by Dr Neelima Mantri | Apr 10, 2025 | Blog, Female Gynaecologist
Many individuals undergoing surgery related to reproductive organs often wonder about their chances of conceiving in the future. Whether it’s a procedure for fibroids, endometriosis, ovarian cysts, or even a caesarean section, surgery can raise concerns about long-term fertility. The good news is that many people do go on to have successful pregnancies after surgery.
However, it depends on several factors including the type of surgery, the condition being treated, and individual reproductive health. Knowledge of how surgery affects fertility is useful in managing expectations and finding the best way toward conception.
Types of Surgeries That Affect Fertility
It is important to note that not all surgeries are equal in terms of their effects on the reproductive health of women. Some of the minor surgeries like diagnostic laparoscopy or removal of cysts that are small in size may not cause much impact. However, surgeries that involve the uterus, fallopian tubes, or ovaries are likely to affect fertility in some way.
For instance, operations that involve the cutting out of fibroids (myomectomy) can enhance fertility if the fibroids are hindering implantation. However, if the surgery leads to scarring or makes the wall of the uterus thin, then it may be dangerous during subsequent pregnancies. Likewise, surgeries on the fallopian tubes may enhance the possibility of natural conception, but at the same time may lead to blockage or harm in the event of surgery.
How Surgery Can Affect Reproductive Function
Surgery can have an impact on fertility positively or negatively. It is often done to fix an issue that was causing infertility in the first instance. Surgery may help in clearing blockages, treating infections, or correcting organ dysfunction, which may enhance fertility.
Nevertheless, there is a possibility of forming scar tissue, called adhesions, which may alter the mobility and function of reproductive organs. If the adhesions develop around the fallopian tubes or ovaries, they can block the release of eggs or prevent fertilisation. In such circumstances, it is advisable to consult an infertility doctor in Mumbai to determine the severity of the problem and the available fertility-friendly measures.
When to Try for Pregnancy After Surgery
It is therefore important to know when to attempt conception after surgery. The body requires time to heal before it is ready to carry a pregnancy, as it is a delicate process. In general, it is advised that women should wait for a few months after the surgery to attempt to conceive, especially if the surgery is complex or if the area of the body that was operated on is related to conception.
A complete check may be carried out to check on the functioning of the uterus, ovaries, and other related organs. The hormone levels, ovulation cycles, and general reproductive health are checked before one is cleared to start trying for pregnancy. Any woman who is planning for pregnancy after surgery should seek the services of the best gynaecologist in Mumbai to advise on the best post-surgery fertility plan that will suit the woman.
Fertility Support and Specialist Care
If conception does not take place after several months of trying, it is advisable to seek a fertility assessment. This may involve blood tests, ultrasound, and in some cases other tests to check on the quality of the eggs, ovulation, and the reproductive organs.
In such cases, consultation with the best obstetrician in Mumbai or fertility specialists can help clear the confusion. If natural methods do not help to conceive, other options like ART, hormone therapy, or surgery to fix complications arising from previous surgery may be used.
Final Thoughts
Fertility after surgery is a process that is unique to every woman. Some women get pregnant without any help after surgery, while others may need some assistance. In this way, the procedures that affect reproductive health can be better understood.
Moreover, with the help of the best gynaecologist in Mumbai or an infertility specialist in Mumbai, one can make the right decision about having a baby. It is, however, important to note that pregnancy after surgery is not only possible but can be quite successful if the woman takes good care of herself and is patient.
by Dr Neelima Mantri | Apr 7, 2025 | Video Gallery
PCOS (Polycystic Ovary Syndrome) is one of the most common hormonal disorders experienced by women of childbearing age. It is closely linked with infertility and is responsible for over 70% of infertility issues in women.
Understanding PCOS and Its Impact on Fertility
PCOS affects the normal functioning of the ovaries, leading to irregular menstrual cycles, excess androgen production, and sometimes the development of small fluid-filled sacs (cysts). These factors directly impact ovulation, making it challenging for women to conceive.
Why Does PCOS Cause Infertility?
The primary reason behind PCOS-related infertility is anovulation or irregular ovulation. Due to hormonal imbalances, the ovaries do not release eggs regularly, affecting the chances of natural conception.
