetal Pregnancy in Bicornuate Uterus: A Case Report. J Int Med Sci Academ Oct-Dec 2014; 27 (4) : 211-212.
  • Ghosh I, Mittal S, Banerjee D, Singh P, Dasgupta S, Chatterjee S, Biswas J, Panda C, Basu P. Study of accuracy of colposcopy in VIA and HPV detection-based cervical cancer screening program. Aus N Z J Obstet Gynaecol 2014; 54: 570–575  DOI: 10.1111/ajo.12282 PMID: 25476810.
  • Dasgupta S, Mukherjee K, Chaudhury K. Risk of miscarriage following chorionic villus sampling on 315 cases for prenatal diagnosis of Thalassemia. BJOG. EP3.07. DOI: 10.1111/1471-0528.12778: 29-30.
  • Dam P, Dasgupta S, Das N, Chakravorty PS.  Evaluation of Role of Intrauterine Insemination in Infertility in a Tertiary Care Hospital. J of Evolution of Med and Dent Sci 2014 Apr 21; 3 (16):  4337-4348. 
  • Dasgupta S. Incisional Hernia in Pregnancy: A Review. Int Med J of Students' Research 2012 Jan; 2 (1): 18-23.
  • Dasgupta S. An Unusual Association of Lung and Ovarian Malignancy in a Young Nonsmoker Female. Int J of User-Driven Healthcare 2012 Oct-Dec; 2(4): 20-28.
  • Biswas T, Sen P, Dasgupta S, Guha Niyogi S, Ghosh GC, Bera K, Biswas R. Creating Secondary Learning Resources from BMJ Case Reports through Medical Student Conversational Learning in a Web Based Forum: A Young Man with Fever and Lymph Node Enlargement. Int J of User-Driven Healthcare 2011 Jul-Sept; 1(3): 7-19.
  • Dasgupta S. Unexplained Infertility- An Enigma of reproductive Medicine. Asian Students' Med J 2011 May; 6(6).
  • Basu P, Dasgupta S, Singh P. "Screening of Cervical Cancer" in Screening in Obstetrics and Gynaecology: Management of Abnormality. Pandey A, Magon N Eds. FOGSI Publication: Jaypee 2015 p135-146.
  • Dasgupta S, Banerjee Ray P. Association between ophthalmoscopic changes and obstetric outcomes in preeclampsia and eclampsia. Int J Reprod Contracept Obstet Gynecol 2015 Dec; 4(6): 1944-1949.
  • Dasgupta S, Sarkhel A, Jain A.   Single Loading Dose of Magnesium Sulphate in Severe Preeclampsia and Eclampsia-Is it Effective? A Randomized Prospective Study. Obstet Gynecol Int J 2015 Sept, 2(6)
  • Dasgupta S. Salpingectomy should be done routinely during hysterectomy. BOGS Times 2015 July: 7 (1); 6-7. 
  • Banerjee, D, Singh, P, Dasgupta, S, Mandal, R, Basu, P, Biswas, A phase II randomised trial evaluating concomitant immunotherapy and radiation therapy for stage-III cervical cancer. BJOG 2014 Mar; 121 (S2): 197
  • Gold Medal in Biochemistry, 1st Professional MBBS, 2005
  • Gold Medal in Pharmacology, 2nd Professional MBBS, 2007
  • Gold Medal in Otorhinolaryngology (ENT), 3rd Professional MBBS Part I, 2008
  • Gold Medal in Obstetrics and Gynaecology, 3rd Professional MBBS Part II, 2009
  • Gold Medal in Obstetrics and Gynaecology for being selected as "Best PG Student" in MS, Obstetrics and Gynaecology, 2013
  • Mcnamar Silver Medal in Biochemistry in 1st Professional MBBS, 2005
  • Sutherland Silver Medal in Forensic Medicine and Toxicology in 2nd Professional MBBS, 2007
  • Senior Class Assistant (The "Best Student")  in Biochemistry, 2005
  • Senior Class Assistant (The "Best Student") in Pharmacology, 2007
  • Senior Class Assistant (The "Best Student") in ENT, 2008
  • Senior Class Assistant (The "Best Student") in Paediatric Medicine, 2009
  • 1st Certificate of Honours in Physiology in 1st Professional MBBS, 2005
  • Honours (80.1% marks) in Biochemistry, 2005
  • Honours (80% marks) in Pharmacology, 2007
  • Honours (77% marks) in ENT, 2008
  • Kunj-Kusum Scholarship for securing the FIRST position in 2nd Professional MBBS Examination among the students of the college, 2007 
  • Highest Marks in the University in Biochemistry, 2005
  • Highest Marks in the College in Pharmacology, 2007
  • Highest Marks in the College in ENT, 2008
  • Dr Saroj Bhattacharya Memorial Award in Obstetrics and Gynaecology in 3rd Professional MBBS Part II
  • 1st Prize in Case Presentation in BOGSCON, 2012 - "An Atypical Outcome of Multifetal Pregnancy in Bicornuate Uterus"
  • 2nd Prize in AICC-RCOG Quiz in Pune, 2012 on "Medical Disorders in pregnancy"
  • Champion, Late Smt Birangana Devi Oration Competetion, Conference on Recent Trends in Cancer Research, Early Diagnosis, Prevention & Therapy "The Accuracy of Diagnostic Colposcopy using IFCPC 2011 Classification in Women Screened by VIA and HPV DNA Test"
  • 1st Prize, Oral Paper Presentation, 9th Annual Conference of ISCCP, 2014 "The Accuracy of IFCPC 2011 Classification to Detect Cervical Neoplasia"
