Infertility Archives - Dr Deborjyoti Pal

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28/Jul/2022

Highlights:

What is the AMH test?
Clinical significance of AMH
What causes AMH levels to drop?

What is AMH?

AMH (ANTI MULLERIAN HORMONE) is a chemical substance secreted by very early developing follicles in a female ovary, namely, antral and pre-antral follicles. So it indirectly gives us an idea as to the number of such follicles in the ovary of a female individual.

In females the lesser the number of such antral and preantral follicles (which later on develop in each menstrual cycle to become eggs) , the lower the AMH levels in the person’s blood and vice versa (PCOD). This is what we want to know through the AMH test in a female person’s blood.

AGE – Increasing the age of a woman will lead to consistently decreasing AMH levels.
PCOD – The serum AMH level is two- to three-fold higher among women with PCOD.
ENDOMETRIOSIS – It can cause the destruction of ovarian follicles by destroying normal ovarian tissue.
OVARIAN SURGERY – Ovarian cyst surgery can result in the removal of normal ovarian tissue or destruction of ovarian tissue by cautery leading to decreasing AMH.
CHEMOTHERAPY – Decreases AMH levels.
CONTRACEPTIVE PILLS – Long-term use can decrease levels up to 20%, but generally recovers to normal levels after 3-6 months of stoppage of pill intake.
OBESITY – For infertile women of later reproductive age (above 35 yrs) higher BMI causes AMH to decrease by up to one-third.

Age Group – AMH Range

< 26 yrs – 3.6
27-34 yrs – 3.3
35-39 yrs – 1.6
40-44 yrs – 0.9
45-49 yrs – 0.3
50-54 yrs – 0.05
> 54 yrs – 0.01

In order to ensure that you get the best gynaecology treatment, consult the best gynaecologist in Kolkata. It is advisable to go to a clinic in your vicinity as you will not be allowed to travel long-distance right after the surgery. For example, if you live in north Kolkata, try finding a good gynaecologist in North Kolkata to perform your operation. Also, follow Dr Deborjyoti Pal on Facebook to get the latest gynaecology updates.

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drdeborjyotipal

28/Jul/2022

Highlights of this writeup

What is Tubal Patency?
How Tubal Patency affects infertility

What is Tubal Patency?

The female body has an organ named the uterus. 2 tubular structures known as fallopian tubes are attached to it on its 2 sides. These tubes are hollow inside to let things pass through it. If these tubes get blocked then nothing passes through them.

Now that we know the above, let’s know what the most important thing that passes through these is. It’s the sperms and eggs. These meet each other inside the tubes, from the early embryo and then reach back into the uterine cavity to implant into the inner uterine wall(endometrium).

So it’s clear that if these tubes lose their patency the process of sperms and eggs meeting does not happen. So no embryo is formed. This is the reason of infertility in these individuals.

NOTE: Even if one tube is patent, infertility is avoided. Its diagnosed through procedures like HSG, SIS or LAPAROSCOPY.

Blocked tubes can be opened in some cases by hysteroscopy and laparoscopy. The success of this depends on the cause of the blockage. Previous bilateral tubal clipping/ligation done as part of the contraceptive procedure is almost impossible to revert. But if tubes are blocked due to previous mild to moderate pelvic infections, reopening them is more accessible.

In order to ensure that you get the best Tubal Patency treatment, consult the best gynaecologist in Kolkata. It is advisable to go to a clinic in your vicinity as you will not be allowed to travel long-distance right after the surgery. For example, if you live in north Kolkata, try finding a good gynaecologist in North Kolkata to perform your operation. Also, follow Dr. Deborjyoti Pal on Facebook to get the latest gynaecology updates.

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drdeborjyotipal

12/Nov/2021

The reproductive organs found in females are the fallopian tube that acts as a connector for the ovaries to the uterus. The primary function of the tube is to support the fertilization process (merger of egg and sperm to form the embryo) in females during the period of the menstrual cycle, every month, wherein the tubes transfer an egg from the ovary to the uterus. Know about the opening of blocked tubes.

What happens when the fallopian tubes are blocked?

If the opening of the tube is blocked the pathway for sperm to reach inside the tube for fertilization is distorted with a simultaneous deterrent for the egg other way. The reasons could possibly be scar tissue, pelvic adhesions or infections. Thereby, leading to the grave issue of infertility.