Common Symptoms of PCOS
- Irregular periods or no menstruation
- Weight gain or difficulty losing weight
- Excessive hair growth (hirsutism)
- Acne and oily skin
- Thinning hair or hair loss
- Managing PCOS to Improve Fertility
Managing PCOS involves lifestyle changes, medications, and sometimes assisted reproductive techniques (ART). Here are some effective strategies:
- Weight management through a balanced diet and exercise
- Hormonal treatments to regulate the menstrual cycle
- Fertility medications like Clomiphene and Letrozole
- In Vitro Fertilization (IVF) for severe cases
Seeking Professional Help
If you suspect PCOS or face difficulty conceiving, consulting a fertility specialist is crucial. A comprehensive PCOS diagnosis includes blood tests, ultrasounds, and medical history analysis. Early intervention can significantly improve fertility outcomes.
Watch the full video here: https://www.youtube.com/watch?v=WCV2ihKArHY
by Dr Neelima Mantri | Mar 26, 2025 | Video Gallery
Watch Dr. Neelima Mantri’s expert discussion on Postmenopausal Bleeding (PMB), its causes, diagnosis, and treatment options, including the role of Hysterosalpingography (HSG) in evaluating uterine abnormalities.
In this video, Dr. Neelima Mantri, one of the best gynecologists in Mumbai, explains how postmenopausal bleeding can be an early sign of conditions like endometrial atrophy, uterine polyps, endometrial hyperplasia, or even cancer. She emphasizes the importance of early diagnosis and timely treatment to prevent complications.
Dr. Mantri also highlights the significance of a healthy lifestyle, regular screenings, and preventive gynecological care for postmenopausal women.
Watch the full video here: https://youtu.be/GY0M1k1lix4
by Dr Neelima Mantri | Mar 20, 2025 | Blog, Infertility Treatment
Infertile couples receive hope through the medical procedure known as in-vitro fertilisation (IVF). The success rate of IVF has increased through medical progress. However, physical preparation for IVF treatment plays a vital role for better fertility outcomes and smooth treatment progression. The body responds better to treatment and embryo implantation is more likely to succeed when patients properly prepare themselves for the process.
Seeking assistance from the best gynaecologist doctor in Mumbai allows individuals to gain complete information about the necessary health measures and lifestyle changes required for conception during IVF treatment. Here are the fundamentals of IVF treatment and effective tips that will help you to effectively prepare for the process.
Maintain a Healthy Diet
The nutrients consumed by a person influence fertility and reproductive wellness. Including necessary nutrients in your diet will enhance egg quality and stimulate hormone equilibrium. These are critical elements for successful IVF treatment.
Consuming food rich in antioxidants [like fruits, vegetables, and nuts] will protect eggs and sperm from damage. Your body can effectively produce hormones and enhance embryo transfer success rates if you eat healthy fats like avocados, olive oil, and nuts.
A reduction in processed foods, limiting sugar consumption, and caffeine intake positively affects reproductive health. Personalised dietary guidance for fertility should be considered by collaborating with fertility specialists and the best gynaecologist doctors in Mumbai.
Achieve a Healthy Weight
The success of IVF treatment depends on having an appropriate body weight. Weight management helps control reproductive hormone function. People with either underweight or overweight status encounter difficulties in the ovulation and implantation processes. Excessive weight stimulates hormonal problems and insulin resistance that interfere with egg maturation and embryo implantation.
Walking, swimming, and practising yoga at moderate intensities will assist weight control and improve blood flow to the reproductive organs. Too much exercise increases the risks of miscarriage as it disrupts hormone functions and prevents standard ovulation. Individuals should follow fitness plans under medical supervision to maintain their weight.
Manage Stress and Emotional Well-being
The complex nature of IVF treatment elevates emotional and physical strain, stimulating stress levels in patients. Therefore, patients must implement specific measures for mental preparation for IVF. Long-term stress creates problems for fertility as it distorts hormone levels and disrupts the menstrual period. Stress-reducing exercises like meditation, deep breathing, and mindfulness practice enable people to maintain emotional stability.
People can build positive mental states by participating in activities they enjoy, spending time with family members, and availing emotional care from therapists and IVF support groups. Controlling emotional health leads to better results from fertility treatments as the body responds better to IVF treatment.
Address Underlying Gynaecological Conditions
A person needs to eliminate any existing gynaecology problems, which could impact fertility before considering IVF treatment. Successfully implanting embryos and subsequent pregnancy results become challenging when patients have medical conditions like polycystic ovary syndrome (PCOS), endometriosis, fibroids, or infections present in their reproductive system.
