by Dr Neelima Mantri | Apr 10, 2020 | Blog, Women Health Issues
Menopause is the natural end of the menstrual cycle for women. An end that is the final release from years of the menstrual problems like PMS, hormonal surges, headaches, mood swings cramps and pregnancy risks. However, this is no sudden and abrupt end, entire process is set in motion years before the end and women finally are relieved from the monthly chores.
Menopause:
As women age, the production of hormones, estrogen, and progesterone which are responsible for menstruation slowly decreases accounting for skipped or late periods over time. As this process of the irregular period continues for a few years (3-5), the hormones completely fall off the cliff stopping the periods altogether marking the end to your reproductive period: Menopause.
Perimenopause:
The gradual reduction of hormonal production slowly manifests in the form of biological and physical changes as the body slowly gears towards menopause. This time period where the symptoms and changes in women’s body begin to occur is called Perimenopause.
Symptoms of Perimenopause:
As Perimenopause is the stage where symptoms begin to appear, this is the stage where women generally become anxious and bothered as they experience changes in their body which they haven’t been accustomed to before. At our clinic in Mumbai, gynaecologist Dr. Neelima Mantri frequently sees women with these perimenopause problems which are only normal for the aging process. So here we have decided to clear up the symptoms and problems associated with perimenopause.
Here are the common symptoms of perimenopause that women can experience in here journey towards menopause:
Vaginal drying: As estrogen levels reduce, the vaginal lining becomes thinner and rigid decreasing the natural lubricant. These changes dry-up the vagina and can make intercourse painful and also vulnerable to yeast infections.
Irregular or missed periods: As hormone production reduces over time ovulation becomes unpredictable resulting in irregular periods. If you experience a change of 7 days, then you are likely to be in early perimenopause and anything more than 40 days indicates late perimenopause.
Hot flashes: A sudden wave of warmth can engulf you with a rapid heartbeat and sweating followed by a body chill for 1 to 5 minutes. Hot flashes are the signature symptom of perimenopause.
Mood swings: The hormonal changes associated with the perimenopause phase are also responsible for mood swings, irritability and occasional lows in perimenopause.
Sleep disruptions: Around 50% of the women report sleep disturbances during the perimenopause. While hot flashes and night sweats account for sleep disruption, change in the sleep cycle due to aging is also one of the factors.
Lower sex drive and decreased fertility: Hormone changes also can result in diminished sex drive in women and as the periods are irregular, the chances of pregnancy naturally decrease during the perimenopause.
In addition to the above symptoms, perimenopause heavy periods, hair thinning, dry skin, weight gain, nausea, bloating, tender breast are some of the problems associated with perimenopause. While 51 is the average age in India for women to experience Menopause, few women experience them in their early 40s or late 50s too. So the onset of symptoms can vary from women to women.
If you have been observing any of these problems mildly, then don’t worry it’s completely normal to experience them to the hormonal change you are going through in the perimenopause. But if the problems are seriously interfering with your day to day life it is advised to consult a gynaecologist as soon as possible. If you live and around Mumbai and are looking for the best female gynaecologist in Mumbai to help you cope up with these premenopausal symptoms then you can contact Dr. Neelima Mantri here Call@ +91 7045115577
by Dr Neelima Mantri | Mar 26, 2020 | Blog, Obstetrician
The memorable journey of pregnancy drastically transforms the body of women. It is quite remarkable how a woman’s body adapts to the demands of the pregnancy along the way. And the transformation mostly rewinds and restores during the first six weeks after the baby is born. This is the first six weeks post the delivery is called a postpartum period which is most crucial for the healing of the mother.
As the baby is born, it is quite natural that the baby’s health becomes a centre of focus. And everyone tends to forget that this period is crucial for women too. Add this shift of focus to the sleep deprivation, doctors’ appointments, late-night baby feeding, pees, poops, and the fear that accompany at every hiccup, suddenly women feel like there is less time to take care of their health.
A woman is at her vulnerable-self post-pregnancy and here are the five reasons why postpartum care is an un-skippable step for women to post their pregnancy:
Physical health: A woman’s body undergoes a significant transformation at a rapid pace during pregnancy. Most of the changes that happen may take time to restore or sometimes persist and cause further problems. The gynaecologist performs a complete examination of these problems to help women return to the best of the physical health in a short time. These postpartum visits also give women a great opportunity to discuss common post-pregnancy problems like bleeding, breast pain, swelling, discharge and other problems that they may encounter post-pregnancy.
Emotional wellness: Pregnancy mentally pushes a woman to a place where she hasn’t been ever before. While she already been through a mentally debilitating pregnancy journey, the post-delivery anxiety can further complicate the thought process. Add this to the ‘baby blues’ symptoms experienced by the new mothers, postpartum mental disorders can arise which needs to treated as soon as possible. Gynaecologists can help with the screening process and also offer ‘Postpartum psychosis treatment care and counselling’ to improve the mental health of women post-pregnancy. If you are living in and around Mumbai and are looking for a postpartum care session in Mumbai, you can contact Dr. Neelima Mantri Mumbai.
