Postmenopausal Bleeding: Causes, Diagnosis and Treatment

0 10 April 2024
Postmenopausal Bleeding: Causes, Diagnosis and Treatment

Even though postmenopausal bleeding is frequently concerning, it is a condition that needs to be recognized and understood. This bleeding can be an indicator of several underlying disorders and usually occurs after a woman has gone through menopause, which is generally described as not having menstruated for 12 consecutive months. Endometrial cancer and uterine polyps are two more dangerous reasons that can occur in addition to more benign ones like hormone imbalances or vaginal atrophy. Effective postmenopausal bleeding management requires an understanding of the possible causes, a correct diagnosis by a gynecologist in Mumbai, and the pursuit of suitable treatment.

The Primary Causes

  • Hormonal Fluctuations: Variations in progesterone and estrogen levels during menopause can cause postmenopausal bleeding as well as other irregular bleeding patterns.
  • Vaginal Atrophy: During menopause, the vaginal walls are often thin and dry, which can lead to discomfort and bleeding.
  • Endometrial Atrophy: Postmenopausal bleeding may result from the weakening of the endometrial lining that happens with aging.
  • Endometrial Hyperplasia: Abnormal bleeding may arise from the endometrial lining being thinner as a result of

0 11 March 2024
All You Need to Know About HPV Vaccine

The cases of vaginal cancer, cervical cancer, penile cancer, and anal cancer in both men and women are increasingly prevalent worldwide. Because these cancers require invasive treatments like surgery, chemotherapy, and radiotherapy, they pose significant risks to reproductive and sexual function, even with the right treatment and care. Fortunately, the HPV vaccine can drastically reduce the risk of these particular types of cancers, along with other types caused by the HPV virus. The HPV vaccine is one of the most effective vaccines available today, scoring the highest efficacy rating in protecting against the HPV virus. Yet, not many are aware of this cost-effective vaccine. Today, with insights from the best gynaecologists in Mumbai, Dr. Neelima Mantri, we aim to improve awareness about the HPV vaccine by answering the most frequently asked questions. Read on to know:

What is the HPV virus?

The HPV virus, or human papillomavirus, is a common sexually transmitted infection. This virus can infect the mouth, genital area, and throat of both men and women. There are many different types of human papillomavirus, which can cause various symptoms, ranging from genital warts to cancers, including cervical, vaginal, p

0 20 February 2024
Long-Acting Reversible Contraception

The field of family planning has been associated with an eternal quest for safe, effective, and convenient contraceptives. Long-acting reversible Contraception (LARC) is a revolutionary practice that allows people to have an easily available yet highly effective and convenient tool for controlling reproductive health. LARC methods like IUDs and contraceptive implants offer extended protection from unwanted birth. This article shall talk about the advantages of LARC and how this method can revolutionize family planning.

  1. Unparalleled Effectiveness –

The effectiveness of LARC methods is its greatest strength; as compared to short-term contraceptives such as birth control pills, long-acting reversible contraceptives (LARC) are more effective at preventing unwanted pregnancies. For instance, IUDs have a failure rate of less than 1%, making them some of the most effective contraceptive methods. This high efficacy comes from the fact that they can provide uninterrupted protection without the need for compliance and hence low human pill intake risks.

  1. Convenience and Low Maintenance –

As far as their convenience and lack of maintenance go, the LARC methods are ahead. Once inserted, IUDs and implants are long-acting contraceptives that can last from 3 to 10 yea

0 16 February 2024
Primary Ovarian Insufficiency Causes and Symptoms

Primary Ovarian Insufficiency (POI), formerly referred to as premature ovarian failure is a disorder that results from the early depletion or dysfunction of the ovaries leading to malfunctioning of the reproductive system. Such a woman usually develops this condition by the age of 40 which causes various symptoms and affects fertility. In this article, we shall talk about the causes and symptoms of POI.