Diagnosis

There are no such bodily symptoms faced by a female when the pelvic region is affected. However, there might be history of previous vaginal or uterine infection in many cases. Processes like of X-ray called Hysterosalpingography (HSG), USG called Saline Infusion Sonography is being used by medical professionals to examine the fallopian tube obstructions. These procedures might be painful. Laparoscopy can be done under general anesthesia to find out patency of tubes in a completely painless procedure. These treatment procedures is provided by

● Dr Deborjyoti Pal
A male Gynecologist with a degree in MBBS, DGO and DNB(I) Consultant Obstetrician. His official website says: “A happy family is made of healthy women.” He is one of the highly trusted Gynecologist near Sodepur. He also confers a fruitful and safe hysteroscopy treatment in Barrackpore.

After diagnosing the core reason of infertility as the closure of fallopian tubes, doctors perform the following treatment to settle down the problem of infertility in females.

● Hysteroscopy and tubal culation
● Through Laparoscopic surgery, less intense scar tissue is removed from around the tubes.
● But if the scar adhesions are spread in a large-scale area, then there’s no possible treatment to cure it. However, the process of healing can be gradual.
● If a part of the tube is damaged, perhaps due to ectopic pregnancy or mild infection, then the surgeon will discard the affected part.

The problem of infertility can be cured by using the above-mentioned treatments, however, patience is the key element here!

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drdeborjyotipal

25/Jun/2021

There can be a number of reasons because of which a miscarriage can occur. Repeated pregnancy loss or recurrent miscarriage can be defined as two or more consecutive pregnancy losses before the pregnancy reaches 20 weeks of age. By finding out the root cause behind the miscarriages and following the right path of treatment can often solve these difficulties efficiently.

It is extremely vital to know that the majority of women require therapy and the right treatment for dealing with these odds and for getting a legitimate solution for diminishing the chances of pregnancy loss. Dr Deborjyoti Pal is one of the best gynecologist in Kolkata who is well-known for treating complicated issues with recurrent pregnancy loss.

Here are some of the possible reasons because of which women tend to have repeated miscarriage:

● A structural problem with the uterus

An ultrasound or an X-ray test can find out the structural abnormalities of the uterus in no time. It can be polyps, fibroids, congenital malformations etc. that are leading to complexities in the pregnancy. In most cases, these conditions can be dealt with surgery. Therefore, there is no need to worry as one can opt for affordable infertility treatment in North Kolkata without any difficulty.

● Hormonal disorders

Thyroid disease, high prolactin levels or uncontrolled diabetes can often increase a woman’s risk of pregnancy loss. Therefore, it is highly recommended to treat these problems first and then to proceed ahead to having a safe journey with pregnancy.

● Blood clotting problems

Certain substances by there excessive pesence or absence in blood can lead to formation of small clots in the placenta of the baby causing blockage of small blood vessels in the placenta and stoppage of supply of nutrition and oxygen to developing baby in the womb, thus causing early miscarriage or late intrauterine death.

● Infections

Certain viral, parasitic, bacterial organisms can lead to this condition although this is a rare/doubtful causation.

● Chromosomal

Certain chromosomal abnormalities in the parents or the developing baby can cause this condition.

Conclusion

Besides these, there are a number of other complications which can not be detected at the first chance with ease. That is why it is extremely necessary to consult a medical expert for finding a valid solution. Dr Deborjyoti Pal is a gynecologist near Sodepur who has been dealing with patients suffering from repeated miscarriages for years. One can definitely consult him and seek advice for sorting out the complications effectively.

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drdeborjyotipal

24/Jun/2021

Adhesions can have a number of reasons behind their cause. It can be the result of previous surgery, infection etc. Dr Deborjyoti Pal is offering affordable infertility treatment in North Kolkata and he has been dealing with different cases of gynaecology for years. It is highly recommended to consult with a medical expert like him in order to deal with the difficulties which might be caused due to adhesions.

What is Asherman syndrome?

The adhesions inside the uterine walls might have been caused due to an injury or infection of the endometrium, which has further damaged the lining and has led to a scar in between the uterine inner walls which often end up sticking with each other. The adhesion bands inside the uterus are referred to by the term Asherman syndrome.

