by Dr Neelima Mantri | Sep 9, 2021 | Blog, Gynecologist
Pregnancy is considered one of the most significant gifts of nature and the most vital essence of being a woman. During pregnancy, various parts of the body are involved and are required to be perfectly healthy. Therefore, the proper functioning of all the features is essential to ensure a smooth and successful pregnancy experience. The gynac in Mumbai states that a critical section in pregnancy refers to the cervical mucus.
What is cervical mucus?
Cervical mucus is a thick, dense, gel-like fluid that is produced by the cervix. The composition of this discharged fluid changes during every menstrual cycle due to multiple hormonal changes. The fluctuating hormones stimulate the cervix to produce cervical mucus. This mucus changes its texture and thickness as the woman has conceived an egg.
Why do women need cervical mucus to conceive an egg?
A woman can’t get pregnant without the presence of cervical mucus. This is because this fluid is necessary for the sperm to swim and strive to reach the egg and allow pregnancy.
The flow of cervical mucus is increased right before ovulation. Its consistency is like egg whites. The flow is increased since ovulation is the time when the chance of getting pregnant is the most.
What is cervical mucus hostility, and how is it caused?
Cervical mucus is supposed to help the sperms to be able to move freely and smoothly. If this fluid starts attacking the sperms and killing them before they reach the egg, the condition is called cervical mucus hostility.
Various reasons can cause such a condition that does not allow the female to conceive and get pregnant. The following reasons for this condition that the Mumbai gynaecologists refer are mentioned below:
1.Dry mucus– This is due to the imbalanced hormones during menstruation. It can also happen due to some medical side effects.
2. Inflammatory cells– These kinds of cells develop as a reaction to multiple infections.
3. Acidic mucus– The various hormonal changes can result in an unbalanced PH value. This also happens due to yeast or bacterial infections.
How can such a condition be treated?
As suggested by the top 10 gynaecologists in Mumbai, the treatment of this condition involves a medicinal approach and a surgical one.
There are various medications for antifungals or antibiotics that can be helpful to restore a perfect and balanced cervical mucus.
A fertility-friendly lube is used when there are no anti-sperm antibodies or any other infections.
Apart from the medical treatment, there is a surgical option known as intrauterine insemination. Here, the cervix is bypassed, and this condition is treated efficiently.
To understand which kind of treatment your body needs and make sure the reason for this condition is solved, you need to visit a good doctor. One of the best gynaecologists in south Mumbai is Dr. Neelam Mantri. She is a highly recommended doctor that has great experience and knowledge in this field. A lot of people majorly prefer her due to her efficiency and effectiveness.
by Dr Neelima Mantri | Sep 9, 2021 | Blog, Female Gynaecologist
Labour can be very painful, unbearable even, for some mothers. So, if you are thinking of getting an epidural to help you cope with the intense pain, then you are not alone. Observations have shown that more than 60% of women delivering in hospitals opt for an epidural during labour and delivery.
Understanding the concept of Epidural?
An epidural is an anaesthetic that numbs the body making it unable to feel any sort of sensation or pain.
How Does It Work?
This anaesthetic is injected into the space around the spinal nerves called the epidural space in your lower back by an anesthesiologist via a catheter. The process of numbing begins within 10 to 30 minutes.
The catheter remains in the epidural space during labour and delivery to continually provide the medication when needed.
Epidurals eliminate the pain from labour contractions as well as during birth quite effectively. Therefore, with this anaesthetic, birthing is made less painful.
Types Of Epidurals
While experiencing labour pains, you may be offered different types of epidurals. You must know which type you prefer.
1.Epidural Block
This type of epidural is an amalgamation of analgesics along with anaesthetics. It is considered to be common which usually surfaces during childbirth. The block is injected through a catheter present in the lower back region and the mother soon gets relief from the pain while being alert at the same time. This allows the mother to exert pressure and push harder when there is a need for it.
1. Spinal Block
The block is injected into the spinal cord which holds the fluid. It begins to take action quickly and lasts for around 60 minutes or so. This type of anaesthetic is given usually at the time of C-section deliveries.
1.Combined Spinal-epidural [CSE]
As the name suggests, a CSE is a combination of both the epidural and the spinal block and offers pain relief for as long as one requires.
The Pros And Cons Of Epidural During Pregnancy
Pros: Considered as the safest method of controlling pain
It relieves you from intense pain.
It gives you rest.
It keeps you alert and aware of the birthing process.
It is effective for long surgical procedures such as C-sections.
The drugs injected remain in the epidural space and do not enter the bloodstream. This means that it does not reach your baby.
Cons:
It may cause sudden low blood pressure.
