by Dr Neelima Mantri | Aug 20, 2024 | Blog, Female Gynaecologist
Menarche, or a girl’s first menstrual period, is a significant milestone in puberty that marks the beginning of her reproductive years. This natural process can often be accompanied by a mix of excitement, confusion, and even anxiety.
“Understanding what menarche is, its typical age, and what to expect can help ease the transition for young girls and their families,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri. With her insights, we have crafted a detailed blog to help you understand this condition better. Let’s get started.
What is Menarche?
Menarche is the term for a girl’s first menstrual period. It marks the beginning of her menstrual cycle, the first menstrual bleeding, and a sign that her body is transitioning into womanhood. This natural process is a vital part of reproductive health.
Menarche is a normal part of growing up, and while it signifies that the body is maturing, it can also raise various questions and concerns. Here’s a closer look at what happens during menarche and how to navigate this critical phase.
What Age Does Menarche (First Period) Occur?
The Age at which menarche occurs can vary widely. Most girls get their first period between the ages of 9 and 15. However, genetics, nutrition, and overall health can influence the timing. It is perfectly normal for some girls to start earlier or later than this Age. Consulting with the best gynaecologist can provide peace of mind if you’re concerned about your first period.
How Do I Know if My Period is Coming?
Several signs can indicate that a girl’s first period is on the way. These signs can appear a few months or even years before menarche:
- Breast Development: One of the earliest signs of puberty.
- Growth Spurts: Sudden increase in height.
- Body Hair: Hair growth under the arms and in the pubic area.
- Vaginal Discharge: White or yellowish discharge in the underwear.
What Are the Symptoms of Menarche?
- When your first period is about to start, it’s usually accompanied by some physical and emotional changes. You might notice some of these common symptoms;
Physical Symptoms:
- Bloating: Feeling of fullness or swelling in the abdomen.
- Headache or Backache: General discomfort or pain.
- Spotting or Light Bleeding: Menarche might start with light spotting or minimal bleeding before becoming more regular.
- Menstrual Flow: The menstrual flow can vary in amount and duration. It’s common for the first few periods to be irregular.
- Cramps: Mild to moderate pain in the lower abdomen.
Emotional Changes:
- Mood Swings: Hormonal changes can lead to mood swings, which are expected during puberty.
- Self-Consciousness: Many girls may feel self-conscious about their changing bodies and the changes that come with menstruation.
How Long Do Periods Last?
The first period typically lasts 3 to 7 days. The flow may be light or heavy, and it’s normal for the cycle to be irregular at first. However, the duration can vary from person to person and can be affected by factors like Age, health, and hormonal changes.
When to Seek Medical Advice?
While menarche (first period) is a normal part of puberty, there are situations when you need to consult a gynaecologist. Are as follows:
- Irregular Periods: If periods remain irregular or absent after a year or more.
- Severe Pain: severe menstrual pain should be evaluated by a gynaecologist.
- Heavy Bleeding: Excessive bleeding or symptoms of anaemia, such as fatigue or weakness.
Understanding and managing menarche can be overwhelming, but you don’t have to go through it alone. If you have any concerns or questions about managing your menstrual cycle or women’s Health issues, don’t hesitate to contact Dr. Neelima Mantri, the best female gynaecologist in Mumbai. It’s essential to take care of your reproductive health, and getting the proper medical advice can help you make informed decisions.
by Dr Neelima Mantri | Aug 16, 2024 | Blog, Pregnancy Complications
Pregnancy is an incredible journey, full of excitement, anticipation, and sometimes a few concerns, as it involves numerous changes and potential complications.
Marginal cord insertion is a pregnancy complication where the umbilical cord attaches abnormally to the placenta. A considerably rare condition, this abnormality can affect fetal development, cause placental abruption, and even lead to preterm labor. The good news is that this condition can be effectively managed when identified early and with the right awareness beforehand, it can be prevented.