Causes of Primary Ovarian Insufficiency

● Genetic Factors – Primary Ovarian Insufficiency can stem from genetic abnormalities. Premature depletion of ovarian follicles can be caused by conditions such as Turner syndrome, Fragile X syndrome, and other chromosomal abnormalities. ●Autoimmune Disorders – Sometimes the immune system mistakes ovarian tissues and starts attacking them, and this results in a disorder called ovarian insufficiency. POI can result as a consequence of autoimmune disorders that include thyroiditis and Addison’s disease. ●Infections – The infections of the ovaries that cause inflammation and damage are mumps, which contribute to Primary Ovarian Insufficiency. ●Idiopathic Causes – In a large percentage of POI cases, the etiology remains undetermined, so this condition is called idiopathic. This requires further investigations into other possible contributors to ovarian insufficiency. Gynecologists i

0 31 January 2024
Antiphospholipid Syndrome and Pregnancy

Pregnancy is one of the most blessed and memorable journeys a woman takes. However, many medical conditions can pose problems in this beautiful journey, and a few, like Antiphospholipid Syndrome, can even cut short the journey by causing miscarriage, stillbirths, and other obstetric complications. What is Antiphospholipid Syndrome, how does it impact pregnancy, and how is it treated to make the pregnancy journey more safe and secure? We posed these common questions about Antiphospholipid Syndrome (APS) to the best gynaecologist in Mumbai, Dr. Neelima Mantri. Read on to know her answers.

What is Antiphospholipid Syndrome?

Hughes syndrome, also known as Antiphospholipid Syndrome (APS), is an autoimmune disorder that triggers abnormal blood clotting in the body. An APS patient’s immune system mistakenly produces a specific antibody that attacks phospholipids, which play a crucial role in blood clotting and cell function. These antibodies ultimately increase the risk of blood clots forming in our veins and arteries. This increased tendency of blood clotting can have implications throughout the body, causing severe problems like deep vein thrombosis (DVT), strokes, and pulmonary embolism.

Antiphospholipid Syndrome & Pregnancy: 

This Antiphospholipid Syndrome

0 15 December 2023
Advanced Maternal Age: Risks, Complications, Management and Treatment

There was a time when being above the age of 35 was considered challenging for pregnancies. It’s no wonder women above this age faced difficulties in healthy conceptions. Thanks to improved awareness, technology, treatments, and fertility procedures, women in their late 30s can now embark on this remarkable journey with greater possibilities. However, the journey of pregnancy in advanced maternal age does come with its own set of challenges and complications. “Pregnancy, in itself, is a challenging journey for every woman. This journey can be a bit more challenging for women who conceive in advanced maternal age, primarily after the age of 35,” says the renowned gynecologist in Mumbai, Dr. Neelima Mantri. If  you are a woman in this age bracket, the best thing you can do is improve awareness about the pregnancy journey in advanced maternal age—its risks, complications, and treatment options for safe management—before embarking on this remarkable journey. With insights from leading female gynaecologists in Mumbai, Dr. Neelima Mantri, we delve into these commonly asked questions in this blog today.

Pregnancy above Age 35 – Risks and Complications:

Increased risk of chromosomal abnormalities: The quality of the eggs women produce is inversely proportional to their age. Consequently

0 19 October 2023
Arrhythmia in Pregnancy – Everything You Need to Know

Arrhythmia is a medical term for an irregular heartbeat, where the heart beats too quickly, too slowly, or in an uneven, out-of-rhythm manner. An irregular heartbeat leads to decreased blood flow to organs, reduced oxygen delivery, the development of blood clots, and, in severe cases, it may cause heart failure and stroke. “The possibilities of these complications depend on the severity or type of the Arrhythmia. But Arrhythmia during pregnancy doubles the risk of these complications, as both the mother and baby may be impacted by this medical condition,” says a female gynaecologist in Mumbai, Dr. Neelima Mantri. Arrhythmia can happen in women even with no underlying heart conditions. During pregnancy, it can increase the risk of blood clots and stroke and may even result in premature delivery when proper treatment is not taken, adds Dr Neelima Mantri, the best obstetrician in Mumbai, who has treated hundreds of arrhythmia cases in Mumbai. But what causes arrhythmias, how do we know the symptoms, what are the treatment options available? We have asked Dr. Mantri the most frequently asked questions on Arrhythmia. Read on to know her answers.