It can make pushing more difficult leading to the intervention of forceps, vacuum, or C-section.
It may increase the possibility of perineal tear.
It might slow down the second stage of labour.
You may experience some side effects such as nausea, shivering, fever, and itchiness.
The epidural space where the catheter is inserted may begin to feel sore leading to back pains.
You must discuss labour pains and ways to manage them with a pregnancy specialist doctor or midwife before rushing into getting epidurals.
Dr Neelima Mantri is the best gynaecologist in Mumbai for high-risk pregnancies with over a decade of experience in gynaecology and obstetrics. With the title of the best doctor for pregnancy, she has dealt with many challenging cases regarding her field of expertise and has outshined these challenges with confidence and success making her the ideal pregnancy doctor in India.
by Dr Neelima Mantri | Aug 20, 2021 | Blog, Female Gynaecologist
When a couple does not want to have children anymore there are many methods of contraception available – temporary and permanent. Sterilisation is a method of permanent birth control or contraception that is a safe, effective and complication-free family planning procedure.
At our gynaecology clinic in Mumbai we get many queries about this procedure and with the support of our gynaecologist in Mumbai, Dr Neelima Mantri we aim to answer common queries in this blog today. Read on:
Why choose sterilisation for birth control?
Sterilisation is the most effective and safest form of contraception that is available today. Since it is only for people who have once and for all decided to not have children in the future, there is no other method as effective or as safe. As there are two types of sterilisation available it is convenient too.
What are the different types of sterilizations available?
Sterilisation can be performed on either men or women so there are two types of sterilizations available – male sterilization and female sterilization.
How are male sterilization and female sterilization procedures performed?
Male sterilization: Sperms that are made in testes are transported to the penis via a tube called vas deferens. Male sterilization commonly called Vasectomy is performed by cutting the tube that takes sperm to the penis preventing the sperm to come out during intercourse.
Female sterilization: Similarly the eggs produced in the ovary reach the uterus through fallopian tubes. Female sterilization also called tubal ligation, these tubes are blocked or cut to prevent the egg from reaching the uterus, leading to permanent birth control.
Does female sterilization involve surgery?
Naturally yes. The female sterilization is performed using mini-laparotomy or laparoscopy, both are minimally invasive procedures. The procedures are simple and recovery is quick.
Which sterilisation is more effective?
The choice of sterilization is an individual decision. While both types of sterilisations are effective in equal measures, gynaecologists in Mumbai like Dr Neelima Mantri say male sterilization or vasectomy is more effective, quicker and also doesn’t require an anaesthetic.
How long does sterilization take to achieve permanent contraception?
According to Mumbai’ gynaecologist Dr Neelima Mantri, on average it can take a week after the laparoscopy operation performed for female sterilization. The recovery may take 2-3 weeks if mini-laparotomy is performed for sterilization and if this operation is performed immediately after having a baby, the recovery may take longer.
As for male sterilization using vasectomy, it can take around 3 months for the male semen to be completely free of sperm. After this period perm test is performed to check the result of the procedure. In the interim, the couple is advised to use an alternative form of contraception for birth control.
Does male and female sterilisation protect from sexually transmitted infections (STI)?
Unfortunately, no. Male and female sterilization only stop the sperm and egg from reaching their intended positions to avoid pregnancy. Tubal ligation and vasectomy do not protect against sexually transmitted diseases.
It is absolutely fine to have more queries and doubts about male and female sterilization procedures. If you need more information about this procedure, Mumbai’s top gynaecologist Dr Neelima Mantri will be happy to answer your questions and clarify your doubt. You can contact her here: +91 7045115577
by Dr Neelima Mantri | Aug 17, 2021 | Blog, Gynecologist
LEEP is a Loop Electrosurgical Excision Procedure that is suggested by the gynaecologist to screen the incidence of abnormal cancer in women. It can be performed to either confirm the cancer diagnosis or to treat the precancerous condition of the woman’s cervix. In today’s blog, we help you understand LEEP in a better way and then guide you towards the best gynaecologist in Mumbai for LEEP in Mumbai. Read on:
Why is LEEP performed?
The tissue in the cervix has to be examined to diagnose cancer and LEEP with its special loop like wire helps accomplish this diagnosis procedure.
In this procedure, a thin wire-like look is inserted into the cervix and a healthy electric current is then passed through the loop to cut the cervix tissue. The procedure only takes 10 minutes and is performed by a gynaecologist at the healthcare facility.
How is LEEP performed?