The best gynaecologist doctor in Mumbai can diagnose and implement relevant treatment for reproductive health before they begin the IVF procedures. Doctors gain valuable reproductive insights by performing regular health check-ups with pelvic ultrasounds and hormonal assessments. These tests help identify necessary treatments that enhance IVF success rates.
Final Thoughts
Preparing your body for IVF involves a combination of lifestyle changes, medical assessments, and emotional well-being. Maintaining a balanced diet, achieving a healthy weight, managing stress, and addressing gynaecology problems can significantly improve the chances of a successful pregnancy. Consulting a best gynaecologist doctor in Mumbai ensures personalised guidance and medical support tailored to your specific fertility needs.
IVF is a journey that requires patience and commitment. By following these preparatory steps, you can create a healthier environment for embryo implantation and increase the likelihood of a successful outcome.
by Dr Neelima Mantri | Mar 13, 2025 | Blog, Female Gynaecologist
One of the most important decisions that any expectant mother has to make is whether to opt for a natural childbirth or a cesarean section. Even though it is normal for a woman to give birth through the vagina, a C-section may be required in some circumstances.
It is crucial to weigh the pros and cons of vaginal birth and the C-section, the risks and advantages of the procedure to make the right decision depending on the woman’s health, the baby’s well-being, and the situation.
Pros and cons of vaginal birth
Vaginal delivery is one where the baby is expelled through the birth canal, which is also known as the birth canal. It is the most common technique used in most instances, especially if there are no complications involved.
Pros of Vaginal Birth:
- Less Hospitalization– Women who give birth through vaginal delivery spend less time in the hospital as compared to those who undergo a C-section.
- Lesser Complication– Vaginal births do not require surgery like C-sections; therefore, the chances of getting an infection or blood clot are slim.
- Beneficial to the baby– The passage through the birth canal helps in the development of the lungs, and the baby is also exposed to bacteria that form immunity.
Cons of Vaginal Birth:
- Vaginal Tear– It is also important to note that the vaginal tissues may tear during the process, and this may require sutures.
- Longer Labour & Delivery Process– Labour may take hours, and this may cause the woman to get tired, and the pain may also be unbearable.
- Pelvic Floor Issues– Some of the women develop vaginal atrophy symptoms after delivery due to hormonal changes and the stretching of the tissues.
C-section risks and benefits
Cesarean section is a process of delivering the baby through incisions made on the mother’s abdomen and uterus. It is applied in cases like fetal distress, breech presentation, or any other complications in pregnancy.
Benefits of C-Section:
- Recommended by Most Surgeons– Some women opt for a C-section because they do not want to experience labour or if it is medically advisable.
- Fewer Incidences of Birth Injuries– At times, a C-section can prevent issues such as lack of oxygen or birth injuries.
- No Pelvic Floor Trauma– A cesarean section does not apply pressure on the pelvic floor muscles as is the case with normal delivery, hence minimizing the chances of urinary incontinence or severe vaginal tears.
Risks of C-Section:
- Longer Recovery– It is a surgical procedure and, therefore, takes a longer time to recover and may take about 6-8 weeks with some discomfort in movement.
- Higher Risk of Infection– The risk of infection is high at the incision site or even within the uterus.
- Placenta Issues– Women who have had a C-section are likely to have placenta issues in future pregnancies.
Postpartum Health and Recovery
In any case, the period after childbirth is important for a woman’s health and well-being. Some of the symptoms of vaginal atrophy include dryness, discomfort, and irritation that are likely to occur in women after childbirth due to hormonal changes. Vaginal atrophy is not something that should be taken lightly because it can lead to discomfort and a poor quality of life; therefore, there is treatment.
Choosing the Right Birth Method
A normal delivery or a cesarean section depends on the condition of the mother, the position of the baby, and the doctor’s recommendation. While a normal birth is preferred, a cesarean section may be necessary in some cases. It is always wise to seek the services of a good obstetrician to be advised on how to handle the situation to benefit both the mother and the baby.
To cater to the needs of women during pregnancy, delivery, and management of vaginal atrophy treatment, Dr. Neelima Mantri has provided specialized services for women. Thus, it is crucial to know the advantages and disadvantages of C-sections, as well as the process of vaginal birth, to make the right decisions for a better pregnancy and postpartum period.
