by Dr Neelima Mantri | Apr 10, 2024 | Blog, Women Health Issues
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 exposure to too much estrogen.
Endometrial Cancer: Postmenopausal bleeding may occasionally be a sign of endometrial cancer, emphasizing the need for an immediate assessment by a doctor.
The Diagnosis
When a healthcare professional diagnoses the underlying cause of postmenopausal bleeding, it usually requires a comprehensive evaluation:
Medical History: The healthcare professional will start by obtaining a thorough medical history that includes details on the occurrence, length, and intensity of bleeding episodes.
Physical Examination: To check for any anomalies or indications of infection, a pelvic examination may be conducted.
Imaging Tests: To see the uterus, ovaries, and other pelvic tissues and find any anomalies, including polyps or tumors, imaging investigations like transvaginal ultrasound or pelvic MRI may be requested.
Endometrial Biopsy: To collect a sample for microscopic inspection and rule out endometrial cancer or other abnormalities, a biopsy of the endometrial tissue may be advised as well.
Laboratory Tests: Blood tests can be used to check for symptoms of anemia or underlying medical issues, as well as to monitor hormone levels like progesterone and estrogen.
Other Procedures: To further assess and treat the underlying cause of postmenopausal bleeding, additional operations including dilatation and curettage (D&C) or hysteroscopy (insertion of a thin, lighted tube into the uterus) may be performed in certain circumstances.
Fundamental Treatment
The underlying reason found during diagnosis determines the course of treatment for postmenopausal bleeding. Hormone replacement treatment (HRT) may be recommended to control hormone levels and treat symptoms if the bleeding is the result of fluctuating hormone levels. Surgical surgery may be required to remove abnormal growths or correct structural abnormalities, such as fibroids or polyps when seen.
Stronger therapies, including a hysterectomy or chemotherapy, may be necessary for endometrial hyperplasia or cancer. Postmenopausal bleeding symptoms can also be reduced by treating underlying medical concerns such as blood clotting or thyroid issues. The demands and medical conditions of each individual are taken into account while creating treatment regimens.
Postmenopausal bleeding needs close observation and an expedient medical assessment to determine its underlying causes and start the proper course of therapy. Renowned obstetrician, gynecologist, and laparoscopic surgeon Dr. Neelima Mantri provides thorough attention and experience in treating diseases in women’s health.
With more than ten years of expertise and specific training in high-risk obstetrics, Dr. Neelima Mantri is considered one of the best female gynecologists in Mumbai and has successfully managed many challenging scenarios, ensuring her patients’ optimal outcomes in most cases.
by Dr Neelima Mantri | Mar 11, 2024 | Blog, Women Health Issues
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, penile, anal, and throat cancers. Other symptoms of infection caused by the HPV virus include itching, burning, or discomfort in the genital area, abnormal vaginal bleeding, and even pain during sex.
How is the HPV virus transmitted?
“HPV is primarily transmitted through sexual contact, including oral, vaginal, and anal sex. The virus spreads even if an infected person shows no signs or symptoms. HPV may also be passed from mother to baby during childbirth,” says female gynaecologist in Mumbai Dr. Neelima Mantri.
How does the HPV vaccine work? What types of cancers does it help prevent?
Like the majority of vaccines, HPV vaccines work by exposing the body to inactive forms of the virus. This way, our body gradually develops immunity against the virus in its active form when exposed. Cervical cancer, vaginal cancer in women, and anal cancer and oropharyngeal cancer (back of the throat) in both men and women are some of the cancers whose risk can be significantly reduced by getting the HPV vaccine.
How many doses of the HPV vaccine are needed for an individual? Is it safe?
The total number of doses required by the individual depends on the age at which they are vaccinated. Children and teens between ages 9 and 14 will require two doses of HPV vaccine over a 6-12 month period. If the HPV vaccine is administered between the ages of 15 and 26, three doses of vaccine will be required over a 6-month period. HPV vaccine is one of the most extensively studied vaccines and the most effective one with excellent efficacy rates in reducing the risk of HPV-related cancers. So yes, it is safe and effective for men and women.
What are the side effects of the HPV vaccine? Every vaccine shows a few mild side effects. In the case of HPV vaccine, the side effects are mild and often go away within a few days. The side effects of HPV vaccines may include pain, redness, swelling, dizziness, and in very rare cases, fainting.
Where can I get the HPV vaccine in India?