The patient who lies on her back is placed on stirrups for the procedure. A gynaecologist in Mumbai performing the LEEP will then insert a speculum into the vagina while local anaesthesia is administered to fend off the pain. A loop is then inserted into the cervix of the patient to perform LEEP. After the procedure, the tissue removed is sent to the lab for further diagnosis. A special paste is applied to the cervix by the gynaecologist to stop the possible bleeding.
What should a patient expect after LEEP?
After LEEP in Mumbai, the patient may suffer mild cramping, water discharge (pink/dark brown). The cervix tends to heal in few weeks and while it does, the patient is recommended to keep the vagina free from any tampons and also abstain from sex. Your gynaecologist can help you know the right time to engage in regular activities. Heavy bleeding, abdominal pain and bleeding with clots do not happen in the majority of women and if they do, the patient is recommended to consult a gynaecologist at the earliest.
Guidelines for women after LEEP:
The patient is requested to have regular follow-ups with the gynaecologist to check whether the abnormal cancers cells are obliterated. In case the cells are still found to linger, more treatment is prescribed by the gynaecologist for complete removal. To improve the chances of healing patients are requested to have regular pelvic exams and adopt healthy lifestyle changes.
Does LEEP constitute any risks for women?
Since the tissue is cut from the cervix using an electric current, bleeding is the risk that is most common. As said the gynaecologist uses a special paste to arrest the bleeding and since there runs a risk if the patient is recommended to follow-up with a gynaecologist at regular intervals.
Pregnancy problem in the patient is another uncommon risk LEEP is considered to pose. Though the risk is low, there is this gradual increase in the risk of low birth weight or premature birth. In few cases, the cervix may be narrowed resulting in menstrual problems which also is very rare.
If you are in Mumbai and are looking for the best doctor in Mumbai for LEEP then Dr Neelima Mantri is Mumbai’s best gynaecologist with an excellent track record in the treatment of gynaecological problems. You can contact her here Call@ +917045115577
by Dr Neelima Mantri | Aug 17, 2021 | Blog, Female Gynaecologist
The human body is fallible and hence our body has a built-in immune system to protect us against all sorts of diseases, disorders, bacteria, etc. But sometimes even despite these protective mechanisms a few diseases can get through and start impacting the body.
Among these is a wider range of diseases called painful bladder syndrome that comprises many other diseases that affect the bladder and can be painful. This article will examine a condition within painful bladder syndrome known as Interstitial Cystitis.
What is Interstitial Cystitis?
Interstitial Cystitis is a chronic condition that can cause bladder pain, bladder pressure, or even pelvic pain in some cases. The pain can be mild or it can be severe depending on individual instances.
The bladder is a muscular organ in charge of storing urine. When the bladder is full it expands and sends a signal to the brain through pelvic nerves that it’s time to urinate. This then creates the urge or impulse to use the washroom. However, with Interstitial Cystitis, the urge to urinate happens more often and for smaller amounts of urine because the signals get mixed up. This condition is more likely to affect women than men so it’s best to visit your gynaecologist surgeon if you are a woman experiencing Interstitial Cystitis.
Treatments
There is no one simple treatment that can universally be applied to everyone suffering from Interstitial Cystitis. Individuals need to figure out what works for them among the main treatment options available.
- Physical therapy– in case an individual experiences symptoms like pelvic pain, muscle tenderness, or muscle abnormalities in the pelvic floor it is best to work with a physical therapist to alleviate the symptom.
- Oral medicines– some oral medications can help lessen the symptoms and pain caused by Interstitial Cystitis. A few examples of these medicines are nonsteroidal anti-inflammatory drugs, tricyclic antidepressants, antihistamines, pentosan polysulfate sodium. These medicines can help with different symptoms but should be taken after consulting your gynaecologist.
- Nerve stimulation–nerve stimulation can be transcutaneous electric nerve stimulation or sacral nerve stimulation. Nerve stimulation can trigger bladder release mechanisms, relieve pain and reduce urine frequency in individuals.
- Bladder distention– this process involves stretching the bladder using water. Individuals have been noted to experience an improvement in symptoms after using this method.
- Surgery– Surgery is used only as a last option if nothing else works as removing the bladder completely can have other negative complications. Surgical options include bladder augmentation, fulguration, or resection.
If you show any symptoms of Interstitial Cystitis visiting the best lady gynaecologist in Mumbai is the best course of action. Dr Neelima Mantri is among the top 10 gynaecologist in India and is an experienced professional who is renowned in her field. Painful bladder syndrome can be a painful and tricky process to handle so it’s best to consult Dr Neelima Mantri as she is the top gynaecologist in Mumbai.
Contact professionals such as Dr Neelima Mantri today to avail more information and assistance.
