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 | 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.
by Dr Neelima Mantri | Feb 16, 2025 | Blog, Female Gynaecologist
Millions of women go through severe pain and have to hide their painful periods due to cultural and societal stigma surrounding menstrual hygiene and health. A few women go through their monthly periods with little to no discomfort or inconvenience for a few days. However, for many women, their monthly period is a battle against excruciating pain, fatigue and emotional distress that interferes with their normal daily routine.
One of the causes of severe menstrual pain is endometriosis, which affects millions of girls all over the world. Despite the condition affecting a large percentage of women, little to no information is said about the topic, leaving many women feeling alone and isolated while experiencing debilitating pain every month. In this article, we’ll break the silence regarding endometriosis and elaborate on its symptoms and treatment.
What is Endometriosis
Endometriosis is a chronic medical condition where the tissue similar to the lining of the uterus (endometrium) grows outside of the uterus which causes inflammation and swelling. The tissue can develop on the outer layer of the uterus, the fallopian tubes or the ovaries. Normally, this tissue responds to hormonal changes like the tissue found in the inner lining of the uterus and should pass as menstruation.
Unfortunately, this tissue is located on other organs and, after shedding, cannot pass out of the body, leading to complications. Research has been carried out to discover the cause of endometriosis. While no concrete evidence has been found, several theories of possible causes exist, such as genetic disposition, immune system dysfunction and many others.
Symptoms
Various endometriosis symptoms usually manifest in numerous ways, a few of which are listed below:
- Severe Pain: Intense cramping, heavy and painful bleeding and pelvic pain are common symptoms experienced due to endometriosis. It is medically known as dysmenorrhoea, and the cramps could begin days before the period and continue till the end of the period.
- Chronic Pelvic Pain: Many women experience pain in the lower abdomen, back and pelvis when suffering from endometriosis. The pain can occur at any time from intercourse, menstruation, bowel movement or urination.
- Heavy Bleeding: It often comes with the issue of heavy menstrual flow, which leads to health complications like anaemia and fatigue.
- Infertility: The health complications caused by endometriosis, such as scarring, make it difficult to conceive as the condition affects various reproductive organs like the uterus, fallopian tube and ovaries.
- Bloating and Swellings: The condition often causes its bearers to experience bloating and swelling in various parts of the body.
Treatment Options for Endometriosis
Although there is no cure for endometriosis, various treatment options are available to improve quality of life, reduce pain and manage symptoms that occur. There are traditional and natural treatment options available for endometriosis. Natural endometriosis treatment includes:
- Dietary/Lifestyle Changes: Having a balanced diet is key, as consuming a diet rich in omega-3 acids, antioxidants, and fibre will reduce inflammation.
- Herbal Remedies: Consuming herbs like turmeric, chamomile and ginger can help reduce pain.
- Yoga and Relaxing Activities: Performing relaxation activities like yoga can reduce anxiety and stress.
Conclusion
A condition as serious as endometriosis isn’t something to remain silent on, as millions of women and girls are in severe pain every month. The condition affects not only the physical well-being but also the mental and emotional well-being of people with the condition. It is important to ask questions and clear any doubts you may have about endometriosis symptoms in women. Dr Neelima Mantri is ready to address all your concerns.
by Dr Neelima Mantri | Jan 20, 2025 | Blog, Female Gynaecologist, Pregnancy Tips
Pregnancy is usually a thing that brings joy with it, but it comes with unexpected challenges. An example is the cervical insufficiency condition. It impacts a woman’s ability to carry a pregnancy to full term. It may be rare, but understanding it can ensure the best possible outcome for both mother and baby
What is Cervical Insufficiency?
It occurs when the cervix—the tissue connecting the uterus to the vagina—is weak or dilates too early in pregnancy. It usually occurs in the second trimester. It can be distinguished from preterm labour. Unlike preterm labour, which comes with contractions, cervical Insufficiency doesn’t show pain or any warning signs. It can lead to pregnancy loss or premature birth if not treated.
Causes of Cervical Insufficiency
There are many factors which contribute to this.
