Dr. Sankar Dasmahapatra

Dr. Sankar Dasmahapatra

Consultant - Gynaecology & Obstetrics
Infertility Specialist & Lapaoscopic Surgeon
DGO, MS, Fellowship in Gynaecological, Lap Surgery (Sydney-Australia)


Emergency Number
+91 92306 16647 / +91 87776 13551 / +91 98300 78757

E-mail
sankardm@gmail.com
sankardasmahapatra@gmail.com


Faq's

Q : What is laparoscopy ?

Ans: Laparoscopy is the technical term of an incision procedure performed with the instrument laparoscope, which is inserted into the abdomen through small hole and helps the surgeon look inside the abdomen and operate avoiding large incisions.


Q: Is there any additional advantage of the laparoscopic surgery over traditional incisions?

Ans: In the traditional surgery procedure, large incision is made to get access of the abdominal cavity, which requires a greater amount of sufferings for the patient relating pain and enhanced nursing requirements, longer duration of stay in hospitals, longer time taken in recover and presence of ugly scars on abdomen. It also suggests increased chances of infection and related side effects such as hernia and so on. The patient gets freedom from all these side effects in a considerable amount in a laparoscopic surgery.


Q: What is the situation after the laparoscopic surgery?

Ans: The patient may have nominal discomfort feeling in the abdomen area after the laparoscopic surgery, which minimizes with a day or two. Normally, patients begin to receive the food on the same day as soon as the effect of anesthesia is over. The patient is substantially briefed about the process of care of surgical wounds and the date of reporting to the hospital for the removal of stitches. The recovery time is different for different patients. However, it is necessary to comply with the advice of the surgeon regarding physical activities, resting and joining the professional job.


Q: Is laparoscopic surgery additionally expensive?

Ans: No, the cost is well balanced related to the traditional surgery due to reduced period of hospital stay. You are able to join normal work faster comparative to the conventional surgery cases. You gain with lesser pain feeling and reduced confinement to hospital beds. Moreover, the laparoscopic surgery is a complete procedure whether it is done for the removal of uterus or tumors or for other purpose. You do not need any repeat activity normally.


Q: What is hysteroscopy?

Ans: Hysteroscopy enables the surgeon in evaluating the condition of the uterine cavity and exercising an operation accordingly. The instrument is a narrow telescope fitted with an illuminated lens, which is initiated in the uterine cavity through the neck of the womb or cervix. The cavity is extended with gas or some kind of fluid to make the vision clear.


Q: Is hysteroscopy a major surgical process?

Ans: Yes, it is. Necessary care is taken to avoid complications due to anesthetic problems and overloading of fluids. The diagnostic hysteroscopy is generally performed in outdoor department of hospitals.


Q: Why does the surgeon recommend a hysteroscopy operation?

Ans: The diagnostic hysteroscopy is done to assess the cause of sub fertility and the source of the abnormal bleeding. It is performed to remove polyps, release adhesions, reset septae and retrieve misplaced IUCDs.


Q: What are Ovaries and the relation with Menopause?

Ans: Females have ovaries as males have testes. A female normally has two ovaries, the right and the left. Ovaries are expected to produce eggs and female hormones, related to usual menses until 46/47 years approximately, after which ovaries cease to function. The phase of menopause starts and many women begin to feel various kinds of adverse effects, which need proper gynecological consultation and treatment.


Q: What is HRT?

Ans: HRT stands for hormone replacement treatment. The treatment is taken up in absence of female hormone in the body, which is generally recommended after menopause both natural and surgically induced. The advantage is very much observed in the conditions of hot flashes, irritability, night sweats, mood swings, which are related with menopause. HRT is also considered to reduce the risk of symptoms of fracture cases in post menopause females.


Q: How do I conclude that I’m having heavy menstrual bleeding?

Ans: Many women are unable to identify the heavy bleeding periods. Symptoms such as passing of clots, prolonged bleed over a week’s time, flooding are primary indicators of heavy bleeding. It is confirmed after the blood hemoglobin estimation only. The usual value is 12/14gm%.


Q: Do I need specific treatment of heavy bleeding?

Ans: If the heavy bleeding leads to anemia conditions and changes the quality of life, you should immediately consult an eminent gynecologist in Kolkata for the necessary treatment of heavy bleeding. It would require investigation and corresponding treatment, which should be started instantly under the specialist gynecologist. Heavy bleeding may occur due to several factors including hormonal imbalance, tumors of the uterus, infections, endometriosis or malignancies and so on.


Q: What is high-risk pregnancy care?

Ans: It is the situation when there are complications endangering the health of the mother or the baby or both. The critical condition is best managed by a consultant obstetrician and gynecologist and others to ensure favorable conditions of the mother and the baby. It may spring up due to various reasons including medical health condition of the mother during pregnancy, maternal age and so on.


Q: What is the meaning of recurrent miscarriages?

Ans: It exhibits certain definite symptoms such as heavy vaginal bleeding or sporadic bleeding especially in the first trimester of pregnancy. If the bleeding is continuous and is associated with pain, it indicates greater chances of miscarriage. It also offers several signals like the constant abdominal pain, lower backache, pelvic cramps, passing of vaginal blood clots, etc. The situation is suitable evaluated by a specialist gynecologist through long years of experience and expertise.


Q: Do I get any help about family planning and contraception?

Ans: Yes, definitely you would .The purpose of family planning is solved through contraceptive procedures . The main reason of contraception is for avoiding pregnancy until it is desired. The couple is able to enjoy conjugal intercourse normally. Different methods of contraception are in vogue including pills, barriers, and implants, injections, which are constituted after a discussion and depends on the age, health condition and status of individual couples.


Q : What is fetal medicine?