The first step to avoiding the risks is to raise awareness about possible complications and take necessary steps to mitigate them. We take that first step with this blog today.
What is Marginal Cord Insertion?
During pregnancy, the umbilical cord usually attaches to the center of the placenta, supplying the foetus with oxygen and nutrients. However, in marginal cord insertion, the cord attaches to the edge or around the placenta. This may seem minor, but it can impact the baby’s blood flow, oxygen, and nutrients.
Symptoms of Marginal Cord Insertion
Symptoms of marginal cord insertion are often asymptomatic and can go unnoticed until a routine prenatal scan. A few symptoms include:
- Slow Foetal Growth: If the baby isn’t growing as expected, it might be linked to marginal cord insertion.
- Low Amniotic Fluid: Reduced fluid around the baby can sometimes happen.
- Heart Rate Changes: You might notice variations in the baby’s heart rate due to blood vessel compression.
- Higher Risk of Complications: There could be a higher chance of preterm birth or low birth weight.
“Keep up with regular check-ups and ultrasounds. Always consult your gynaecologist for the best advice”, says gynaecologist in Mumbai Dr Neelima Mantri, when asked about the ways to identify the condition and prevent the symptoms.
Marginal Cord Insertion Causes:
So, what causes this condition? Well, researchers are still determining the exact causes of marginal cord insertion. Some studies suggest that factors such as:
- Placental development: Sometimes, the placenta doesn’t grow uniformly, leading to an off-centre cord attachment.
- Multiple pregnancies: Twins or triplets may have a higher risk due to limited space in the uterus.
- Maternal age: Women over 35 may have a slightly increased risk.
- Previous uterine surgeries: These can affect how the placenta implants.
Remember, having these risk factors doesn’t necessarily mean you’ll develop marginal cord insertion. In many cases, it occurs without even a clear cause. But how is it diagnosed and treated?
Marginal Cord Insertion Diagnosis:
Diagnosis typically happens during routine imaging studies. Here’s what you can expect:
- Second-trimester ultrasound: This is often when marginal cord insertion is first detected.
- Follow-up scans: Your doctor may recommend additional ultrasounds to monitor the condition.
- Doppler ultrasound: This specialized scan can assess blood flow in the umbilical cord.
If your doctor suggests additional scans, it’s a routine measure to ensure everything is progressing as expected.
Marginal Cord Insertion Treatment:
Many cases of marginal cord insertion don’t need particular treatment, which is encouraging. Yet, your gynaecologist will generally:
1. Monitor growth: Regular ultrasounds will track your baby’s growth and development.
- Check blood flow: Doppler scans can ensure your baby is getting adequate nutrients.
- Discuss delivery options: In most cases, vaginal delivery is still possible. However, your doctor might recommend a C-section if there are concerns about cord compression during labor.
Managing Marginal Cord Insertion:
While you can’t change the cord’s position, you can support a healthy pregnancy:
- Attend all prenatal appointments: Regular check-ups allow your doctor to monitor the situation closely.
- Follow a healthy diet: Proper nutrition supports your baby’s growth and your overall health.
- Stay hydrated: Adequate fluid intake is crucial for amniotic fluid levels.
- Avoid smoking and alcohol: These can compromise placental function.
Understanding Marginal cord insertion can bring peace of mind during your pregnancy journey. Staying informed and working closely with a gynaecologist can ensure the best possible outcomes for you and your baby.
If you have concerns about marginal placental cord insertion or any other aspect of your pregnancy. In that case, Dr. Neelima Mantri is the best gynaecologist in Mumbai and offers compassionate and expert care. As the best lady gynaecologist in Mumbai, Dr. Neelima Mantri ensures you and your baby receive the highest quality care throughout your pregnancy.
by Dr Neelima Mantri | Jul 22, 2024 | Blog, Infertility Treatment
Wonder how doctors monitor and optimize a woman’s ovulation cycle to increase the chances of conception? This is where the follicular study comes in. It is a series of ultrasound tests conducted to monitor the development of ovarian follicles, hence helping in ascertaining the exact time of ovulation.