Government Health Centers, Private Hospitals, and Clinics are some of the primary sources of HPV vaccination. Even women’s health specialists or gynaecologists can also help you get the HPV vaccine in India. If you are in Mumbai, you can contact leading gynaecologist Dr. Neelima Mantri for HPV vaccination. You can contact her here.
by Dr Neelima Mantri | Mar 8, 2024 | Blog, Pregnancy Complications
Chorioamnionitis is a complicated technical term for intrauterine infection, which, as the name suggests, is an infection of the uterus that can occur during pregnancy. The reasons are versatile and can vary. Intrauterine infection during pregnancy can pose severe risks to the baby when left untreated. “Intrauterine infection during pregnancy can often lead to preterm birth, an increased risk of infection to the baby, and an increased risk of chronic health conditions in children later in their life,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri.
Intrauterine infection in pregnant women is more common than most women think. Approximately 1-4% of women suffer from the infection every year. Unfortunately, most women do not get treated and suffer the risk of complications. If you are a pregnant woman or planning for one in the near future, you must be aware of this infection as soon as possible, and we are here to help.
With inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we delve into this bacterial infection, its causes, risks, and preventive steps. Read on to know:
What is Intrauterine Infection (Chorioamnionitis)?
Intrauterine infection in pregnant women, also called Chorioamnionitis, is an infection of the outer membrane of the uterus that surrounds the foetus (called chorion) and the inner membrane that surrounds the foetus and contains amniotic fluid (called amnion). The infection in the chorion and amnion of the uterus is also called Chorioamnionitis, or intrauterine infection.
What causes Intrauterine Infection (Chorioamnionitis)?
Chorioamnionitis often occurs when bacteria from the vagina ascend to the uterus through the cervix. In most cases, the ascension doesn’t happen, but certain events can trigger this ascension. The bacteria can enter the uterus due to rupture of the membranes, invasive procedures, weakened immune system, and even genital tract infections, according to gynaecologist in Mumbai, Dr. Neelima Mantri.
Symptoms of Intrauterine Infection – How to detect it?
Fever is one of the primary symptoms of intrauterine infection in pregnant women. Abdominal pain, abnormal vaginal discharge, tenderness of the uterus, followed by an increased heart rate, fatal heart rate changes, nausea, vomiting, fatigue, and general malaise can also occur during a intrauterine infection. Given that most of these symptoms are common during pregnancy, it is always advisable to consult a qualified gynaecologist as soon as one of the symptoms, primarily fever, happens. Early detection and prompt treatment of uterine infections are crucial to ensure the health and well-being of both the mother and the baby.
So what is the treatment for intrauterine infection or Chorioamnionitis?
Intrauterine Infection Treatment in Mumbai:
“Isn’t it surprising that an infection with such complications can be swiftly managed and treated with simple antibiotics and monitoring? Such is the benefit of early diagnosis and treatment,” says gynaecologist in Mumbai, Dr. Neelima Mantri.
When asked about the prevention strategies to reduce the risk of intrauterine infections, she adds, “Taking antibiotics when the water breaks early, limiting the number of vaginal exams after the water breaks, and getting screened for Group B Streptococcus in the third trimester of pregnancy are some of the key tips we suggest to pregnant women to reduce the risk of intrauterine infection”.
If you are in Mumbai and are seeking information and assistance about intrauterine infection or Chorioamnionitis, Dr. Mantri is the best female gynaecologist in Mumbai who specializes in treating intrauterine infection cases. You can directly consult her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Feb 20, 2024 | Blog, Gynecologist
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.
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.
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 years. This makes it unnecessary to adhere to daily or monthly compliance, thus lowering the risk of accidental slippage in contraceptive coverage.
This convenience is very important to people with a busy lifestyle, providing consistent and reliable protection over a long time. Gynecologists in Mumbai are highly skilled in dealing with such cases.
Reversible and Prompt Return to Fecundity –
Irrespective of the fact that LARC methods have a prolonged duration of action, they are reversible and people can regain their fertility within a very short time after cessation. This is particularly attractive to people who want a measure of control over their family life. Unlike permanent sterilization that includes tubal ligation, LARC options preserve the possibility of future pregnancies without affecting long-term contraceptive effectiveness.