  • Invited Panelist at Panel Discussion, Plexus, Annual Fest of KPC Medical College, 2011 "Occupational Hazard among Health Care Providers"
  • Invited Faculty at Scientific Programme of MCESA, 2014 "Obstetric Critical Care"
  • Quiz Master of Scientific Programme, MCESA, 2014
  • Workshop Coordinator, ISCCP ANnual Conference, 2014
  • Invited Faculty at Live Workshop on Colposcopy and Manegement of Cervical Precancers, CNCI, April 2014; August 2014; December 2014; July 2015
  • Invited Faculty at Scientific Programme in BOGSCON, 2015 "Thromboprophylaxis in Obstetrics"
  • Invited Faculty at Scientific Programme in MCESA, 2015 "Thromboprophylaxis in Pregnancy"
  • Quiz Master in Scientific Programme of MCESA, 2015
  • Examiner, Vivavoce Table, FORCE 2015
  • Quiz Master, Retrocon, 2015
  • CME of Medical Education and research Committee, BOGS, 2015
  • Chairperson in a session, Endogyn, 2015
  • Chairperson in a session, Annual Conference of South Kolkata Medical Association, IMA, 2015
  • An Atypical Outcome Of Multifoetal Gestation In Bicornuate Uterus 1st prize in BOGSCON, 2012  January, 2012 ECOHUB Conclave, Kolkata
  • Prevalence And Significance Of Anti-Phospholipid Antibodies In Selected At-Risk Obstetric Cases: A Comparative Prospective Study East Zone Yuva FOGSI May, 2012 Hotel Hindusthan International, Kolkata
  • Management Of Overt Diabetes Before, During And After Pregnancy   June, 2012 Eden Hospital Seminar Room
  • Perineal Injury In Obstetrics- Prevention And Management.   August, 2012 Eden Hospital Seminar Room
  • Operative Vaginal Delivery- Is It A Lost Art?   October, 2012 Eden Hospital Seminar Room.
  • Evaluation of Role of Intrauterine Insemination (IUI) in Infertility ART-AIM Update October, 2013 Hyatt Regency, HKolkata
  • The Accuracy of Diagnostic Colposcopy using IFCPC 2011 Terminology   BOGSCON, 2014. January, 2014 ITC Sonar, Kolkata
  • The Accuracy of Diagnostic Colposcopy using IFCPC 2011 Classification in Women Screened by VIA and HPV DNA Test Champion in Late Smt Birangana Devi Oration Competition February, 2014 CNCI., Kolkata
  • The Accuracy of IFCPC 2011 Classification to Detect Cervical. Neoplasias   1st prize in 9th Annual Conference of ISCCP, 2014  February, 2014 Hotel Hindusthan International, Kolkata
  • Growing Teratoma Syndrome- More Questions Than Answers BOGS Clinical Meeting June, 2014 Medical College, Kolkata
  • Rate of Miscarriage Following Chorionic Villus Sampling on 315 for Prenatal Diagnosis of Thalassaemia http://epostersonline.com/rcog2014/?q=node/3040   RCOG World Congress, 2014 HICC, Hyderabad March, 2014
  • Invited Panelist in a Panel Discussion on "Saving Mothers" in a CME by BOGS Committee of Safe Motherhood, at Medical College Kolkata, 2015
  • Invited Faculty at East Zone Yuva FOGSI 2015 held at Puri- "Prophylactic Salpingectomy"
  • Invited Speaker, "Prophylactic Salpingectomy"- East Zone Yuva FOGSI, Puri, 2015
  • Invited Expert Panelist, "High Risk Pregnancy", "Why Mothers Die" International Conference, Kolkata 2015
  • Invited Speaker- "Management of Sexually Transmitted Diseases", BOGSCON 2016
  • Invited Quiz Master, Mediquiz, Scientific Programme of 82nd Reunion of Medical College Kolkata- 2016
  • Peer Reviwer of BMJ Case Reports
  • Active member of BOGS (The Bengal Obstetric & Gynaecological Society)
  • Live member of FOGSI (Federation of Obstetric & Gynaecological Societies of India)
  • Member of IAGE (Indian Association of Gynaecological Endoscopists)
  • Live Member of IMA (Indian Medical Association)
  • Active Member of MCESA (Medical College Ex-Students’ Association)
  • Active Member of JVAA (Jadavpur Vidyapith Alumni Association)
  • Secretary, Publication, Website and Buletin Committee, BOGS, 2015-16
  • Secretary, Medical Education and Research Committee, BOGS, 2014-15
  • Coordinator, Website Committee, MCESA, 2014-15
  • Cultural Secretary, JVAA, 2013-2014, 2014-2015
  • Member, Registration Committee, Endogyn, 2015
  • Member, Scientific Committee, 81st Scientific Annual Conference of MCESA
  • Member, Publication Committee, Retrocon 2015 (Annual Reunion and Scientific programme of CSS)
  • Member, Scientific Committee, FORCE (FOGSI Revision Course for Examinations), 2015
  • Member, Workshop Committee, BOGSCON 40, 2015
  • Member, Publication Committee, 9th Annual Conference of ISCCP (Indian Scioety of Colposcopy and Cervical Pathology, 2014
  • Executive Committee Member, Medical College Ex-Students' Association (MCESA) 2016-17
  • Member, Scientific Committee, "Why Mothers Die" International Conference, 2015
  • Member, Workshop Committee, BOGSCON 2016

