by Dr Neelima Mantri | May 18, 2021 | Blog, Female Gynaecologist
In normal pregnancy, the fertilization of egg and sperm occurs in the fallopian tube which then travels to the womb where the baby starts growing. But in the case of ectopic pregnancy, the situation is a bit complicated. The fertilized egg doesn’t grow in the womb rather settles and grows in the cervix, ovary, or tube and sometimes in the abdomen.
Though this case happens rarely, it is a severe problem that can be fatal for the mother. This is why precautions should be taken. Let us first learn about the symptoms of this critical pregnancy.
Below are mentioned some symptoms of ectopic pregnancy.
- > The very first symptom is vaginal bleeding and bleeding inside the tummy.
- > The patient may suffer from severe pain in the stomach.
- > Symptoms like nausea and puking are very common in this case.
- > The patients may suffer from extreme pain in the shoulder tips that can be a result of blood in the abdomen.
- > The patient may feel uncomfortable and irritated while peeing and pooping.
- > Due to excessive bleeding, there is a chance of fainting and collapsing.
The normal pregnancy symptoms are also shown in this critical pregnancy. However, if the abdominal pain, vaginal bleeding, shoulder pain, and fainting become severe, you must consult the best female gynae to diagnose for ectopic pregnancy.
The diagnosis involves transvaginal sonography after 4-5 weeks of the last menstruation to see if the fertilized egg is growing in the womb or not. A blood test for the hormone HCG can be done as well to see if it doubles in 48 hours or not. If not, then this is a possible case of ectopic pregnancy.
The Treatments
Several treatment options are suggested to the patients according to their physical condition, the severity of pregnancy, and weeks of pregnancy.
- Methotrexate injection– This is a primary treatment where methotrexate is pushed into the patient only if her health condition is stable. Also, it is only for the primary stage of pregnancy. It stops the growth of pregnancy cells. After taking the injection, you can’t breastfeed.
- Surgery– Laparoscopic surgery can be done in the case of ectopic pregnancy. It involves either removing or repairing the tube. The decision would depend on the condition of the patient. If the case is serious (heavy bleeding), doctors suggest open surgery to remove ectopic tissues. You may require a blood transfusion if the bleeding is severe.
The Causes
There are various reasons behind ectopic pregnancy. The best female gynae suggests the possible causes below.
- Many hormonal disorders can be the reason.
- Any infection or inflammation in the fallopian tube can be a cause.
- Smoking may cause this condition.
- Fertility drugs and treatments can also result in ectopic pregnancy.
- Sexually transmitted infection may cause this condition.
Dr. Neelima Mantri, a successful, renowned, and reputed gynecologist in Mumbai has extensive expertise and experience in this field. She has been treating patients with critical conditions successfully for years including ectopic pregnancy.
Consult Dr Neelima Mantri (+91 70451 15577) to get the best treatment for any gynecological or pregnancy complications.
by Dr Neelima Mantri | May 18, 2021 | Blog, Infertility Treatment
Fertility difficulties result in complicated pregnancy or no pregnancy at all. Infertility issues may arise from a complication of either the male or the female partner or both. To cure such problems or find alternative ways, the fertility specialist in Mumbai suggests advanced fertility treatments that help hopeful mothers to conceive and give birth to a healthy baby.
There are several processes like medicinal, surgical, or assisted conception, that can be experimented with to treat infertility. Treatments like IVF, ICSI, etc. are proven to be quite effective in helping willing parents to get pregnant.
Advanced Infertility Treatments:
There are 3 types of fertility treatment in Mumbai. Let us learn about the treatments.
1. Medicines
The first stage of treatment is done by medicines. If the issue is minor, specialists suggest medicines. Here are the commonly used medicines.
- Clomifene- This helps in ovulation if a woman doesn’t ovulate monthly or at all.
- Tamoxifen- This is used for the same purpose as clomifene.
- Metformin- This is prescribed to women having polycystic ovary syndrome.
- Gonadotropins- This not only encourages ovulation but may cure infertility problems in men as well.
These medications may show some side effects and therefore, you must consult a gynecology doctor in Mumbai before taking such medicines.
2. Surgery
Various surgery options are there to treat infertility problems depending on the condition. Let us learn briefly about the common surgeries.
- Fallopian Tube Surgery– Blockage or damage in the fallopian tube is a common condition that prohibits uninterrupted egg flow. This damage can be repaired with surgery. However, a fertility specialist in Mumbai suggests that the surgery may increase the risk of ectopic pregnancy.
- Laparoscopic surgery– This surgery can cure conditions like endometriosis, fibroids, and polycystic ovary syndrome by removing cysts and using ovarian drilling to initiate ovulation.
- Retrieving sperm surgery– Epididymal blockage can prevent sperm from ejaculation. Such infertility issues in men can be cured with surgery.
3. Assisted Conception
A fertility doctor in Mumbai suggests three options of assisted conception.
