Ans: Age is an important determinant factor especially for female infertility. Though there is no cut-off age for successful treatment, we appreciate patients reporting to us as soon as possible. It is known that there is sharp decline of female fertility after 39-40 years of age.
Ans: The investigations are completed normally within a month from patient's first reporting to us.
Ans: Basic investigation in determining infertility is not very expensive. However advanced investigations like laparoscopic examination is moderately expensive. It is possible to complete basic investigation in a week in case of outstation patients provided the couple visits us on dates decided by the centre.
Ans: After our consultants have examined the patients and basic investigation has been completed we can remain in touch with patients over email for a period of time before next round of procedures.
Ans: IUI is a very successful program in our centre. It has a reasonable charge with total cost varying between Rs.3000 to 4000 per attempt. It was first reported in 1985 by our Director Dr. Sudarsan Ghosh Dastidar in World Congress of Human Reproduction Athens, Greece. IVF is a much advanced Assisted Reproductive Technology requiring multiple egg production by hormone injection, constant monitoring by ultrasound examination, harvesting of eggs and IVF laboratory Procedures.
Ans: Success rate in IUI in our centre is around 15-18% per cycle. Thus the cumulative success in four cycle treatment is high. It is usually done in stimulated cycle.
Ans: The drug costs in IUI varies widely.
a) If only a drug known as chlomiphene is used, the cost is Rs.100/- to 200/-
b) While if hormone injection is used the cost starts from Rs.1400 onwards.
Ans: 3-4 cycles of IUI has a good success rate.
Ans: There is no risk involved in IUI. It is a very simple procedure, and painless.
Ans: IUI is a treatment in cases where the cause of infertility is not clearly known. We first try with IUI, if it fails then we think of advanced treatment like test tube baby (IVF).
Ans: In today's infertility evaluation and treatment like IUI, IVF ultrasound technology plays a great role. If fact, we have a very advanced ultrasound division with state of the art technology with machines like Logic 500 Pro Series Colour Doppler - 3D machine. In addition we have two other machines dedicated for ovulation studies and egg harvesting.
This division is headed by Dr. Kakoli Ghosh Dastidar who is the leading reproductive imaging specialist in the country. Her area of specialty is Ultrasound in infertility and Obstetrics. Apart from routine ultrasound evaluation of ovulation and other reproductive organs, Dr. Kakoli Ghosh Dastidar is involved in advanced ultrasound research. Her current research involves Dynamics of endometrial characteristics in different phases of ovulation. Some of the existing results of her work has been published in Fertility Sterility, Journal of Assisted Reproduction and Genetics- both published from USA and Ultrasound in Obstetrics and Gynecology published from UK besides many papers published in Indian Journal of Obstetrics and Gynecology.
We have almost replaced hystero-salpingography (a method to study female fallopian tube) by Sonosalpingography which is done under ultrasound guidance. This is a safe simple yet efficient procedure that is becoming more and more useful in our centre.
Ultrasound charges: -
a) For ovulation study Rs.600-800/- per cycle.
b) For Colour Doppler study of the uterus, ovary, endometrium - Rs.1500/- per sitting.
c) Sonosalpingography - Rs.3200/-
Ans: Yes, our centre has a very successful record of treating recurring pregnancy wastage cases. The patients should stay for some time in Kolkata to complete investigations.
Ans: Yes, our Chief Consultant Dr. Sudarsan Ghosh Dastidar, MD is involved in advanced study in "Obesity and PCOS". Obesity and PCOS adversely affects fertility. As a matter of fact patients who are overweight and trying to have a baby should concentrate on diet control and exercise program to reduce body weight.
We also feel, that with time untreated cases of obesity and ovulation disorder become more complex. Thus Dr. Dastidar feels that they should be treated as early as possible. With proper medicine, life style modification and proper monitoring we have been able to solve ovulation problems in the case of 90% of patients.
Ans: The first line of treatment offered is by a single oral tablet known as clomiphene citrate. The next course is quite expensive and involves hormone treatment. It is a fact that some of the successful pregnancies following such oral treatment will end into miscarriage due to hormonal imbalance, and intrinsic part of this disease process. However it is possible to prevent abortion and miscarriage by prior treatment.
Ans: The general advice for PCOS patients is weight reduction program by diet and exercise.
Ans: In an experienced centre like ours drug treatment of ovulation has no significant risk involved. However there is a very low incidence of too many egg production (known as hyperstimulation) following hormone injection which again can be preventive with judicious patient selection, drug selection and dose adjustment. This has to be closely monitored by expert ultrasonolgist and reproductive endocrinologist.
Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus, the endometrium, grows outside your uterus (endometrial implant). Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region.
Polycystic Ovary (Ovarian) Syndrome (PCOS) is a hormonal disorder. Sometimes PCOS is described as an ‘endocrine’ disorder, it’s the same thing. Overseas research suggests its affects between 5 and 10% of all women of childbearing age regardless of race or nationality.
We are the leading Infertility Treatment and IVF Clinic in Kolkata and are internationally recognized as a centre of excellence. At the helm is our Director - Dr. Sudarsan Ghosh Dastidar, a man with over 30 years of experience in this subject.