This study has a special application in cases of infertility problems. In this article, we will explain the fundamentals of follicular studies, their importance, and the process of these studies.
What is Follicular Study and Why is it Important?
Follicular study—successive monitoring of the growth of the follicles through regular ultrasound checks in the ovaries. Checking what size and how well they are developing will help in establishing one’s most fertile days. Through these changes, the doctors get to know the cycle of ovulation better, being able to time intercourses or intrauterine insemination easily for those couples who have infertility issues.
Monitoring of the ovulation cycle is very important in case of infertility. The follicular study aids in ascertaining and giving information on the time of ovulation to expect, thereby helping a person to plan. This is more so the case in women with irregular periods. It may also lead to the diagnosis and treatment of fertility issues.
Observing the growth of the follicles may note possible problems in ovulation. The probability of successful conception can be enhanced by optimizing treatment plans through the monitored development of the follicles by the doctor.
How is a Follicular Study Conducted?
The study would, more often than not, be conducted with the aid of a transvaginal ultrasound. It is commenced a couple of days after the completion of the menstrual cycle and repeated every two to three days until confirmation of ovulation is received.
On each visit, measuring by the gynecologist the size of follicles and checking on the endometrial lining for its thickness is done. All this gives a clue as to the exact time of ovulation. The study is not invasive and does not take long; it’s not painful at all, and so it is one of the preferred ways to monitor ovulation.
What to Expect During a Follicular Study?
Each patient who comes for follicular study can expect to undergo a series of ultrasound sessions during a menstrual cycle. At each session, the doctor will insert the probe via a transvaginal route to get clear images of the ovaries and the follicles.
It is a process that is normally done in a clinic and takes 10-15 minutes. This would generally not be too painful, and patients may feel a little discomfort. Depending upon the results, the doctor would opine as to the best days for intercourse or fertility treatment.
Advantages of Follicular Study in the Management of Infertility
The best gynecologist in Mumbai for infertility will often recommend a follicular study as a part of a comprehensive treatment of infertility.
- The study more accurately times ovulation, which is very important for doing timed intercourse, IUI, or IVF.
- It shows the fertile period more precisely and hence increases the chances of conception.
- In addition, it may also be able to pick up any abnormal development of follicles or faulty ovulation, permitting timely medical intervention.
When to Consult a Gynecologist for a Follicular Study?
Women with not ideally conceiving must get their follicles studied by a female gynecologist in Mumbai. A follicular study may be most useful in case of irregular periods, PCOS, or unexplained infertility to treat health problems related to reproductive health.
Thus, consulting a gynecologist at the beginning will diagnose the problems at an earlier stage and start proper treatments without loss of time. Early treatments will increase the chances of conception.
Conclusion
The follicular study is one of the integral tools in infertility treatment, providing minute details regarding the ovulation cycle; therewith, it helps optimize conception efforts. Thus, this study will enable non-invasive, effective monitoring of ovulation in women who would want to know better about their fertility status or are undergoing infertility treatments.
One could perhaps look up consulting Dr. Neelima Mantri, a well-known Mumbai-based female gynecologist for expert care and detailed studies of these follicles in support and guidance of fertility. Be it in your search for the best Gynaecologists in Mumbai or specialized care in the arena of infertility, Dr Mantri’s expertise reassures comprehensive and compassionate care on an as-needed basis.
by Dr Neelima Mantri | Jul 19, 2024 | Blog, Pregnancy Complications
We all understand the crucial role of amniotic fluid, which envelops the womb to safeguard the baby. But what if the fluid levels are too high? This condition, known as Polyhydramnios, involves an excessive secretion of amniotic fluid in the uterus during pregnancy. In its mildest form, it doesn’t pose any problems or symptoms. However, severe cases may necessitate treatment.