Blog

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 heart, blood pressure, blood sugar etc. But if the couple comes to doctor when they are planning pregnancy, then we can diagnose it and start treatment so that pregnancy can be safe to both the mother and the baby.

On the other hand, some pre-existing disease may turn serious during pregnancy and endanger life of both mother and baby. This includes thyroid disease, hypertension, epilepsy, renal disease, cardiac disease etc. If taken care of properly, the disease can be controlled before pregnancy so that the risk can be reduced. Again all the drugs are not safe for the baby. So, if treated before pregnancy, the mother can be put on safer but effective drugs before pregnancy.

Some diseases may run in family and often goes undetected and can affect the baby. Thlassaemia, hemophilia etc are the best examples. So, if the couple comes to us before pregnancy, we can screen them to diagnose whether they are bearer of the disease or not and then we can take care to prevent birth of defective baby. 

Some diseases indicate that there may be problems in having pregnancy, like problems in periods or abdominal pain in female, sexual problems in male and female etc. If treated properly, it will avoid unnecessary time wastage for trying for pregnancy.

The woman can be instructed how to remain healthy to have normal baby, before pregnancy. She can be advised some drugs (like folic acid), can be asked to avoid harmful drugs and substances (like drugs, excessive vitamin A, excessive vitamin D, excessive caffeine, smoking etc). Even the husband can be asked how to improve his fertility (by avoiding heat exposure to his scrotum).

Again some infections can be dangerous for the baby. So, before pregnancy we can treat the women for the infections and in some cases we can vaccinate her to prevent infection.

"A STITCH IN TIME SAVES NINE". So, why don't you consult your gynecologist when you are planning for pregnancy? have smooth journey throughout pregnancy and enjoy parenthood.

Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal. 

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal)... 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal. 

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not. 

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS". In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS". 

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS".

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results. 

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.

Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. SO, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal. 