Arrhythmia in Pregnancy: Causes

As mentioned earlier, arrhythmias can occur

0 28 September 2023
Placenta Previa: Symptoms, Causes and Treatment

Placenta previa is a condition where the baby’s exit path from the womb is blocked by the abnormal positioning of the placenta. Naturally, this blockage can result in a number of serious complications, which include vaginal bleeding, preterm birth, blood loss, placental abruption, infection, foetal distress, and more. Since the exit route is blocked by the placenta, it may also necessitate choosing a caesarean-section to ensure safe delivery. While a C-section is performed to ensure safe delivery, the reasons for placenta previa being a serious condition lie in the complications it may cause over the course of pregnancy. “A C-section is performed only at the right time, and by the time the C-section is performed, the pregnant women may have to experience a range of complications from the placenta previa which may impact the overall health of the women and baby”, says leading female gynaecologist in Mumbai Dr Neelima Mantri. What exactly causes Placenta Previa, and how does a gynaecologist in Mumbai solve the complications and treat this condition? We asked gynaecologist in Mumbai, Dr. Neelima Mantri. Read on to know her answers:

What is Placenta Previa?

0 18 August 2023
Know About Transvaginal Mesh & Its Complications

Transvaginal mesh is a surgical mesh used to treat stress-related urinary incontinence, a condition where women, particularly those post-childbirth, experience urinary leakage from the bladder during high-impact activities such as running or jumping. Around 20% of women suffer from this problem, and surgery using a transvaginal mesh provides a low-complication method for treating the incontinence problem. But all this information only scratches the surface of the transvaginal mesh. The topic needs to be delved into deeply to understand the usage of transvaginal mesh, its uses and complications, and the reasons for the ongoing controversy in gynaecological treatment. With inputs from the best gynec laparoscopic surgeon in Mumbai, Dr. Neelima Mantri, we provide the complete information you need in this blog. Read on:

Transvaginal Mesh – A Treatment for Pelvic Disorders:

Urinary incontinence is only one aspect of pelvic disorder treated by transvaginal mesh surgery. Gynaecologists have been actively leveraging transvaginal mesh to treat various pelvic infections. To understand the role of transvaginal mesh, let us provide you with a backstory of the pelvic floor and its conditions. Pelvic Floor & Pelvic Organ Prolapse: The pelvic floor in women is a hammock-like stru

0 23 June 2023
What Causes Cephalopelvic Disproportion?

Cephalopelvic disproportion (CPD) refers to a situation where a mother’s pelvic structure is mismatched with the dimensions and form of her baby’s head, rendering natural delivery difficult or impossible. Cephalopelvic disproportion can result from diverse causes, such as the infant being comparatively larger, fetal positioning abnormalities, unconventional pelvic structures, or maternal conditions that entail possessing a narrow pelvis. To ensure a safe and successful delivery, healthcare professionals need to understand the underlying reasons behind CPD and be able to identify potential risks while devising appropriate management strategies.

  • Cephalopelvic disproportion, a condition where the fetal head is too large for the birth canal, often stems from fetal macrosomia – an anomaly where the baby has an excessively large body size. The outcome could be linked to maternal elements, including gestational diabetes or increased weight during pregnancy. Fetal macrosomia increases the chances of cephalopelvic disproportion (CPD) due to the possibility of the infant’s head being too large to pass through the mother’s pelvis.
  • Certain fetal positions, like breech or transverse, may cause a size difference between the baby’s head and the mother’s pelvis. Sometimes, when the infant’s head and the mother’s pelvic region do not align correctly, it can m