pregnancy care clinic

Dr Pradip Goswami

Founder & Director

Consultant Gynaecologist

MBBS DGO (Kolkata) FRCOG (London)
Completion Certificate of Specialist Training (CCT-UK)
Diploma in Advanced Obstetric Ultrasound (RCOG/RCR-UK)
Certificate of Special Skills in Maternal Medicine (RCOG-UK)

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INFERTILITY & IVF CLINIC

What are the causes of infertility?

Any discrepancy within the elaborate proceeding of reproduction can lead to infertility. The causes of male infertility are usually the following:

  • Unusual Sperm Production or Function : This might be caused by factors like undescended testicles, genetic anomalies, health conditions such as diabetes, or infections like chlamydia, gonorrhea, mumps, or HIV. Even enlarged veins in the testes (known as varicoceles) could impact sperm quality.
  • Challenges in Sperm Delivery : Difficulties in getting sperm where they need to go can arise due to issues like sexual problems (premature ejaculation), genetic disorders (like cystic fibrosis), structural roadblocks (like testicular blockages), or physical damage to the reproductive system.
  • Environmental Influences : Prolonged exposure to certain elements like pesticides, chemicals, radiation, or even habits like smoking, alcohol, marijuana use, and anabolic steroid intake can affect fertility. Even medications for conditions like bacterial infections, high blood pressure, and depression can play a role. Frequent exposure to heat, such as in saunas or hot tubs, might raise body temperature and potentially hamper sperm production.
  • Impact of Cancer and its Treatment : Cancer and its treatments, such as radiation or chemotherapy, can profoundly affect sperm production, sometimes severely disrupting fertility.
On the other hand, the root causes of female infertility may lie in the following:
  • Ovulation disorders : These are conditions that affect the release of eggs from the ovaries. They can be caused by hormonal imbalances, such as polycystic ovary syndrome (PCOS), hyperprolactinemia, hyperthyroidism, or hypothyroidism. Other causes include excessive exercise, eating disorders, or tumors.
  • Uterine or cervical abnormalities : These are problems with the uterus or cervix, such as polyps in the uterus, structural abnormalities in the shape of the uterus, or tumors in the uterine wall. All these conditions can prevent a fertilized egg from implanting in the uterus. These conditions can also block the fallopian tubes.
  • Fallopian tube damage or blockage : According to an infertility specialist in Kolkata, Inflammation of the fallopian tubes may lead to critical blockage or damage. Often, pelvic inflammatory diseases can cause blockage in the fallopian tubes. Other causes of fallopian tube damage or blockage include endometriosis and adhesions.
  • Endometriosis : This refers to a situation where endometrial tissue grows in an irregular manner outside the confines of the uterus. It is also known to significantly impact the effectiveness of the ovaries, uterus, and fallopian tubes.
  • Primary ovarian insufficiency (early menopause) : This is when the ovaries stop working, and menstruation prematurely ends before age 40. The cause is often unknown, but it can be associated with immune system diseases, certain genetic conditions, radiation or chemotherapy treatment, or Turner syndrome.
  • Pelvic adhesions : These are strands of scar tissue that may develop following pelvic infections, appendicitis, endometriosis, or surgeries in the abdominal or pelvic regions. They have the potential to obstruct the fallopian tubes or hinder the implantation of a fertilized egg within the uterus.
  • Cancer and its treatment : Certain cancers, particularly reproductive cancers (Cervical cancer, Uterine cancer), can impair female fertility. Radiation and chemotherapy can also affect fertility.

The diagnosis of infertility

In the best infertility clinic in Kolkata, both partners are evaluated through detailed medical history and physical exams, supported by laboratory and sonographic evaluation.