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) Sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal)... 2) Sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. SO, first thing is not to feel depressed when the report comes abnormal. 

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to FAIL. So, first thing is- whether sperms are produced or not. 

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like TB, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called "TESTICULAR DEFECTS". In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them "PRE-TESTICULAR DEFECTS". 

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called "POST-TESTICULAR or OBSTRUCTIVE DEFECTS".

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of TESTICULAR or PRE_TESTICULAR DEFECTS, medicines can help (but in very few cases). In OBSTRUCTIVE CASES, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results. 

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? Just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.

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-

1) Mind your Diet: Easiest way is to work on your diet. Avoid junk food. Eat more of fruits, vegetables and whole grains.
2) Physical Exercise Works: Exercise is a must. It will help you manage body weight and can also help in conceiving. Exercise also balances testosterone and insulin levels.
3) Vitamin Supplements: Add more Vitamins A, E and C and Minerals like Zinc and calcium to your diet, in consultation with your doctor.
4) Drugs depending on menstrual problems or infertility. But main treatment is always weight control .

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 family is incomplete without a kid. 

How stress affects family life? Effect of stress is not limited to mind. It has serious effects in the body. It affects blood circulation and the heart. It puts pressure on nerves. It also alters the blood sugar level. And he end result is diabetes, hypertension (high blood pressure) and heart diseases. Ultimately these diseases affect all the organs of our body. Some people try to get rid of stress by smoking and alcohol. These will simply put burden on already affected heart and blood. 

Stress also alters important hormone levels in our body. The hormones needed for basic reproductive function (sex, conception and pregnancy) are either increased or decreased. Prolactin hormone is increased. Normally prolactin is needed to secrete milk from breast to fed the baby. But abnormally increased prolactin leads to milk secretion from breast (even without pregnancy) and irregularities in periods. Very high prolactin may even lead to problems with ovulation (at middle of each period, the egg gets released from ovary) and as a result, the woman cannot conceive a baby. Even in male, high prolactin leads to difficulty in erection of penis. In some male, it can lead to gynaecomastia (growth of male breast). Excessive high dose of prolactin leads to loss of sex desire in male and interferes with spermatogenesis (sperm production).

Apart from increasing prolactin, stress can directly affect the hormones secreted from the pituitary gland of both male and female, the testes in male and the ovaries in female. As a result, all the reproductive functions get disturbed leading to problems in sex (loss of desire in both male and female, problems in erection and ejaculation in male), irregular periods in female and ultimately pregnancy cannot occur. 

The diseases occurring as a result of stress (diabetes, hypertension etc) also affect the normal functions of ovaries causing irregular periods, even no periods at all. There may be problems in ovulation and thus difficulties in achieving pregnancy. Even if pregnancy occurs, it may be aborted because of these diseases. Similarly in male, diabetes and hypertension will cause sexual dysfunction and will affect sperm production. 

The lifestyles accompanying stress are also responsible for harmful effects on family life. Smoking and alcohol have been mentioned earlier. Stress may be associated with abnormal weight gain and that will affect the woman’s life in badly manner. There will be disturbances in periods, ovulation problems, infertility and even pregnancy loss. Sitting for long time while driving or keeping laptops on laps, will increase the temperature of scrotum in male and thus will decrease the sperm production. 

Again there is a vicious cycle- stress leads to family problems like problems in sex and in having pregnancy. That will in turn increase pressures from family (especially in-laws) and the society. This will simple aggravate the stress. 
So, what can be done to avoid these problems? The answer seems to be simple- that is avoiding stress. But it’s very easy to say and difficult to commit. First thing is try to bring stress at home just keep it at your workplace. Avoid smoking and cut down alcohol consumption. Avoid sitting long time in front of computers and take periodical rests when you are working continuously. The rest does not mean that you have to lie down in bed; just have a short walk. Start exercise that will keep you healthy and reduce your stress. Yoga is an Indian culture that taught the Western world how to reduce stress. Take plenty of water and green vegetables and fruits. Avoid fast food. Always put on comfortable dresses. And if all of these do not work, try if you can do something to avoid the stress- like changing the workplace, talking directly to your co-employees or the employer. If still all these cannot help, consult psychological counselor. A timely counseling will reduce stress significantly. In very few cases, drugs may be needed to reduce stress. But remember, drugs can only be useful if you are trying all the other measures. Simple dependence on drugs won’t help much.