This condition is typically identified after the middle stages of pregnancy. Severe cases can lead to preterm labor, shortness of breath, and other symptoms. Yet, with early detection and proper management, the risks can be minimized. Mild cases often resolve on their own, but severe ones require close attention. To help you understand this condition better, check out this post for more information!
An Overview of Polyhydramnios
Polyhydramnios is a medical condition found in pregnant mothers in the middle term during pregnancy. The condition arises when there is a sudden spike in the amniotic fluids around the womb in the uterus.
Ideally, the amniotic fluid plays a significant role in the development and growth of the fetus. Doctors identify this condition in the second half of the pregnancy stage. This is a rare condition that affects 1% of pregnant women. They are diagnosed using the following methods:
- Amniotic fluid volume (AFV) or Maximum vertical pocket (MPV): This measures the deepest fluid pocket of the baby inside the womb. If the value shown is more than 8 cm, it is proved that the womb has polyhydramnios.
- Amniotic fluid index (AFI):This measures the deepest fluid pocket in four areas of the womb where if the sum of the four values is over 24 cm, it is proved that the womb has polyhydramnios.
- Blood Tests: These check if some diseases and infections cause polyhydramnios.
- Amniocentesis:This procedure uses a needle to remove the amniotic fluid from the womb. Then, the fluids are checked to provide information about the baby’s health.
- Nonstress Test:The baby’s heart rate is checked through the abdomen.
- Biophysical Profile: Doctors use ultrasound to identify complications and birth defects. They also use it to monitor the baby’s movement and breathing and the volume of amniotic fluid in the womb.
Causes of Polyhydramnios
There is no exact cause diagnosed by the best gynecologist in Mumbai. However, here are a few common ones:
- Affects the baby’s central nervous system, digestive tract, genetic conditions, or specific other organs.
- Causes twin-to-twin transfusion syndrome when twins are found in the womb where one receives higher blood flow than the other.
- Causes fetal anemia due to less blood flow to the womb.
- Clashes of parent blood cell with the child’s blood cell.
- Affects the placenta through which oxygen and food are supplied to the baby.
- Heart rate problems for the baby.
- The fetus becomes infectious.
- The difference in blood types for the mother and baby.
- Create gestational diabetes and high blood glucose levels in the mother.
Symptoms of Polyhydramnios
The first notable sign of Polyhydramnios is a swollen belly that occurs after a few weeks after pregnancy. This is due to the build-up of amniotic fluids, which pressure the uterus and the surrounding organs. For mild conditions, there are low chances of seeing symptoms. On the other hand, for severe conditions, here are a few risky symptoms:
- Swollen feet and ankles
- Shortness of breath
- Contraction, cramping, and tightness (especially in the uterus muscles) in the stomach
- Heartburn
- Constipation
- Indigestion
- Uterine contractions and discomfort
- Trouble feeling that there is a baby in the womb
- Fetal malposition (the baby moves in the wrong way in the womb)
- Difficulty in finding the fetal heartbeat
- Pressures the lungs, rectum, bladders, and stomach of the mother
Conclusion
That’s all you need to know about the rare cases of Polyhydramnios. If you do not wish to be numbered with this complication, it’s best to take steps early to fight it and protect your baby. Book a consultation with Dr Neelima Mantri and start recuperating before it’s too late!
by Dr Neelima Mantri | Jul 12, 2024 | Blog, Gynecologist
You might have heard of trachelectomy as a type of treatment for cervical cancer. This surgical procedure has been in the limelight because it allows many women to preserve their fertility while being treated for early stages of cervical cancer.
If you were ever to be diagnosed with cervical cancer, then knowing and understanding what is trachelectomy, who it benefits, and how it compares with other forms of treatment are very important questions. The guide looks at the important aspects of trachelectomy, trying to demystify this very important and beneficial procedure.
