by Dr Neelima Mantri | Aug 20, 2025 | Blog, Infertility Treatment
You are trying to conceive. You have done all the right things. The tests seem normal. But still, there is no pregnancy. This is often where the term “unexplained infertility” comes in. It means everything looks fine on paper, yet conception does not happen. It can feel frustrating, but there are clear next steps.
What Is Unexplained Infertility?
Unexplained infertility is a diagnosis made when all standard fertility tests come back normal. Ovulation is regular. Sperm count is healthy. Tubes are open. The uterus shows no major issues. But after a year or more of trying, there is still no success.
It does not mean there is no reason. It just means the cause has not been found yet. Often, it involves subtle issues like egg quality, sperm function at a molecular level, or timing that cannot be seen through routine testing.
What Tests Are Done for Unexplained Infertility?
Before calling it unexplained, doctors will run a full fertility workup.
- Ovulation tracking to confirm regular egg release
- Hormone level tests for FSH, LH, AMH, prolactin, and thyroid
- Pelvic ultrasound to assess the uterus and ovaries
- Semen analysis for count, shape, and movement
- HSG (hysterosalpingogram) to check the fallopian tubes
- STI screenings
- Basic genetic screening in some cases
So, what tests are done for unexplained infertility? These are the standard checks. If all results appear normal, the diagnosis becomes unexplained infertility.
What Is the Best Treatment for Unexplained Infertility?
There is no one-size plan. The treatment depends on age, medical history, and how long you have been trying. In younger couples, doctors may suggest a few more months of trying with timed intercourse. In others, there is the use of assisted methods. What then is the most appropriate treatment of unexplained infertility? The most typical ones are as follows:
- Ovulation induction with IUI: This is often the first step. It boosts egg release and increases the chances of sperm reaching the egg.
- In vitro fertilisation (IVF): IVF allows fertilisation outside the body. This bypasses many small factors that may be blocking natural conception.
- ICSI: A single sperm is injected directly into the egg, used in IVF cycles when there may be hidden sperm issues.
The best fertility treatment options will be chosen based on how your body responds and how much time you are willing to commit.
How Successful Is Treatment for Unexplained Infertility?
Many couples do conceive after treatment. IUI success rates are about 10 to 20 percent per cycle. IVF offers higher chances, especially when combined with advanced methods like embryo freezing or ICSI.
So, how successful is treatment for unexplained infertility? It depends on age, ovarian reserve, and treatment choice. IVF often gives the best outcome within three cycles. Emotional and physical support during this time also improves the journey. Connect with the best gynaecologist in Mumbai for infertility to avail immediate solutions.
Final Thoughts: Keep Moving Forward
Unexplained infertility can feel like a dead end. But in reality, it opens the door to closer observation and targeted treatment. Many couples in the same situation do go on to have healthy pregnancies.
If the journey feels uncertain, take one step at a time. Ask questions. Track each phase. Work with a doctor who listens. Sometimes, the answer is not in the test results but in the personalised care plan that follows.
by Dr Neelima Mantri | Aug 8, 2025 | Blog, Gynecologist
Pregnancy depends on balance. Hormones control how your body prepares, supports, and maintains a healthy pregnancy. When those hormones shift too much or too little, problems can occur. Some are mild. Some may need medical attention. Understanding the role of hormones is the first step.
Why Hormones Matter in Pregnancy
Hormones send signals to your body. They prepare the uterus, support the embryo, and help the baby grow. They also help your body change over time to carry the pregnancy to full term. When hormone levels are off, this balance is affected. It can lead to delayed conception, pregnancy complications, or issues with development. Early diagnosis helps manage these problems.
What Hormones Affect Pregnancy the Most?
Several key hormones play a role.
- Progesterone supports the uterine lining and keeps the pregnancy stable. Low levels may lead to spotting or miscarriage risk.
- Oestrogen helps with blood flow and supports the baby’s organs. A sudden drop in oestrogen can affect foetal development.
- hCG (Human Chorionic Gonadotropin) rises early in pregnancy. It signals the body to keep producing progesterone.
- Thyroid hormones support metabolism. If they are too high or too low, they can harm both mother and baby.
- Prolactin prepares your body for breastfeeding. An imbalance here may not affect pregnancy directly, but could impact postpartum recovery.
These hormones work together. One imbalance can trigger issues across the system.
What Are the Signs of Hormonal Imbalance During Pregnancy?
Symptoms may vary. Some are easy to miss. Some overlap with normal pregnancy changes. But the key is to know what is not typical.