- In Vitro fertilization (IVF)- One of the common and successful methods is to extract eggs from the ovaries and fertilize them with sperms in a laboratory. The embryo is then placed in the womb where it grows to a baby. For increased egg production, fertility medicines are often prescribed to the mother.
- Intrauterine insemination (IUI)– In this procedure, the best quality sperms are washed and selected. Then using a thin tube, the sperms are inserted through the cervix to the womb.
- Donation of sperm and egg– If parents are having severe infertility issues, they may receive eggs or sperms from registered donors. The process of IVF is then followed to encourage fertilization. Make note that the donor can’t donate anonymously.
Dr Neelima Mantri, a renowned gynecology doctor in Mumbai, not only treats conventional gynecological problems but has expertise in treating infertility triumphantly. She has done critical surgeries successfully and has many happy patients.
In case of any gynecological or infertility complications, consult Dr Neelima Mantri call: +91 70451 15577 for the best quality treatment and effective cure.
by Dr Neelima Mantri | May 18, 2021 | Blog, Female Gynaecologist
Cystocele is the fall or prolapse of the bladder into the woman’s vagina from its usual anatomical position. Though all the organs in the pelvic region are put in place by muscles or ligaments, these tissues may weaken over time due to certain factors causing Cystocele.
A bulge in the vagina, urination difficulty, frequent urination, vaginal pain or pressure, painful sexual intercourse, inability to stand or walk a long time, urine leakage during physical activity coughing sneezing are some of the common symptoms suffered by patients who often consult gynaecologist, Dr Neelima Mantri, for Cystocele treatment in Mumbai.
What Causes Cystocele?
Cystocele in general occurs due to the weakening of the wall that separates the bladder and the vagina. This weakening can happen for a variety of reasons which include:
- > Repeated childbirth
- > Heavy weightlifting
- > Excessive weight gain
- > Hormone deficiency
- > Menopause
- > Prior Hysterectomy
- > Chronic constipation
Treatment for Cystocele in Mumbai:
Mild cases of Cystocele are usually treated using conservative treatment options like physical therapy (Kegel exercises), Pessary, dietary changes and laxatives. Cystocele repair in Mumbai using surgery is only recommended in cases where the symptoms of Cystocele begin to reduce significantly interfere with daily life and is the last resort of the Cystocele repair.
Cystocele is graded into stages based on the severity of the descent – stage 4 is when the bladder protrudes through the vagina. Surgical treatment of Cystocele is usually reserved for stage 3 and 4 cases.
Rectocele Repair in Mumbai:
Also called posterior vaginal prolapse, Rectocele is a medical condition where the tissue between the vagina and rectum weakens over time resulting in a vaginal bulge. This bulge may protrude into the back of the vagina as a hernia causing discomfort. While 40% of the Rectocele cases are mild and do not have any noticeable symptoms, the rest may experience the following symptoms.
Symptoms and Causes of Rectocele:
Common symptoms of Rectocele can be rectal and vaginal. While difficulties in bowel movements, especially evacuations is a common rectal symptom of Rectocele, pain during sexual intercourse, vaginal bleeding and tissue protruding out of the vagina are a vaginal symptom of Rectocele.
Rectocele Treatment in Mumbai:
Rectocele is usually diagnosed using physical examination by a gynaecologist in Mumbai. After a complete evaluation, the degree of severity is ascertained and treatment is started if the patient is experiencing significant symptoms. A consistent nutrition regimen with adequate fibre and water intake, pelvic strengthening, following prescribed bowel regimen are some of the non-surgical treatment options recommended for Rectocele.
While there are both surgical and non-surgical treatments available for Rectocele repair in Mumbai, surgical treatments are only recommended for severe cases, according to lady gynaecologist Dr Neelima Mantri. Colorectal surgeons, urogynecologists, gynaecologists are trained to diagnose and provide surgical treatment for Rectocele repair in Mumbai. But there are only a handful of experts with adequate track records and success rate in treating Cystocele and Rectocele in Mumbai, Dr. Neelima Mantri is one of them. If you are looking for Cystocele or Rectocele repair surgery in Mumbai, you can contact here: +91 70451 15577
by Dr Neelima Mantri | Apr 19, 2021 | Blog, Fibroids
Myomectomy is a surgical treatment that is performed to remove the fibroids while successfully preserving the uterus and other reproductive organs. It is one of the best fibroid treatment options in Mumbai for women who want to get rid of the fibroids without dampening their chances of bearing children.
Laparoscopic myomectomy, hysteroscopic myomectomy, and abdominal myomectomy – many types of Myomectomy procedures are performed by gynaecologists in Mumbai based on the size, number and location of the fibroids. In this blog here we are going to help you know about abdominal myomectomy treatment in Mumbai – its procedure, post-operative condition, results, risks, and strategies for successful recovery. Read on:
Abdominal Myomectomy Treatment in Mumbai:
Also known as open myomectomy, an abdominal myomectomy is a major open surgery procedure that utilizes regular incision to remove the fibroids.