Now regarding family problems associated with stress follow simple measures. Often we feel embarrassed to discuss these issues. Try to enjoy time of personal intimacy to the fullest. Don’t think of any problems during that time. If still there are problems, don’t hesitate to take medical help. And please remember, the drugs used to solve sexual problems may have side effects. So, these should be taken only after medical consultation. 
In case of female, maintain optimum weight. Avoid fast food, alcohol and smoking. If periods are irregular, maintain a menstrual diary. Consult a doctor to find out if there are some serious issues associated with these problems (like hormonal problems, thyroid diseases, even some tumors). You doctor will then decide the best treatment for you. If there are low desire for sex, don’t hesitate to take help of doctor. It may be a symptom of hormone deficiency that can affect your different systems (like bone, heart, blood etc). Now a days, there are lots of treatment options available for this.

For male, if there is low desire, consult your doctor to find out the cause of this problem. At the same time, avoid any anxiety, alcohol and smoking. Sometimes there are problems with erection. Instead of trying drugs shown in media or newspaper, feel free to talk to your doctor; because erection problem may be caused by some serious issues like heart disease, diabetes etc. So, if you have erection problems, consult doctor. He/ she will counsel you and give you the best treatment. Now if the problem is with ejaculation (like early loss of semen or very low semen), that issue can also be solved in the same way.

What’s about infertility problems? Stress and infertility are inter-related, as described before. Now, if there is problem with fertility, please remember few facts. Even in totally healthy couples, the chance of pregnancy after regular intercourse in fertile period (in the middle of menstrual cycle, usually) is only 20%. Though it appears disappointing, majority of couples conceive in course of time. So, couples are requested to report to doctor only if they tried regularly for one year without any protection. Then your doctor will assess you and try to find out the problem. And again, treatment of infertility is also depending on chance. Hat means we have to increase the chance above the natural chance (which is 20%). So, even one treatment fails, there is enough scope, so no need to lose hope. In other words, there is no need to increase the stress.

So, stay healthy, keep your mind healthy by avoiding stress and keep your family relationship totally stress-free.

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 our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause. 

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored. 

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup. 

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination. 

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy). 

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc. 

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke. 

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required. 

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

Sex is a basic human right. But to have sex safely and without fear of unwanted pregnancy should be the priority. Many women across the world die everyday as a result of unwanted pregnancy, mostly due to unsafe abortion. 

So, couples can avoid pregnancy and enjoy sex life fully, only if they can follow safe and effective contraceptive advice. Let me clarify some popular myths and misconceptions abut contraception. 

1. one contraception is useful for all

While the ideal contraceptive is necessary but it does not exist. So, what may seem suitable for a couple may not be useful for another couple. We need to assess various points like number of children they have, wish to have further children and plan to have children, general health of wife and husband (and any diseases they suffer from), frequency of intercourse, chance of infection, age of the partners etc. 

2. Regarding barrier methods
Most popular barrier method is male condom. But the myths are that" condoms reduce sexual pleasure" and" condoms get easily damaged leading to failure.

Condoms are specially useful for those who are at risk of infections, who do not have very frequent intercourse and who are not suitable for other methods. Condoms do not decrease sexual pleasure, some of the condoms have medicated products which can increase the duration of intercourse and also act as lubricant to facilitate intimacy. 

But men should know how to use it properly. It should be worn in erect penis expelling all the air and projecting the tip beyond the tip of penis. While withdrawing penis after intercourse, the condom should be held at the base of the penis. Actually failure/ rupture of condoms occur because of mishandling of condom or not knowing proper use of it. So, before use, please make sure that you know its correct use.

Definitely some men can feel latex allergy and they have to use non-latex condom, which are widely available.

There are barrier methods for females also- like female condom, diaphragm and cervical cap etc. But they are not very ease to use and are not so popular.

3. Oral contraceptive pills (ocp)

Myths-" ocp causes increase in weight" ocp causes cancers.

Facts- ocp seldom causes gain in weight. The gain in weight is coincidental, that means you have some other reason of gaining weight- like not having exercise, ignoring diet control and some other diseases. 

Ocp rather reduces risk of cancer- especially ovarian cancer (which is very difficult to diagnose and very lethal), cancer of colon, cancer of endometrium (inner lining of uterus). Of course, there is little risk of breast cancer, but the risk is not very high, it can be easily detected by examination by doctor. So, if you take ocp, get rid of all the fears. Just try to have self- breast examination every month. 