- Constant fatigue beyond early pregnancy
- Mood swings that do not improve
- Excessive weight gain or loss without change in diet
- Severe acne or hair loss
- Irregular spotting or cramping
- Low energy despite rest
If you are asking, what are the signs of hormonal imbalance during pregnancy?, these are the red flags. Speak to your gynaecologist if they persist or increase.
When Should You Test Hormones for Pregnancy?
Testing depends on your history and symptoms. If you have had fertility issues, irregular periods, or past miscarriages, early testing is advised. In some cases, hormonal tests are done during pre-pregnancy planning.
How a Gynaecologist Helps Manage Hormonal Imbalance
Gynaecologists monitor changes. They decide what needs treatment and what does not. They may suggest hormone supplements, lifestyle changes, or further scans. Early care makes a big difference in outcomes.
The best gynaecologist for hormonal issues in Mumbai will use updated tests, read results in detail, and explain them in simple terms. If you prefer a woman doctor, the best female gynaecologist in Mumbai will offer a more comfortable space for discussion. When choosing care, always check experience with hormonal cases. The best gynaecologist in Mumbai will be able to handle both mild and complex pregnancy concerns without delay.
Takeaway: Track, Test, and Talk Early
Hormonal imbalance is not rare. But it is manageable. If you notice changes that feel unusual, speak to a doctor early. Hormones shift naturally during pregnancy. What matters is how well your body adapts. With the right support, that balance can be restored.
by Dr Neelima Mantri | Jul 21, 2025 | Blog, Infertility Treatment
Infertility can be hard to deal with. It brings questions. It brings stress. And it brings the need for answers. One way doctors get those answers is through a procedure called hysteroscopy. Hysteroscopy is a simple way to look inside the uterus.
A small camera goes in through the cervix. No cuts. No stitches. It helps the doctor see if something is stopping a pregnancy from happening. For many women, it provides clarity. For others, it’s the first step toward treatment.
When Is Hysteroscopy Recommended for Infertility Treatment?
Hysteroscopy is advised when scans or blood tests don’t explain the cause of infertility. It’s also suggested if you’ve had repeated miscarriages or failed IVF cycles. Some women experience heavy bleeding or irregular periods. Others may have fibroids, polyps, or a uterine septum. These can block the path for a fertilised egg or stop implantation.
If a doctor suspects any of these, hysteroscopy gives a clear view. It helps confirm the diagnosis. It also lets them treat the issue on the spot. Small tools can remove polyps or scar tissue during the same procedure. That saves time. That avoids second surgeries.
Why Is It Done?
Hysteroscopy helps detect problems like adhesions, fibroids, or structural changes in the uterus. These may not always show up in regular ultrasound scans. The procedure improves the success rate of fertility treatments.
It prepares the uterus to receive and support a pregnancy. It’s often done before starting assisted reproductive treatments. Some doctors also use it between IVF cycles to improve outcomes. For many, it is the missing piece of the puzzle.
Is It Safe?
Yes, hysteroscopy is safe. Most procedures are done as day care. You don’t need to stay overnight. The anaesthesia used is light. The scope is thin and flexible. That makes it less painful. Bleeding, cramps, or light discharge may happen after the procedure. But serious risks are rare. The uterus heals quickly. There are no external scars.
How Long Does Recovery Take After Hysteroscopy?
Most women go home a few hours after the procedure. They rest the same day. Normal activity can resume in a day or two. Painkillers may be given for mild cramps. Sexual activity is usually avoided for a few days. Your doctor will guide you based on what was done during the procedure. If any treatment was carried out, like removing fibroids, recovery may take longer. But in most cases, it’s short and manageable.
Finding the Right Expert Matters
If you are thinking about hysteroscopy for female infertility, choosing the right doctor makes all the difference. You need someone with experience in both diagnostics and fertility care. If you’re in Mumbai, you’ll want the best gynaecologist for hysteroscopy in Mumbai. Someone who can explain things clearly.
Someone who can guide your fertility journey with care and detail. One trusted name is Dr. Neelima Mantri, known for her work in advanced gynaecology and infertility treatment. She takes time to assess your history. She explains the reasons behind each step. And most importantly, she offers a personalised approach for every patient.
Your Fertility Journey Deserves Clarity
Hysteroscopy is not the first test in infertility care. But it’s often the one that brings real answers. It shows what scans miss. It treats what others cannot. And for many, it opens the door to pregnancy.