Fertility tests for men in Kolkata
  • Semen examination : For evaluating the quantity and quality of sperm.
  • Hormone analysis : For measuring the levels of male hormones such as testosterone and others.
  • Imaging tests : Usually, a transrectal or scrotal ultrasound is often advised.
  • Testicular biopsy : In certain instances, a testicular biopsy might be conducted to detect irregularities that play a role in infertility or to gather sperm for procedures aimed at assisted reproduction.
  • DNA fragmentation test : DNA fragmentation is the breakdown of DNA in sperm cells. It can be caused by a number of factors, including smoking, infection, and exposure to environmental toxins. This test determines the level of DNA fragmentation in the male partner.
Fertility tests for women in Kolkata
  • Imaging tests : Pelvic ultrasounds are key tools to detect conditions affecting the uterus, ovaries, and fallopian tubes. This imaging technique evaluates potential eggs or follicles while being accompanied by a blood hormone test. For more precise assessments, specialized tests like sonohysterograms are employed. This involves Saline Infusion Sonography (SIS) to examine the uterine cavity and Hystero-contrast Sonography (HyCoSy) to check fallopian tubes – structures not easily visible in standard ultrasounds.
  • Hormone testing : These tests consist of evaluating the levels of crucial female hormones required for fertility, alongside thyroid and pituitary hormones that regulate reproductive functions.
  • Operative Testing : An infertility specialist in Kolkata often employs laparoscopic or hysteroscopic methods to closely scrutinize female pelvic organs for conditions like endometriosis, uterine fibroid, polyp, septum, or ovarian cysts.

Is genetic testing important in infertility?

Often, the infertility doctor recommends genetic testing to pinpoint generic or DNA dispositions that might be interfering with your fertility. The testing is usually done in the presence of a specialist genetic counselor, and it might as well involve blood tests for both of the partners.

What are some available treatments for infertility solutions?

Infertility treatment depends on the cause, age, duration of infertility, and personal preferences. Treatments can either aim at restoring fertility through medication or surgery or help to get pregnant with artificial reproductive techniques.
Medications that regulate or stimulate ovulation work like natural hormones to stimulate a better egg or extra eggs.
Surgery consists of correcting structural problems with the uterine anatomy, removing endometrial polyps and some types of fibroids that might deform the uterine cavity, or removing pelvic or uterine adhesions. The surgeries are usually conducted in a minimally invasive manner.
However, artificial reproductive techniques (ART) constitute the bulk of infertility treatment in Kolkata. Let’s take a cursory glance at the cutting-edge artificial reproductive techniques:

What is Intra-uterine insemination (IUI)?

During IUI, ovaries are stimulated using tablets and injections to develop usually more than one egg. Thereafter, millions of healthy sperm are transported into the uterus through a catheter around the time of ovulation.

What is In vitro fertilization (IVF)?

IVF is the most effective form of ART. It takes several weeks and involves daily hormone injections, ultrasound monitoring, and blood tests. Matured eggs are retrieved transvaginally under anesthesia and fertilized with sperm in a lab. Embryos are created in 3-5 days and can be transferred fresh or frozen for later. The success of the process is known by a blood test 2 weeks after the transfer. Get a definitive solution for infertility from the best IVF clinic in Kolkata.

What is Intracytoplasmic sperm injection ( ICSI)?

Intracytoplasmic sperm injection (ICSI) is a specialized IVF technique that involves injecting a single sperm directly into the center of an egg. This is done to help couples who have severe sperm problems, such as low sperm count or motility, or who have had failed IVF cycles in the past. ICSI can overcome many of the barriers to fertilization and increase the chances of a successful pregnancy.

Fetomat is the best infertility clinic in Kolkata

Our fertility clinic for women in Kolkata houses veteran infertility specialists who have previously brought back smiles to many couples’ countenance. We approach the problem of infertility in a specialized way, turning every stone to detect the root cause of your failure to conceive. Moreover, from medications and surgeries to artificial reproductive techniques, we have all the cutting-edge facilities and infrastructure to boost your chances. We boast of being the best IVF treatment center in Kolkata. So try it again with us! Success will follow.