4. Intrauterine contraceptive devices (iucd)-

Most popular is copper t. Medicated iucds are also available, that contains hormonal drugs.

Copper t does not increase risk of infection, a common misconception lies among woman.

5. Emergency contraceptive pills (i pill etc).

Often couple uses these pills regularly after intercourse. Remember these pills contain very high content of hormonal drugs, which can lead to serious side effects like hormonal imbalance, irregularities in periods (and thus can prevent you from getting pregnant in future, even when you want pregnancy), ectopic pregnancy (pregnancy outside tubes that are life-threatening) etc. So, use regular contraception if you want to prevent pregnancy. I pill is not meant to be taken for every time of sex.

6. Ligation-

Ligation of male (vasectomy) and female (tubectomy) is done as permanent contraception for couples having more than 2 children. Ligation in male does not disturb sexual activity. It is easier than female ligation. Again, female ligation is also a very safe technique.

So, please remove all misconceptions and myths about contraception. Have safe sex, enjoy life.

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), eye (retinopathy), kidney (nephropathy), blood pressure (hypertension), liver (fatty liver), nerves (neuropathy), increased risk of infection and even some cancers. Obesity and diabetes go hand-in-hand. So, the main control measures are life style changes (controlling weight, diet, exercise, avoidance of alcohol and smoking); drugs (oral drugs and insulin) and monitoring by physician.


1. Sexual Dysfunction-
Diabetes is a major cause of sexual dysfunction in both male and female. It can reduce the libido (sexual desire) by altering the sex hormone levels. In case of male, Erectile Dysfunction (ED) is sometimes the first symptom of diabetes. So, if a male suffers from ED, rather than taking drugs directly from medicine shops, the cause of ED must be evaluated, particularly diabetes. Often patients do not know that they are diabetic but when the cause of ED is investigated, diabetes is discovered incidentally. It can also affect the nerves and thus can worsen the sexual problems. In female, it can lead to decreased arousal leading to avoidance of sexual activity. In some cases, it is responsible for premature ejaculation (PE) in males. Thus any person with sexual problems, should be evaluated for diabetes. Control of diabetes often resolves the problem. 

2. Menstrual problems-
Obesity and diabetes together can affect hormone balance leading to irregular menstruations ranging from periods occurring at every 2-3 months, sometimes too frequently (every 10-15 days), scanty flow and sometimes heavy flow. This is particularly true in case of polycystic ovarian syndrome (PCOS) which can affect various organs and systems of the body. In PCOS, insulin is there in the body but it cannot function properly and ultimately it leads to diabetes. In some cases, this high blood sugar may be responsible for appearance of excessive hair growth (male-like hairs) in females. Even in some cases, diabetes may be associated with increased thickening of the endometrium (the inner lining of the uterus). In thw worst cases, these women may have cancers in endometrium. So, women with menstrual problem need proper evaluation. Reduction in weight and control of blood sugar help to control menstrual problems. 

3. Infertility-
As mentioned above, PCOS is a common cause of infertility. Similarly, diabetes and obesity can lead to problems in ovulation and thus creates problems in having pregnancy. Control of weight and blood sugar lead to successful conception in most cases. Similarly in male, high blood sugar can affect sperm production and thus impairs male fertility. Sexual dysfunction can aggravate the problem. Infection also plays a important role.

4. Infection-
Diabetes is notorious for increasing susceptibility to infection and often interferes with eradication of infection. In female, the infections may lead to vaginal white discharge and even in severe cases can block the fallopian tubes leading to infertility permanently. In male, it can cause phimosis (tight foreskin) and sometimes infection of sperm conducting-passage leading to infertility. So, male and female with genital infection must be evaluated for diabetes. Proper control of blood sugar and antibiotics are needed to control these. 

5. Pregnancy problems-
Women with diagnosed diabetes are encouraged to control blood sugar before pregnancy. Otherwise there will be problems for mother as well the baby. Diabetes can cause miscarriage, preterm labour and worsens maternal problems like hypertension, nephropathy and retinopathy in pregnancy. It can lead to sudden unexplained death of the baby inside the uterus. The baby can have excessive weight (that leads to its diabetes in later life) and other problems like low blood sugar at birth, problems in breathing, problems in brain and problems in heart etc. So, proper control of blood sugar is needed before pregnancy and should be continued throughout pregnancy. 