Diet post-pregnancy: A woman’s body undergoes significant changes during and after pregnancy. Though she gains weight during pregnancy which helps in recovery and breastfeeding, a woman’s hunger cycle may change and she needs a well-balanced diet to keep herself healthy and active for her baby. With the new addition of new family members, most women do not focus on their food habits which do not help the situation. A gynaecologist helps you plan a simple and effective diet plan that can help you refuel yourself without you having to look over your shoulders.
The spacing of birth and family planning: Now that you have completed the first part of the journey, question loom in your mind about family planning, birth control ad family planning. Birth spacing is one of the most important topics around for it also is related to the health of the next one if proper space is not maintained between pregnancies. Every couple has their own set of their preferences which makes it mandatory to seek the opinion of the specialist gynaecologist to make the right decision
Postpartum care is a critical way to restore your health post-pregnancy and if not handled right there could be serious repercussions in the future. If you are skipping it for the sake of your baby’s health you are only making it even tougher for your baby too. Dr Neelima Mantri is the Best Female Gynaecologist in Mumbai who has helped hundreds of women successfully navigate the postpartum period and can help you too. You can contact her Call@ +917045115577
by Dr Neelima Mantri | Mar 5, 2020 | Blog, Gynecologist
Heavy or unusual bleeding through the vagina, experienced by women during or in-between the regular periods is called abnormal uterine bleeding. The bleeding is termed abnormal because it is usually irregular, heavier and is usually caused by hormonal or structural abnormalities of the female reproductive system.
Abnormal uterine bleeding is more commonly diagnosed at the beginning of the reproductive cycle and at the end of it in older women. At our clinic in Mumbai, 20% of the AUB cases occur in adolescent girls, more than 50% are occur in women above age 40. Following are the situations when the uterine bleeding is considered abnormal:
Bleeding between the normal periods.
- Spotting or bleeding after intercourse.
- Bleeding that happens after menopause.
- Irregular cycles which vary by more than 8-9 days.
- Abnormally heavy bleeding during your regular period.
- Bleeding while your menstrual cycles happen to be shorter than 24 and longer than 38 days.
Causes of Abnormal Uterine Bleeding:
There is no one single cause for abnormal uterine bleeding experienced by women. Following some of the causes of abnormal uterine bleeding experienced by women:
- Structural abnormalities like polyps, fibroids, and adenomyosis.
- Early pregnancy, miscarriage, ectopic pregnancies.
- Lesions of cervix, infections or scar tissues of endometriosis.
- Medical problems, medications or hormonal abnormalities.
In addition to the above, uterine bleeding commonly occurs due to hormonal changes that occur in women who are going through their menopause. The shift in the hormone balance can thicken the lining of the uterus resulting in heavy bleeding in women during their menopause. So women in menopause are advised to consult a gynaecologist for abnormal uterine bleeding treatment as soon as they experience heavy bleeding, to be on the safe side.
How is Abnormal Uterine Bleeding treated?
After making sure that the vaginal bleeding is not associated with pregnancy or miscarriage, the gynaecologist performs a series of tests which include a pelvic exam, blood test, urine test, blood tests, an ultrasound, and other regular tests to check for other causes of the bleeding.
In case the women are diagnosed with abnormal uterine bleeding, gynaecologists tailor the treatment of abnormal uterine bleeding to its specific cause. If a structural abnormality like scar, polyp, and fibroid is the cause of bleeding, the abnormality can be corrected using hysteroscopy where surgical tools are passed on through tiny holes to clear the respective abnormality. Patients can resort to their regular routine 24 hours after the procedure. In the case of bleeding caused by hormone problems, oral hormone pills are prescribed to bring your reproductive system into order. Procedures like hysterectomy are also performed in rare cases when other treatment options do not work.
Is your irregular bleeding causing you problems? Are you seeking treatment for abnormal uterine bleeding problems? Don’t worry, Dr. Neelima Mantri is the best female gynaecologist in Mumbai who can help you get rid of your bleeding problems. In case you live in and around Mumbai you can contact Dr. Neelima Mantri here @Call +91 7045115577
by Dr Neelima Mantri | Feb 6, 2020 | Blog, Female Gynaecologist
There is nothing as magical as seeing a baby grow inside the womb of the mother right from the conception. The miracle of human birth takes right in front of our eyes and we are all so privileged to witness it, as this was not possible before the advent of imaging studies. Today, we are left amazed by the meticulous development over the course of the pregnancy.
And this development of the baby can be comfortably divided into three categories: Stage: 1(0-3 months), Stage 2(3-6 months), Stage 3(6-9 months). Here’s a brief account of the baby development stages from the conception to the delivery:
Conception:
The sperm penetrates the egg, completes the genetic make-up of the foetus, rapidly divides into the cells, passes through the fallopian tube and implants itself in the uterus where the nourishment begins.