- Medical History: it could be a result of procedures like cervical biopsies, dilation and curettage (D&C), or even a traumatic childbirth experience for many women that can weaken cervical tissue.
- Factors from Birth: Some women may be born with abnormalities or genetic conditions, which makes them more likely to have cervix insufficiency.
- Hormonal Influences: Hormonal changes during pregnancy can soften and weaken cervical tissue, increasing the risk of early dilation.
Other risk factors are carrying multiple pregnancies, history of miscarriage, or uterine anomalies.
Symptoms of Cervical Insufficiency
Being able to differentiate between cervical Insufficiency and other pregnancy complications is important for much-needed early intervention. Cervical insufficiency often has no symptoms, which makes it harder to detect. However, there are some warning signs to watch for, including:
- Pelvic pressure or fullness.
- Vaginal spotting or changes in discharge.
- Early cervical dilation was noticed during routine exams.
Because these symptoms can be subtle or absent, regular prenatal checkups and open communication with your gynecologist and obstetrician, such as Dr Neelima Mantri, are essential.
The Diagnosis
Diagnosing cervical insufficiency typically involves:
- Medical History Evaluation: A review of past pregnancies, surgeries, or other risk factors is one.
- Physical Exams: Routine Pelvic exams to check for cervical changes.
- Ultrasound: Measuring cervical length can help assess the risk of insufficiency.
Detecting it early plays a major role in stopping complications.
Treatment Options
Cervical insufficiency treatment depends on how serious the condition is and what stage the pregnancy is at. Common options include:
- Cerclage: It is a surgical procedure. It involves stitching the cervix to keep it closed. Cerlage is often carried out between 12–14 weeks of pregnancy in high-risk cases or simply as an emergency measure if the cervix begins to dilate prematurely.
- Progesterone Therapy: Another way is therapy. Progesterone, a hormone essential for pregnancy, may be prescribed to help strengthen the cervix and reduce any inflammation.
- Restrictions: In some cases, doctors may recommend bed rest or minimal physical activity to reduce pressure on the cervix.
Pregnancy differs from person to person, so your doctors will work together based on your history to create a plan that works best for you.
Conclusion
Women can navigate this by understanding the causes, recognising the symptoms, and working closely with healthcare providers. If you or someone you know is at risk, encourage them to seek medical advice and consult the best obstetrician in Mumbai. Connect with Dr Neelima Mantri today.
by Dr Neelima Mantri | Nov 29, 2024 | Blog, Female Gynaecologist, Pregnancy Tips
Post-surgical Care and Recovery After Endometriosis Surgery
The surgery often performed to remove endometrial tissue to manage complications is just one step ahead in the path toward relief and being pain-free. Proper post-surgical care is important to ensure a smooth recovery. This article provides a guide to understanding what to expect immediately after surgery and tips to help you heal.
Immediate Post Surgical phase
The body needs time to heal from the trauma of the procedure. The first couple of days after endometriosis surgery is critical to set the foundations for recovery.
Post Surgical Symptoms
It is not out of the ordinary to experience different symptoms immediately after surgery. You would experience mild to moderate pain around the incision sites and general abdominal discomfort. This happens because of the surgery itself and the gas used to infante the abdomen. There would be swelling, which typically subsides in a week or two. Some people are unusually tired, and some may feel bloated.
Initial Rest
You need lots of rest to let your body heal, so within the first 48 hours, avoid strenuous activities and prioritize lying down. In addition, you should lean on as much support as you can get. Let your friends or family help out with making meals or running errands. However, you are encouraged to stand from time to time and lightly walk a few steps to help prevent blood slots.
Tips for Physical Recovery
Taking proper care will help the recovery process move along quickly before looking for a gynecologist in Mumbai.
- Diet: Incorporate foods rich in vitamins and minerals into your diet. Anti-inflammatory options like fruits, vegetables, and lean protein help you recover faster. In addition, you should drink a lot of water.
- Movement: Avoid heavy lifting (anything above 10 pounds), strenuous activity, and bending. Instead, take light walks.
- Wound care: Follow your doctor’s instructions to the letter for dressing. It is also important to keep the incisions clean and dry. Do not scrub your incisions while having a bath or apply ointment to them.