The most probable cause behind this is an operation/procedure named Dilatation and Curettage (D/C) done in cases of termination of pregnancy and spontaneous miscarriage. An infection of the endometrium, radiation injury, sutures inside the uterine cavity during cesarean section to control bleeding can also be a less common causes which can lead to the Asherman syndrome.

Long-term effects of this Syndrome and Cure?

Sometimes an Asherman syndrome is cured with hormonal treatment or quite often surgical treatment can be the only probable way to deal with this. There are a number of options for hysteroscopy treatment in North Kolkata with the help of which adhesion can be treated effectively. Hysteroscopy is one of the most beneficial ways to diagnose and treat cases of Asherman syndrome.

It leads to infrequent periods, stoppage of periods, infertility, miscarriage. A successful pregnancy is often possible after the complete treatment of Asherman Syndrome, but a woman needs to opt for adoption or surrogacy if the condition can’t be treated adequately.

While some women have just stretchy bands of scar tissue others might also end up having severe formation of thick adhesion bands. The type of adhesion bands can vary from person to person and that is why it needs the special assistance of an expert to be dealt with effectively. Dr Deborjyoti Pal is known for offering the best hysteroscopy treatment in Kolkata and that is why it is highly recommended to seek advice from surgeons like him.

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drdeborjyotipal

21/May/2021

One of the major reasons that lead to the removal of the uterus and ovaries is abnormal uterine bleeding. Many women suffer from this condition. Therefore, the removal of ovaries and uterus becomes highly crucial. The method to do this is Hysterectomy.

Before opting for any form of surgery, consulting a gynaecologist is important as they can help to assess the severity and can suggest whether the surgery is compulsory or not. Dr Deborjyoti Pal is a gynaecologist in North Kolkata who provides treatment to those who suffer from different types of gynaecological complications.

Any type of surgery requires proper inspection and diagnosis, any form of inaccuracy in diagnosis can cause complications that can be difficult to fix. The process of removing the uterus and ovaries also consists of a lot of side effects therefore the approval of an experienced doctor should be the first step before opting for the surgery.

Types Of Hysterectomy

There are three major Hysterectomy processes that doctors usually suggest depending on the disease condition. This treatment is recommended for women suffering from abnormal uterine bleeding that is sometimes painful and unbearable. The different types of Hysterectomy are-

Radical Hysterectomy

In this process, the uterus, cervix, upper vagina and parametrium is completely removed. The ovaries and fallopian tubes are also removed with the help of this process.

Total Hysterectomy

In this process, the uterus and cervix are removed. The removal of the ovaries is optional and the consultation of a gynaecologist is required. In a total hysterectomy, the ovaries are not much of a concern.

Subtotal Hysterectomy

In this process, only the uterus is removed and the cervix is left in situ. This method is also known as partial hysterectomy.

It is the duty of the doctor to suggest which type of Hysterectomy is important for the patient, depending on the condition. This surgery requires extra care therefore the doctor needs to be experienced. These problems require in-depth diagnosis so that no flaw is made in the treatment process. Dr Deborjyoti Pal is also a gynaecologist in Dunlop and provides treatment to those patients who suffer from pregnancy or other gynaecological complications.

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drdeborjyotipal

20/May/2021

Motherhood is one of the most beautiful blessings in a woman’s life. However, not all women are blessed to enjoy a safe and hassle-free pregnancy. Hysteroscopy is a process which can diagnose and treat various causes of infertility.

There can be a lot of reasons that can cause infertility in women. Therefore proper diagnosis and treatment are required to solve the problem and help women enjoy the bliss of motherhood. In this process, the doctor takes a look inside the uterus in order to figure out any form of abnormal bleeding or conditions leading to infertility.

The Hysteroscopy treatment involves the utilisation of a hysteroscope, which is a thin and light tube equipped with an internal camera. This is inserted into the vagina so that it can diagnose any form of abnormality in the cervix and the uterine cavity. It is always important to consult a doctor before opting for any treatment when it comes to infertility problems. Dr Deborjyoti Pal provides affordable infertility treatment in North Kolkata to patients who require it.

