Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 years of experience on Lybrate.com. Find the best Gynaecologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Biswa Bhusan Dash
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Biswa Bhusan DashYour feedback matters!
Brief description on infertility and its treatment
I am Dr. Radhika gynecologist and infertility specialist from Institute of Women's Health and Fertility. Infertility almost in about 10-15% of couples trying for pregnancy are facing problem with conception. This is almost a rising trend that nowadays almost 1 in 6-7 couples have problem in conception.
When we call it infertility? Infertility is nothing but when a couple is trying to conceive without any protection or without any means of protection for almost 1 year of unprotected intercourse we call it infertility. Let me just explain how an infertile couple is taken through an infertile clinic? During the first visit the couple is analysed and they are taken in detail history as what is the cause to infertility? What is the duration of infertility? What is the duration of married life? What is the age of the couple that is the age of the female partner and the male partner? Had there been any pregnancy in the past? Is there any miscarriage in the past? Once the examination and history is taken we go for work up of the patient. That is we see for the ovarian function to ensure that ovary is functioning well that is to ensure that ovulation is going fine. We also look for the tubal factors. Tubal factor analysis is done by a test called salpingogram or hysterosalpingogram. If there is a problem in hysterosalpingogram that is tubes are looking blocked then we analyze with the further test called further the surgical assessment; like laparoscopy.
Once the tubes are cleared we also analyze how the uterus is with the hysterosalpingogram? As I already told you male factor is analysed by Semen analysis after an abstinence of 2 to 5 days. Once all these are ruled out we get to analyze or we get to reach to a conclusion as what may be the probable cause of these infertile couple? There may be few factors like peritoneal factors like an endometriosis. We have the endometrium of the inner layer of the uterus growing elsewhere outside the uterus. That is the inner layer of the uterus or endometrium grow in the ovaries or may grow in the pouch of Douglas. That is behind the uterus or may grow near the tubes. These all cause an addition or attachment of the uterus to the tubes. And they impair the easy pick up of the ovum or the egg from the end of the tube to the ovum end that is the inner end of the tube. When there is no egg pick up there is no pregnancy. Some most of the time in which simple infertility treatments and simple infertility counselling how they have to go about natural conception and when they have to try when the egg is being released? With all these thing itself 70% of the couples would conceive. And only in about 10 to 15% will go to the next step like IUI or further steps like test tube baby procedures. IUI is intrauterine insemination where sperm sample is collected in the laboratory. It is washed off the impurities and the good motile sperms are injected into the uterus through a thin canella or a catheter. This sperms have to travel a very short distance from the uterine cavity into the tube when egg is already picked up and stay. So this distance to be travelled is very short thereby increasing the chance of pregnancy. IUI is of major benefit in minimal or mild male factor infertility.
Once we have seen the other factors are also ruled out and ensure that everything is fine then we counsel the couple for IVF or test tube baby procedure. IVF is in vitro fertilization. What we do in this one is give injections or give continuous injections to the lady which will cause superovulation. Once the eggs attain a mature size we collect all of them through a thin needle into the test tube washed off the impurities and then incubated. The same time the sperm is collected in the laboratory. The egg under sperm is inseminated together and embryos are grown in the laboratory. Once these embryos are grown they are pushed back or transferred back to the womb using a thin capita that is the embryo transfer catheter. After 48 to 72 hours usually or even after 5 days sometimes.
But, in few men or in few couples the problem is the severe male factor infertility. That is we find only few sperms or in the ejaculate we find only few sperms or sometimes not even a few sperms in the ejaculate. In that condition we can surgically aspirate the sperm from the testicular tissue and see if it is already there. Once we get a good sperm from the testicular tissue we inject that good sperm tissue in the cytoplasm of the egg so that we have maximum chance of fertilization. This particular process is called ICSI or Intracytoplasmic sperm injection. So this increases the chance of fertilization and this further increases the chances of pregnancy also. That's it about infertility over you.
Thank you And if you have any issues regarding infertility or regarding counselling about how conception occurs are how to go about trial for pregnancy you can visit us.
Sir I am pregnant for 8 weeks. Lmp was on 22 apr and u/s was done on 18 jun. In u/s report there was not heartbeat in baby. Doctor gave me pluton 500 mg injection and told me to come after one week. How much chance is there that my baby will get heartbeat?
Paraphilias are emotional disorders defined as sexually arousing fantasies, urges or behaviors that are recurrent, intense, occur over a specific period of time, and cause significant distress involving non-consenting partners, partners who are suffering or being humiliated (simulated or real) or through the use of an object.
There are a number of causes that result in Paraphilic disorders. Some of them are:
- Brain injury
- Biological factors
- Humiliating factors
In most cases, one or more events occurred during childhood that led the individual to associate sexual pleasure with that event (or object) thus resulting in the development of a paraphilia.
Symptoms of Paraphilia:
- Humiliating another person
- Beating or spanking
Symptoms of paraphilia can include preoccupation to the point of obsessiveness that may intrude on the person's attempt to intimate with the person of similar age. Paraphilia sufferers may experience depression or anxiety that is temporarily relieved by engaging in paraphilic behavior, thus leading to an addictive cycle.
How do health professionals diagnose paraphilias?
Usually providers of mental health care help make the diagnosis of paraphilias, including licensed mental-health therapists, psychiatrists, psychologists, psychiatric nurses, and social workers.
Common Treatment of Paraphilias:
Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.
- Pharmacological interventions consist of antiandrogens.Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
- Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
- Group therapy helps in breaking through the denial so commonly found in people.
- Cognitive therapies described include restructuring cognitive distortions and empathy training. Also social skills are a better way to treat patients with these types of disorders. If you wish to discuss about any specific problem, you can consult a sexologist.