Ask your doctor if it’s right for you. Talk about timing. Discuss risks. Understand the benefits. Your fertility plan should be based on facts, not guesswork. When used at the right time, hysteroscopy gives you more control. More insight. And a better chance at starting the family you’ve been hoping for.
by Dr Neelima Mantri | Jul 14, 2025 | Blog, Female Gynaecologist
Uterine prolapse occurs when the uterus descends into the vagina. People are more likely to think that it is more common than they think. It may lead to pain, congestion, and urinary problems. In other women, it influences their day-to-day life. Surgery is the next option when exercises and support devices fail to work.
In case you are thinking of undergoing uterine prolapse surgery, this is what you should know. Being aware of your choices, the process of recovery, and what occurs during surgery can help you make the decision easier.
When Is Surgery Needed for Uterine Prolapse?
Mild prolapse does not require surgery. Vaginal pessaries and pelvic floor exercises can be useful. However, in case of continuous worsening of the symptoms, or when the uterus bulges out, surgery is the most appropriate. Women with difficulty in walking, lifting or emptying their bladder comfortably usually opt to have surgery. It aids the recovery of pelvic functioning and enhances the quality of life.
Types of Uterine Prolapse Surgery
There is no single method. The right option depends on your age, health, and whether you wish to keep your uterus. One method is vaginal hysterectomy. This involves removing the uterus through the vagina. It is one of the most common approaches for severe prolapse. Another option is uterine suspension. This restores the uterus to its original position using surgical mesh or your own tissue. This can be done through the vagina or by laparoscopy.
Both methods are effective. The choice depends on your condition and your goals. If you want to preserve your uterus, suspension might be advised. If you’re past childbearing and want long-term relief, hysterectomy is often suggested. If you’re exploring uterine prolapse surgery in Mumbai, ask your doctor about both options. A good gynaecologist will explain the pros and cons clearly.
How Successful Is Uterine Prolapse Surgery?
You may ask, How successful is uterine prolapse surgery? The answer is reassuring. Most women feel better soon after surgery. They notice less pressure. Urinary symptoms improve. Walking and daily activities become easier.
The success rate is high. Around 85 to 90 per cent of women see a clear improvement. For long-term results, it is important to follow post-surgery care instructions. Pelvic floor exercises remain useful even after surgery.
Is Uterine Prolapse Surgery Painful?
Pain is a common concern. You may wonder, Is uterine prolapse surgery painful? The procedure is done under anaesthesia. You will not feel anything during the operation.
After surgery, some discomfort is expected. Pain is managed with medicine. Most women stay in the hospital for one or two days. They walk slowly within 24 hours. Full recovery takes four to six weeks. Each week feels better than the last. You will be asked to avoid lifting, bending, and straining for a while. Sexual activity is paused during healing. Your doctor will give clear do’s and don’ts to follow at home.
Choose the Right Specialist
Surgery is only part of the process. Choosing the right doctor matters. You need someone who explains the procedure. Someone who supports you through recovery. Someone who takes time to listen. If you are looking for the best gynaecologist in Mumbai for prolapse treatment, consider Dr. Neelima Mantri.
She is known for her patient-first approach. She offers both surgical and non-surgical care, depending on what suits you best. Her team ensures a smooth experience, from consultation to follow-up. Women across Mumbai trust her for gynaecological issues, including prolapse care.
Make an Informed Decision
Surgery sounds big. But when done for the right reason, by the right doctor, it brings lasting relief. Ask questions. Understand your body. Know your options. Prolapse may feel overwhelming, but it can be fixed. The goal is to help you move freely, live confidently, and feel normal again. If you are ready to explore treatment, talk to a specialist today. Your next chapter starts with the right care.
by Dr Neelima Mantri | Jun 17, 2025 | News and Events
International Endometriosis Conclave 2025 – A Spectacular Success!
The International Endometriosis Conclave 2025 proved to be a groundbreaking event dedicated to one of the most enigmatic and complex conditions in women’s health — Endometriosis.
Held with immense enthusiasm, the conference featured live surgical demonstrations, expert panel discussions, and interactive academic sessions, offering a visual and intellectual feast for all attendees.
A big congratulations to Dr Rajendra Sankpal Sir for organizing and dedicating this impactful event to endometriosis awareness and advancement.
One of the major highlights of the conclave was the presence of Dr Harald Krentel, the renowned pioneer in endometriosis surgery from Bethesda Hospital, Germany. His insights and surgical precision inspired every attendee and added immense value to the event.
This conclave marked a crucial step forward in strengthening international collaborations, exchanging knowledge, and setting new benchmarks in gynecological care.
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