Ways By Which Hysteroscopy Fixes Infertility Complications

Here are a few ways that can help to understand the ways by which the process of Hysteroscopy can help to fix infertility problems:

● This method helps to diagnose ostial/tubal blocks that causes infertility.
● It can help to remove endometrial polyps and fibroids that usually causes repeated spontaneous abortions and to a lesser extent infertility and increase the chances of pregnancy in a woman.
● This method also helps the doctor figure out severe intrauterine adhesions—“ASHERMAN SYNDROME” or TB uterus so that, the correct treatment to fix the problems can be given. Usually, women who suffer from infertility that is undiagnosed and are unaware of the treatment can utilise this treatment.

However, before deciding on any form of treatment that is used to cure infertility problems, consulting a doctor is very crucial. Self-diagnosis and treatment often lead to grave problems. To avoid this issue, people staying in North Kolkata can consult Dr Deborjyoti Pal. He is a gynaecologist in North Kolkata and is known to treat all forms of problems relating to pregnancy and infertility.

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drdeborjyotipal

24/Apr/2021

Pregnancy loss takes place when the foetus is not developed normally. The most common symptoms are when fluid, blood or tissue passes from the vagina. When a woman faces these issues, consulting a doctor should be the immediate step. If the woman is able to avail proper medication and treatment such complications can be treated. Dr. Deborjyoti Pal is a gynaecologist in North Kolkata who treats women facing complications during pregnancy that can lead to miscarriages.

Causes That Lead To Pregnancy Loss

Identifying the causes before a pregnancy is taken is of crucial importance so that the miscarriage can be prevented.

Here are a few factors that can help to understand the causes that lead to pregnancy loss:

● Miscarriage can take place if the embryo develops abnormally.
● If the mother experiences hormonal issues, it can lead to pregnancy loss.
● During pregnancy, if the woman is exposed to toxic substances and chemicals, pregnancy loss can occur.
● If the uterus is abnormally shaped.
● If the mother faces trauma during pregnancy that can be a cause of pregnancy loss.

While these are a few common causes, there are other reasons as well that can cause pregnancy loss. In case a mother is exposed to any of these causes, talking to a gynaecologist is important in order to understand the next step.

Solutions To Prevent Pregnancy Loss

This can be avoided if the mother is aware of it at the very first stage and can avail the proper treatment.

Let’s look into the general precautions mothers can take in case there are chances of pregnancy loss:

● Mothers need to follow a healthy lifestyle and eat nutritious food.
● Increase the intake of folic acid in the diet as that can reduce the chances of miscarriages.
● There is surgical treatment as well, by Hysteroscopy the fibroids inside the uterus can be removed.

Dr Deborjyoti Pal is a male gynaecologist in Dunlop who can provide accurate treatment to people suffering from any kind of pregnancy-related issue. Before choosing any medical treatment, consulting a doctor is very necessary as they can provide the best guidance.

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drdeborjyotipal

23/Apr/2021

Ovarian Cyst is a condition where a sac filled with fluid occurs on the ovary. Generally, ovarian cysts disappear after a few months but sometimes they don’t. This can lead to complications and requires immediate doctor consultation. Dr Deborjyoti Pal, a gynaecologist in Kolkata provides guidance to all those women who suffer from ovarian cyst.

Why Treating Ovarian Cysts Is Necessary?

Delaying the treatment of ovarian cysts can affect a woman’s health in the long run. Let’s take a look at a few points that prove the necessity of treating ovarian cysts:

● Large ovarian cysts often cause pain in the pelvic region that needs serious attention.
● A woman with an ovarian cyst can experience fever, vomiting and nausea that can affect their daily life and work.
● Cysts can also rupture in certain people.
● They can rotate on their axis, this condition is termed Torsion causing extreme abdominal pain and shock.
● It can lead to infections within the cysts.
● It can also lead to breathing issues if its big enough to fill whole of abdomen.

While small cysts do not create serious problems, large cysts require immediate medical attention. There are various ways that can help to tackle ovarian cysts. Doctors suggest both medical and surgical treatments. If the ovarian cysts seem to be serious, surgical treatments are recommended by doctors. However, it is always advisable to consult a doctor before taking any step as they can assess the situation and advise best about what needs to be done.