Stage 1 (0-3 Months):
Month 1:
After about a month, the basic structures if the head, abdomen, chest, and organs begin to develop into separate areas. The legs and arms slowly bud from the outside and your home pregnancy test comes out positive.
Month 2&3:
The foetus grows to a length of about 1 cm after 2 months, developing its facial features (ears, nose tip &eyelids). The buds now become clear legs and arms, as the toes and fingers slowly develop. After the 3rd month, the 2-inch foetus begins to develop discernible fingers, heartbeat and sex organs (identified by ultrasound by Gynaecologists)
Stage 2 (4-6 Months):
Month 4&5:
After 4 months the foetus develops into a 4.5-inch infant with distinct facial features, heartbeat, developed toes and fingers and a discernible baby bump. The foetus at the end after 5-month weight about 400 grams at 6 inches and can make quick movements, move facial muscles, suck its thumb and sometimes even yawn.
Month 6:
The ultrasound is performed at the end of 5 months by Gynaecologists, to check the development and proper placement of the baby using Doppler imaging. The baby at the end of 6 months weight about 650 grams, responds to the sounds and the development of the ear’s inner canal happens at this stage.
Stage 3 (7-9 Months):
Month 7 & 8:
The 1.3 kg baby after the end of 7 months develops to the point that it can survive with proper care in the event of premature delivery. And the eight-month is when the baby puts on healthy weight and weighs around 4 pounds and strong enough to let us feel its movements inside the womb as you feel the womb. It is time you start your sessions with Gynaecologists about the delivery and breastfeeding.
Month 9 & Delivery:
The baby at the end of 9 months measures up about 18 inches from head to toe and weighs about 3 kg. However, both the weight and length are subject to vary based on the parent’s genetics and the baby’s sex. The baby’s fully developed enough to survive outside the uterus at the end of 9 months and delivery is planned anywhere between 36 to 42 weeks by inducing labour or C-section depending upon various circumstances. The Gynaecologist takes care of everything for you and her expertise is crucial for the making if this life-changing event. So you must consult the best gynaecologist available to help you successfully course through this memorable event. If you are living in and around Mumbai, you can consult Dr. Neelima Mantri, the best female gynaecologist and laparoscopic surgeon in Mumbai here. Call@ +917045115577
by Dr Neelima Mantri | Jan 30, 2020 | Blog, Gynecologist
Pregnancy is the most memorable journey of every woman. It is also a phase their vulnerable to many health problems, a woman braves everything that the pregnancy hurls at her to make it to the delivery phase. One such problem most commonly experienced by the women in their pregnancy in Anemia.
Anemia in Pregnancy:
The women’s body goes through a series of significant changes over the course of pregnancy. The volume of blood in pregnant women increases by almost 25% and this increases the iron requirement to make sufficient haemoglobin. Most of the women do not get a sufficient amount of iron to their body in 2nd and third trimester resulting in Anemia.
Iron is not the only nutrient required for the optimal production of red blood cells, Vitamin B12 and Folate play an important role, which is why their deficiency can lead to Anemia too. Although there are many kinds of this condition, Iron-deficiency, Vitamin B12 deficiency & Folate Deficiency Anemia are most common among pregnant women.
50% of Pregnant Women in India Suffer from Anemia:
A pregnant woman might suffer a higher risk of becoming anemic if she doesn’t consume enough iron, suffers a high pre-pregnancy menstrual flow, or conceive immediately after pregnancy without giving the body enough time to recuperate. Though their etiology may differ, Anemia is the most common medical condition suffered by women around the globe. “In India, almost 50% of the pregnant women suffer from Anemia, of which majority are from rural areas”, says Mumbai’s Best Gynaecologist Dr. Neelima Mantri.
Symptoms of Anemia:
Weakness, fatigue, shortness of breath, dizziness, headaches, tiredness, fast beating, pale skin, light-headedness are some of the common symptoms of Anemia experienced by pregnant women with Anemia. But the problem with these symptoms of Anemia is that they are as same as symptoms of pregnancy. So women sometimes care to overlook them until they become serious. So Gynaecologists recommend pregnant women to seek help at the first sight of discomfort above normal levels.
Treatment for Anemia during pregnancy:
Being the most common medical condition suffered by pregnant women, Anemia is easily treated by gynaecologists with Iron and other vitamin supplements. Most of the time the symptoms get better and if they don’t, the patient is given iron through IV therapy (liquid iron through the vein) and in rarest of cases, she is referred to a haematologist. The pregnant women are recommended to include iron-rich foods in their diet and consult a gynaecologist at regular intervals for the follow-up.
Still, got queries about Anemia during Pregnancy? Seek help from the Best Female Gynaecologist in Mumbai Dr. Neelima Mantri right away. You can contact her here. Call@ +917045115577