Reduced Side Effects and User-Dependent Factors –
One of the main advantages of LARC methods for many users is that they do not have a lot of side effects and there are no user-dependent factors. Different from hormonal contraceptives that might lead to mood swings, weight gain, or other unpleasant side effects, LARC options provide a localized and lower-dose hormonal delivery mechanism.
Moreover, nonhormonal IUDs are offered for those who prefer a hormone-free contraceptive. The best gynecologists in Mumbai are well efficient in treating such cases and providing patients with the best treatment.
Cost-Effectiveness –
The initial cost of LARC methods is higher than that of short-term contraceptives, however, their overall cost-effectiveness over time cannot be denied. Taking into account the extended period of protection and decreased burden associated with the required clinic visits or prescription refills, LARC options are usually more cost-effective in the long run.
Long-acting reversible Contraception is among the most progressive forms of family planning today, providing a whole range of benefits that appeal to different users.
From unrivaled efficiency and convenience to few side effects and cost-effectiveness, LARC methods can change how people view contraception. Dr Neelima Mantri is one of the best lady gynecologists in Mumbai offering superior treatment and expert guidance to her patients.
by Dr Neelima Mantri | Feb 19, 2024 | Blog, Women Health Issues
When confronted with concerns about cervical health, consulting a skilled gynecologist is crucial. In cases of abnormal Pap smears, the best gynecologist in Mumbai may recommend a colposcopy. This brief yet thorough examination ensures a proactive approach to women’s reproductive well-being.
Colposcopy is a medical procedure that plays a crucial role in women’s health, particularly in the detection and evaluation of abnormalities in the cervix. Whether it’s a follow-up to an abnormal Pap smear or a part of routine gynecological examinations, colposcopy provides valuable insights into cervical health.
In this blog, we will delve into the details of the colposcopy procedure, explore potential risks, and shed light on the significance of its results.
Understanding Colposcopy
Purpose:
Colposcopy is typically recommended when a Pap smear reveals abnormal cell changes in the cervix. It allows healthcare professionals to closely examine the cervix, vagina, and vulva using a colposcope – a specialized magnifying instrument with a light source. The primary goal is to identify any abnormal tissue that might require further investigation or treatment.
Preparation:
Before the procedure, patients are advised to abstain from sexual intercourse and avoid using vaginal medications or tampons for a few days. This ensures a clearer view during colposcopy. It is also essential to inform the healthcare provider about any allergies or pre-existing medical conditions.
Procedure:
During the colposcopy, the patient lies on a gynecological exam table, similar to a pelvic exam. The colposcope is positioned a few inches away, and a mild vinegar solution is applied to the cervix to make abnormal areas more visible. If any suspicious areas are identified, a small biopsy may be taken for further examination.
Potential Risks
Discomfort and Bleeding:
Some women may experience mild discomfort or a sensation of pressure during the procedure. Additionally, there might be slight bleeding if a biopsy is taken. However, these symptoms are usually temporary and resolve shortly after the colposcopy.
Infection:
While infection is rare, there is a minimal risk associated with any procedure that involves the introduction of instruments into the body. To mitigate this risk, it’s crucial to follow post-colposcopy care instructions provided by the healthcare provider.
Emotional Impact:
Given the potential association with cervical abnormalities or precancerous conditions, undergoing a colposcopy may evoke anxiety or emotional distress. Open communication with healthcare providers and seeking support from friends and family can help alleviate these concerns. You may consider visiting a female gynecologist in Mumbai for this.
Interpreting Colposcopy Results
Normal Results:
A normal colposcopy result indicates that the cervix appears healthy, and no abnormal areas were detected. In such cases, routine follow-up Pap smears may be recommended.
Abnormal Results:
If the colposcopy reveals abnormal tissue, further diagnostic tests or treatments may be necessary. These could include additional biopsies, a loop electrosurgical excision procedure (LEEP), or a cone biopsy, depending on the severity of the abnormalities.
Colposcopy is a significant procedure in women’s healthcare, providing a closer look at cervical health and aiding in the early detection of abnormalities. Understanding the colposcopy procedure, and potential risks, and interpreting its results empower women to actively participate in their healthcare journey and make informed decisions about their well-being.
Dr. Neelima Mantri, an esteemed laparoscopic surgeon and gynecologist in Mumbai, boasts a decade of experience, specializing in high-risk obstetrics. Trained in South Korea, she excels in both conventional gynecology and minimal access surgeries. Choose Dr. Neelima Mantri for expert, compassionate care – where experience meets excellence.