Treatment For Ovarian Cyst

Let’s look into the various treatments doctors usually advise to patients suffering from ovarian cysts:

● Hormonal birth control pills can prevent any new cyst to form and also decrease size of existing cysts.
● Surgery is suggested to treat those patients who have large and painful ovarian cysts. Usually, Laparoscopy is done in order to treat the cysts.

Dr Deborjyoti Pal provides gynecological treatment in Sinthi, so women wanting to seek advice in order to treat ovarian cysts can take his advice. Before taking any step to treat ovarian cysts consulting a doctor is crucial, as they know the field and can provide proper judgement.

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drdeborjyotipal

24/Mar/2021

Surgical Management of Infertility is any operating procedure done to increase the chances of fertility in women. Some causes that lead to infertility in women are tubal blockage, PCO, endometriosis, adhesions inside uterus, fibroids etc. These conditions can be treated with the help of surgery. Sometimes, a woman is born with a condition where the uterus is not formed properly. This poses a threat for her when she wants to get pregnant. Therefore, they look for surgery options so that they can fix the problem. Dr. Deborjyoti Pal is a gynecologist in North Kolkata who provides treatment for surgical management of infertility.

Types of Treatment In Surgical Management of Infertility

There are various types of treatments depending on the cause of infertility. The treatments available for Surgical Management of Infertility are as follows:
● Laparoscopic Ovarian Drilling in PCOD
● Laparoscopic Dye Tests
● Laparoscopy for Endometriosis
● Hysteroscopy and Laparoscopy Treatment for opening blocked tubes
● Hysteroscopy Treatment for small uterine cavity
● Hysteroscopy Treatment for removal of Adhesion bands inside Uterus
● Endometrial biopsy for detection of Tuberculosis in uterus

If you are looking for a laparoscopic and hysteroscopic surgeon in North Kolkata, you can consult Dr. Deborjyoti Pal. He offers all the above mentioned treatments that are required to cure infertility.

A certified physician can guide women to know about the various options available to treat infertility. Usually, Laparoscopy and Hysteroscopy are the two most common methods of treating infertility in women. Dr. Deborjyoti Pal can guide and help the patients choose which option is best for them. Medications are also prescribed to patients so that they can cure the problem of infertility. These medications and surgeries should be opted by people only after properly consulting a physician. The surgical treatment of infertility can be successful when there is proper coordination between the doctor and the patient.

Dr. Deborjyoti Pal has his chambers all over Kolkata that provide treatment for infertility. People who live in North Kolkata and are looking for doctors who treat infertility and can guide them in the right direction can take help from this doctor as he provides hysteroscopy treatment in North Kolkata. This gynecologist also provides a lot of other treatments which cater to other gynecological and pregnancy problems that women usually face.

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What is AMH?

What is the clinical significance of AMH?

What causes AMH levels to drop?

What is the normal range for anti Mullerian hormone?

What is Tubal Patency?

What is the most common cause of tubal factor of infertility?

What happens when the fallopian tubes are blocked?

Diagnosis

After diagnosing the core reason of infertility as the closure of fallopian tubes, doctors perform the following treatment to settle down the problem of infertility in females.

Here are some of the possible reasons because of which women tend to have repeated miscarriage:

● A structural problem with the uterus

● Hormonal disorders

● Blood clotting problems

● Infections

● Chromosomal

Conclusion

What is Asherman syndrome?

Long-term effects of this Syndrome and Cure?

Types Of Hysterectomy

Radical Hysterectomy

Total Hysterectomy

Subtotal Hysterectomy

Ways By Which Hysteroscopy Fixes Infertility Complications

Here are a few ways that can help to understand the ways by which the process of Hysteroscopy can help to fix infertility problems:

Causes That Lead To Pregnancy Loss

Here are a few factors that can help to understand the causes that lead to pregnancy loss:

Solutions To Prevent Pregnancy Loss

Let’s look into the general precautions mothers can take in case there are chances of pregnancy loss:

Why Treating Ovarian Cysts Is Necessary?

Delaying the treatment of ovarian cysts can affect a woman’s health in the long run. Let’s take a look at a few points that prove the necessity of treating ovarian cysts:

Treatment For Ovarian Cyst

Let’s look into the various treatments doctors usually advise to patients suffering from ovarian cysts:

Types of Treatment In Surgical Management of Infertility