Understanding The Fundamentals of Trachelectomy
This trachelectomy, also referred to as cervicectomy, is the removal of the neck or cervix while preserving the uterus. The procedure is most valuable in women who must retain their fertility, and it enables them to conceive and carry babies to term.
Unlike hysterectomy, which drains the entire uterus, trachelectomy seeks to remove tumor tissues while retaining childbearing potential. This procedure is usually advisable for only those women who have early-stage cervical cancer and meet certain criteria.
Candidates for Trachelectomy
Not all women with cervical cancer are potential candidates for a trachelectomy. It is normally considered an option for those among them whose cervical cancer is diagnosed at an early stage, viz., stage IA2 and IB1, that the tumor is small and has not yet spread beyond the cervix.
Moreover, patients must have a deep interest in fertility preservation, apart from meeting other medical eligibility criteria which include tumor size and lack of involvement of the lymph nodes. Consult an experienced gynecologist in Mumbai to know more about your eligibility to undergo trachelectomy based on individual health conditions and cancer staging.
Procedure and Recovery
The trachelectomy involves removing the uterus, along with the cervix and the top portion of the vagina. But through this technique, the uterus itself will not be removed, unlike in other treatments.
Some surgeons also conduct a lymphadenectomy with this surgery, where a certain number of lymph nodes from the pelvis are taken out and examined whether cancer has spread to them. Recovery from trachelectomy surgeries includes some days of hospitalization and then some weeks of rest at home.
This also helps inform patients that they should refrain from strenuous activities and that they should closely follow their doctors’ instructions for them to properly heal without complications.
Preservation of Fertility
The most glaring advantage associated with trachelectomy is that fertility is not compromised. During this procedure, the uterus is retained, and so a woman can conceive and carry a pregnancy. However, pregnancy after trachelectomy is considered a high-risk state and has to be managed by a health provider.
Women are usually advised to conceive after at least six months from the surgery for adequate healing. An appointment with the best gynecologist in Mumbai will surely help the lady gain more insight and tips into management for pregnancy post-trachelectomy.
Comparison with Other Treatments
Trachelectomy has certain advantages over other cervical cancer treatments, especially in young women who need fertility preservation. While hysterectomy and radiotherapy are indeed very powerful treatments for cervical cancer, they render women infertile.
Trachelectomy provides an alternative by balancing the need to treat cancer to preserve reproductive function. It is, however, extremely important to consider that not all cases may be suitable for trachelectomy, and such a decision can only be best arrived at under the consultation of a well-qualified gynecologist in Mumbai.
Risks and Complications
Though trachelectomy is a surgical procedure, some of its potential risks and complications include:
- Bleeding,
- Infection,
- Damage to surrounding organs,
- Risk of preterm birth, and
- Other pregnancy complications in women who have had the procedure.
Patients should discuss these risks with their healthcare provider and weigh them against the benefits accruable in fertility preservation. Identifying the best lady gynecologist in Mumbai can minimize these risks and ensure maximum care standards.
Choosing the Right Gynecologist
Success in a trachelectomy and post-operative care lies in the selection of the right gynecologist. The gynecologist should have sufficient performing experience with trachelectomies and management of cervical cancer.
Dr. Neelima Mantri is a well-known gynecologist in Mumbai who has built credibility in providing end-to-end care to women afflicted with cervical cancer. Her efficiency and politeness make her one of the most preferred choices that patients seek to ensure the best possible outcome.
Trachelectomy is an option, with feasibility, in the setting of early disease for patients suffering from cervical cancer needing preservation of reproductive potential. Knowledge about the procedure, candidature assessment, and options of treatment provides a patient with the freedom to make choices in their care.
One can curate and get effective treatment with an experience like that of Dr. Neelima Mantri. In the case of treatment for cervical cancer, the best gynecologist in Mumbai will restore confidence in women and provide them with the necessary support. With dedication toward patient care and an ever-high reputation as the best lady gynecologist in Mumbai, Dr. Mantri can be trusted to embark on this journey with her patients.
