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Dr. Prajananika Gurung  - IVF Specialist, Kolkata

Dr. Prajananika Gurung

85 (10 ratings)
MBBS, MD Obs & Gynae

IVF Specialist, Kolkata

13 Years Experience  ·  500 at clinic
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Dr. Prajananika Gurung 85% (10 ratings) MBBS, MD Obs & Gynae IVF Specialist, Kolkata
13 Years Experience  ·  500 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Prajananika Gurung
She has over 13 years of experience as a IVF Specialist. She has completed MBBS, MD Obs & Gynae . Book an appointment online with Dr. Prajananika Gurung on Lybrate.com.

Find numerous IVF Specialists in India from the comfort of your home on Lybrate.com. You will find IVF Specialists with more than 36 years of experience on Lybrate.com. We will help you find the best IVF Specialists online in Kolkata. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - NSMC, Kolkata - 2005
MD Obs & Gynae - AIIMS, New Delhi - 2009
Languages spoken
English
Hindi

Location

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Indira IVF Kolkata

57-B, Pataka House, 3rd Floor, Mirza Ghalib Street, TaltalaKolkata Get Directions
  4.3  (46 ratings)
500 at clinic
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I got married 7 years back we have a baby girl of 3 yrs. We want to plan one more baby boy. please suggest some tips and is it possible to have baby boy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology
Gynaecologist, Noida
I got married 7 years back we have a baby girl of 3 yrs. We want to plan one more baby boy. please suggest some tips ...
Hello, there are no medicines or tips which can guarantee a baby boy. Its decided completely by the nature.
1 person found this helpful
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How Endometriosis Can Cause Infertility?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
How Endometriosis Can Cause Infertility?

The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue’s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

  • A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
  • A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
  • Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis

Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

4315 people found this helpful

Can I go gym while trying to conceive. please advise me doctor. Thanks in advance

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
Can I go gym while trying to conceive. please advise me doctor.
Thanks in advance
Gym and other efforts to stay healthy and in normal bmi will only help you more to achieve pregnancy sometimes with mminimal medications. So keep up the good work.
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I am 28 years old my married since 2 years. I want child but it is not happen what I do.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 28 years old my married since 2 years. I want child but it is not happen what I do.
Please see a Gynaecologist as you and your husband would need a few tests done to determine if there is any cause
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Doctor has prescribed Techgest-300* and ISOPRIX 40 mg today saying that the cervix is short (28 mm). Are these medications for this purpose correct?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Doctor has prescribed Techgest-300* and ISOPRIX 40 mg today saying that the cervix is short (28 mm).
Are these medica...
Techgest is progesterone pregnancy supporting hormone. Isoprix is uterus relaxant. Both help only in few cases
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I am a 29 year old lady and planning to get married next February. By March I will be 30. What problem may I face while conceiving as I will be 30 already.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am a 29 year old lady and planning to get married next February. By March I will be 30. What problem may I face whi...
30 years is the perfect age to get pregnant, but make sure you do not delay in getting pregnant and do not use any contraceptive after the marriage.
1 person found this helpful
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Before 8 month ago I had ectopic pregnancy in that case my one fallopian tube removed but now I want to conceive so please tell me what should I do.

MBBS DGO PGDCC
Gynaecologist, Belgaum
Before 8 month ago I had ectopic pregnancy in that case my one fallopian tube removed but now I want to conceive so p...
U undergo hsg test for patency of other tube. If the other tube is patent, you can try for pregnancy when the follicle comes on that side. You need to undergo follicular study for it.
1 person found this helpful
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Hello. I am suffering from pcod and I want natural pregnancy give me healthy lifestyle tips my weight is 57 is it ok?

DNB (Obstetrics and Gynecology), DGO
Gynaecologist, Mumbai
Hello. I am suffering from pcod and I want natural pregnancy give me healthy lifestyle tips my weight is 57 is it ok?
Try to modify your life style. Live healthy eat healthy. Include some form of exercise in your daily routine. Weight seems to be ok.
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