A small cut is made near the pubes or bikini line to enter the abdomen through which the uterus is injected with medication to reduce the bloodless, by narrowing the blood vessels. A fibroid is then cut and shelled out following which the surgeon sews up the defects using dissolvable stitches. A typical abdominal myomectomy procedure leaves a 4-inch scar near the bikini line or public hair. It can take 2 hours and the patients have to spend at least 2 nights in the hospital and 4-6 weeks at home, after the procedure.
Abdominal Myomectomy Surgery in Mumbai – Results & Risks:
Abdominal myomectomy is termed as an effective treatment for the removal of fibroids and it shows in the results. Majority of the women experience and significant relief in pain, pressure, menstrual bleeding. Women who have undergone myomectomy also report fertility improvement. Since myomectomy spares the uterus and leaves all the reproductive organs intact, women can retain their fertility and can conceive as soon as the uterus heals. Laparoscopic and hysteroscopic myomectomy are other types of myomectomy procedures that use minimally invasive surgical techniques to remove fibroids. Given they are minimally invasive, recovery can be swift and quick for these procedures.
As for the risks, fibroids that are not properly identified by the surgeon while performing the procedure run a risk of growing back to cause the symptoms. This is why you need to consult the best gynaecologist in Mumbai for fibroid treatment beforehand.
In few cases even new fibroids may also develop – this risk is higher if the women have suffered multiple fibroids and are lower for women who have had only one fibroid and for women who become pregnant post-surgery. However, to improve the results and minimize the risks of myomectomy, your gynaecologist may suggest a variety of procedures that can include supplementation, lifestyle choice, hormone therapy and even therapy to shrink the fibroids.
So it is important to reach out to an expert gynaecologist with expertise in fibroid treatment if you are planning to conceive. If you are suffering from fibroids and are looking for the best female gynaecologist in Mumbai with expertise in advanced myomectomy and fibroid surgery procedures, you can contact Dr Neelima Mantri here: +91 70451 15577
by Dr Neelima Mantri | Apr 8, 2021 | Blog, Infertility Treatment
A tuboplasty refers to a set of surgical interventions carried out when there is a blockage in the fallopian tubes of a patient. It is also carried out if the patient has had their fallopian tubes surgically ligated as a method of birth control and wants to reverse it.
Its aim basically, is to reduce all the barriers and increase the chances of getting pregnant. In this article, we will look at what exactly is tuboplasty and what is the exact procedure that it follows and how it leads to an increased chances of pregnancy in women.
The fallopian tubes in the female reproductive system connect the uterus to the ovary. They are responsible for transferring the eggs from the ovary to the uterus and are also a site for fertilization. Certain conditions however, can create blockages.
One of the causes of a blockage for instance, is an infection leading to creation of a scar tissue which blocks the fallopian tube. If there is a blockage then the egg is unable to reach the uterus thereby leading to infertility in women.
- Who Should Undergo Tuboplasty?
Women with infertility issues and who are experiencing difficulty in getting pregnant should undergo tuboplasty. Women with a blockage in their fallopian tubes should also undergo tuboplasty. Tuboplasty also increases the chances of getting pregnant when it is combined with IVF or in- vitro fertilization.
- How is Tuboplasty Performed?
Tuboplasty can be performed through a regular surgical method or through minimally invasive methods. The kind of surgery that a patient is assigned depends on the cause of the blockage and other factors that vary from patient to patient.
To decide which type of surgery should be performed, the gynaecologist or the obstetrician will resort to diagnostic imaging such as ultrasound and consider the patient’s medical history before coming to a conclusion.
- Types of Surgical Methods in Tuboplasty
- Tubal reanastomosis- In this method, the damaged tissues are cleared or re-sectioned and the remaining parts are sutured together.
- Fimbrioplasty- This method involves reconstruction of the fimbria that allows the eggs to enter into the fallopian tube.
- Salpingostomy- This is a minimally invasive method where only the blockage is removed and other parts of the fallopian tube are left as they are.
- Salpingolysis- In this method, the scar tissue is removed to clear the blockage in the fallopian tubes.
- Cornual implantation- This involves resectioning of the damaged portions of the fallopian tubes and reconnecting their ends to the uterus.
Conclusion
If you are looking for the best Doctor for Tuboplasty in Mumbai, Dr Neelima Mantri should be your first choice. She is a top obstetrician, gynaecologist and an infertility Specialist in Mumbai. Her experience of more than a decade in high risk obstetric cases makes her the go- to doctor for reproductive treatment in mumbai.
Her extensive training and practice in India and abroad have made her an expert in navigating cases of infertility, polycystic ovarian syndrome and ectopic pregnancies. She specializes in minimal access surgeries in addition to conventional gynaecological practice.