6. GDM-
Some women may have normal blood sugar before pregnancy but may develop diabetes in pregnancy. This is called gestational diabetes (GDM). It is also associated with increased risk of complications to mother and baby. 50% women with GDM can develop diabetes in later life. So, women with repeated miscarriage, still birth and very large baby should be evaluated for diabetes. Treatment must be continued throughout pregnancy.

To summarize, diabetes is not only responsible for diseases of heart and brain but it can affect your reproductive life, particularly sexual function, conception and pregnancy. So, if you suffer from these problems, do not hesitate to check blood sugar. If diabetes is detected, there is no need to worry as proper control will solve all these problems. 



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.


1. Low libido- libido means desire for sex. Both men and women can have low libido. However, it is more common in female, although they often do not consult doctor for this problem. The causes of low libido include- hormonal problems (like deficiency of thyroid hormones, testosterone in men and estrogen in female, high prolactin), blood sugar, liver diseases, anaemia, heart diseases etc. Sometimes it may be due to psychological factors like depression or anxiety. Again in some cases, poor performance during sex or past experience of pain or injury during sex may often lead to avoidance of sex by an individual. So, what can be done- simple thing, do not feel shy, consult your doctor so that the proper cause is diagnosed and treated and thus you would be able to enjoy your family life. Remember, especially for men, viagra will never lead to increased libido.

2. Pain during intercourse- while the first intercourse is sometimes painful, but persistence o pain is abnormal and it can disrupt the conjugal relationship between a couple. Women are often the worst sufferer of the pain. The pain may occur during insertion, when the penis has just entered or when it is deep inside the vagina. This timing is important to diagnose the cause so that treatment can be done without delay. Common causes are dryness of vagina (especially after menopause), endometriosis, infections or some tumours. But sometimes, the vaginal muscle can have involuntary spasm that prevents any form of vaginal intercourse. If you feel so, do not hesitate o consult your doctor. He or she will talk to you in sensitive manner and then check you to come to diagnosis and then give you the treatment.
However, sometimes men may feel pain during intercourse. The cause is often due to incorrect position or due to phimosis (very tight foreskin). Some men have the idea that tight foreskin will'break" with repeated intercourse but this is a wrong idea. Phimosis, if ignored can lead to infections, urinary and sexual problems and even cancer. So, do not ignore it.

3. Bleeding during intercourse- while the first intercourse may lead to some vaginal bleeding in women, repeated bleeding needs medical attention. It is often due to some polyp, tumour or infection but even sometimes due to some cancers. Sometimes faulty position or faulty technique may also be responsible, and it may be associated with injury of vagina. So, never ignore such conditions and go to your doctor's chamber immediately. 
If a male sees bleeding from penis after intercourse, it may be due to phimosis (as mentioned above) or some tumour or more commonly due to some injury in penis. It needs medical attention immediately, as delay will make the problem worse. 

4. Erectile dysfunction (ed)- some men may feel problems in achieving adequate hardness in penis during intercourse. Remember, almost all men can sometimes face this problems, especially with increase in age. But if it occurs repeatedly, then it reduces your self-confidence. Some causes may be due to psychological factors like anxiety or depression, but majority of ed is due to some diseases that may be missed if you do not take proper action. Such diseases include diabetes, heart disease, diseases of nerves, blood, hormones (thyroid, testosterone, prolactin) or even some chronic diseases. Sometimes abnormalities in blood flow in penis may cause ed. But do not get scared, at the same time do not feel shy. Just have a visit to your doctor's chamber and check the exact cause. It almost always responds well to medicines. 

5. Ejaculation problems- some men may feel difficult to ejaculate semen. Most of them actually have retrograde ejaculation (re)- that may be due to some diseases of the nerves surrounding the prostate gland. In this condition, the semen does not flow forward, rather it moves back towards urinary bladder, so that semen is mixed with urine. 
But more common problem faced by many men is premature ejaculation (pe)- that often leads to very short duration of sex. It is easily treatable with the help of some drugs and sex exercises. Some special sex tips also help a lot. You just need to have better control over ejaculation of semen and reduce sensitivity of the penis- simple thing.