Ans: Fetal medicines are required in high-risk pregnancy conditions like pregnancy with twins. The specialist gynecologist is well qualified to tackle any such situations through proper medical management.


Q: Which topics come under urogynaecology?

Ans: It relates to the medical management of urinary problems or certain pelvic disorders in females, which are normally experienced by women, but are not discussed in the society due to stigmatic aspect. It concerns the loss of control in urination, bowel symptoms, pelvic discomfort, which are mostly observed in aged women and remain untreated. The gynecologist here brings new hope for suffering candidates with successful management of medical conditions in this topic.


Q: How does infertility management help desiring couples?

Ans: Infertility in couples has been a great concern in the recent age. Such problems are easily diagnosed and treated successfully by infertility specialist in Kolkata and especially for women above the age of 35. However, there is no treatment that guarantees a baby, but you should get high class medical management of the condition through the specialist to obtain a good chance in conceiving. You need to walk on the planned path along with your partner to achieve desired results at an affordable cost in Kolkata.


Q: What support do I get in menopausal problems?

Ans: Every woman has to experience the condition of menopause at a certain age along with various symptoms including urinary incontinence, mood variations, hot flashes, night sweats, disturbed sleep, sexual discomfort, emotional lapses and so on. The condition may sometimes affect the lifestyle of individual woman when you need the advice of the best gynecologist in Kolkata to get over the situation comfortably.


Q: What is the scope of geriatric gynecology?

Ans: Women become vulnerable at the growing age and suffer several gynecological problems, which should be treated by specialist gynecologist. The normal lifestyle is hampered with certain problems such as physical inability, sensory deficits, uterine incontinence, and cognitive impairment and so on.


Q: What is the role of counseling services?

Ans: It covers several healthcare recommendations for safe and comfortable living of women. Expert gynecologists offer valid help in this respect to women on important issues such as contraceptives, pregnancy options, infertility problems and others in a personalized atmosphere.


Q: Does vaginal surgery really change the quality of life of suffering women?

Ans: Vaginal surgery is a great way to change the quality of life of women suffering from functional disorders. Vaginal surgery combines both labiaplasty and vaginoplasty to rejuvenate the look of the organ, which functions in an extremely improved way bringing emotional satisfaction to women. It helps incite confidence in the individual and also enhances self-esteem. The surgical procedure helps organize the shape and size of the vagina for improved satisfaction in sexual activities and also for experiencing improved quality of life.


Q: Is infertility treatment affordable for people from middle class backgrounds?

Ans: Yes, of course! At URVARAA IVF, infertility treatment is very much affordable . Here we are treating patients from all sections of the society as our pricing is very competitive. We do not prescribe any unnecessary tests and keep the treatment protocol as simple and patient friendly as possible.


Q: How does conception occur naturally?

Ans: In each menstrual cycle a single egg is released from the woman’s ovary. For conception to take place the man’s sperm has to meet the woman’s egg. This usually takes place in one of the woman’s fallopian tubes and the fertilized egg then travels to the uterus and is implanted there. For pregnancy to take place, fertilization of the egg must be followed by a successful implantation.


Q: Does age affect a woman’s fertility?

Ans: As a woman ages, hormonal changes in her body can cause difficulties in ovulation. The quality and quantity of her eggs decline. The ability of an egg to become fertilized may also decrease with time, lowering the chances of conception. Miscarriage rates also increase with age.


Q: Is it abnormal for semen to flow out of the vagina after a sexual act?

Ans: Semen overflowing from the vagina is not an unnatural phenomenon. If there is excessive semen some of it may overflow, which results in wetting of bedclothes. This happens to a lot of women and has never been a cause for infertility. It is advisable to keep a pillow beneath the buttocks during intercourse to prevent the overflow.


Q: When is the best time to have intercourse in a menstrual cycle for enhancement of fertility?

Ans: The timing of intercourse should of course be targeted at the time of ovulation which is the most fertile period of a woman, but the couple should try at other times as well. A recommended time is usually on alternate days from Day9 to Day 19 of a regular cycle.


Q: What is the cause of frigidity? Is lack of sexual desire associated with infertility?

Ans: There is no connection between sexual pleasure and fertility. A normal sexual drive in a male or female depends primarily on the hormones, general health and social conditioning of a person. The kind of physical and emotional bond that has evolved between a couple, including matters related to sexual arousal, timing of ejaculation, orgasm is of great importance. In essence, any kind of breakdown in communication in a long term sexual relationship can often be the cause for such a loss in sexual desire. At URVARAA IVF we have trained and compassionate counsellors to help couples deal with these problems.


Q: When is IVF (In-Vitro Fertilization) indicated?

Ans: The common indications are:

Severe Tubal blockage

Severe male factor infertility such as low sperm count / low motility

Moderate to severe endometriosis

Unexplained infertility

Our doctors review the patient’s history and then guide them to the most appropriate treatment and diagnostic procedures.


Q: What is the success rate with each IVF cycle?

Ans: The possibilities of success with IVF vary from patient to patient. The doctor can best predict the outcome only after a complete evaluation, which includes reviewing the history and any prior response to fertility medications. In India success rates have drastically improved for couples taking treatment under ART.

Dr. Sankar Dasmahapatra

Consultant- Gynaecology & Obstetrics
Infertility Specialist & Lapaoscopic Surgeon
DGO, MS, Fellowship in Gynaecological, Lap Surgery (Sydney-Australia)


MILLENIUM CLINIC,
Kanchangangha Apartment, Teghoria Main Road, VIP Road Junction, Kolkata - 700 157, West Bengal, India.
Timing: Every Evening, 5-9 PM.


DIAL :
033 2570 3043 / 033 2570 6029 / +91 92306 16647 / +91 87776 13551 / +91 98300 78757

E-mail :
sankardm@gmail.com, sankardasmahapatra@gmail.com

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