- Rest and sleep: Sleep naturally helps the body heal, so get as much sleep as you can. Use supportive pillows to minimize your discomfort.
Monitor your Recovery
You have to be vigilant and aware of when to seek medical attention immediately. If you have mild pain, fatigue, and light spotting, there is no cause for alarm; it is all part of the recovery phase. However, you should contact your doctor immediately if you have persistent pain, excessive bleeding, fever or chills, or unusual swelling, redness, or discharge from the incision.
It is worth mentioning that recovery also includes emotional well-being. There may be feelings of sadness, anxiety or frustration. Be gentle with your body and give it the time it needs to heal properly. If you find yourself being weighed down emotionally due to all the changes, do well to find a support system and even seek professional help.
Final Overview
Recovering from surgery requires a combination of physical care, emotional well-being, and regular follow-ups. It’s important to note that recovery does not follow a straight line. There will be days of progress and moments of challenge. However, with adequate rest, a good diet, and minimal stress, you are on the right path to healing.
Always listen to your body and contact your healthcare provider if you notice your symptoms getting worse or anything unusual. If you are looking for the best lady gynecologist in Mumbai, connect with Dr Neelima Mantri.
by Dr Neelima Mantri | Nov 28, 2024 | Blog, Female Gynaecologist
Cervical ripening is a critical obstetric procedure in pregnant women. For some women, their bodies may need a little push to get ready for labor, and that’s where cervical ripening comes in. It is a method in which techniques like medication or mechanical dilation are used in expecting moms for safe and smoother delivery. In this blog with inputs from , best lady gynecologist in Mumbai Dr Neelima Mantri, let us understand its risks and benefits is essential before making a decision. Read on:
What is cervical ripening?
When the cervix doesn’t naturally soften, thin, or open as the due date nears, cervical ripening is used to soften and open the cervix, preparing it for labor. This is especially helpful in cases where labor induction is necessary. There are two primary approaches:
- Medications: Drugs like prostaglandins are used to stimulate changes in the cervix.
- Mechanical Methods: Tools like Foley catheters gently expand the cervix.
The method depends on the mother’s condition and pregnancy stage, ensuring safety for both the baby and the mother.
Benefits of cervical ripening
When labor doesn’t start naturally, cervical ripening ensures a safer and smoother delivery. Here’s how it helps:
Eases the Labor Process: Softens and dilates the cervix, reducing the chances of prolonged labor.
Lowers Emergency Risks: lower chance of cesarean (C-section) and need for unplanned C-sections or forceps-assisted deliveries.
Supports High-Risk Pregnancies: Essential for conditions like gestational diabetes or high blood pressure, where early delivery is necessary.
Reduces Stress: Prepares your body for labor, giving you peace of mind and physical comfort.
What are the risks of cervical ripening?
While cervical ripening is generally safe, like any procedure, it comes with potential risks. Here’s what to consider:
- Uterine hyperstimulation can cause prolonged contractions, which can impact the health of the baby.
- Using tools or medications increases the mother or baby’s infection risk.
- Reduced oxygen levels in the fetus can lead to a low fetal heart rate.
- Some women might experience side effects such as diarrhea, fever, or vomiting from the medications.
- There might be a chance for fetal injury or death.
- For high-risk pregnancies, like those with a history of uterine surgeries or placenta previa, this procedure may not be advisable.
These risks are rare and manageable under proper medical supervision.
Conclusion
Cervical ripening procedures hold immense potential to ease childbirth when the natural process of labor doesn’t start as expected. Understanding the risks of cervical ripening and the benefits of cervical ripening empowers expecting mothers to make informed decisions.
Why Choose Dr. Neelima Mantri?
Navigating the final stretch of pregnancy can be overwhelming, but you don’t have to do it alone. If you’re in Mumbai and want expert advice, look no further than Dr. Neelima Mantri, the best lady gynecologist in Mumbai. With her vast experience and compassionate care, she’s helped countless women through safe deliveries.
To learn more or book a consultation, visit Dr. Neelima Mantri’s website here: https://www.drneelimamantri.com/.
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