by Dr Neelima Mantri | Jul 26, 2023 | Blog, Female Gynaecologist
Cervicitis is the inflammation of the cervix, the lower part of the uterus. While inflammation is commonly considered a simple condition, Cervicitis can be complicated and may increase the risk of pregnancy complications, infertility, and pelvic inflammatory disease. It also significantly increases the chance of sexually transmitted infections.
So, what is Cervicitis, and how is it identified and treated to lower its impact on women’s reproductive health? We asked the top gynaecologist in Mumbai, Dr. Neelima Mantri, and read on to find the answers.
What is Cervicitis? What are its Symptoms?
The cervix is a narrow, tunnel-like structural pathway that connects the vagina with the uterus. When a woman has her period, the discharge comes from the uterus through the cervix and the vagina. So, when this pathway becomes inflamed due to one reason or another, a woman may develop Cervicitis.
Cervicitis manifests in women as abnormal vaginal bleeding, back pain, prolonged vaginal discharge, vaginal pain, pain during sexual intercourse, and a pressure sensation on the pelvis. In severe cases of Cervicitis, women may experience pus-like vaginal discharge too.
What Causes Cervicitis?
The causes for inflammation are usually sexually transmitted infections like Chlamydia, Herpes, Gonorrhoea, and Trichomoniasis. They trigger an acute form of Cervicitis which starts with sudden symptoms and will lonely last for days and is relieved using the proper medications; chronic Cervicitis is also a condition experienced by women in a few cases, which may prolong for months at a stretch.
Not all the causes of Cervicitis are serious infections. Inflammation of the cervix can also be triggered by regular vaginal bacteria, allergy to the latex of the condom, or even chemicals found in the tampons, according to the female gynaecologist in Mumbai, Dr. Neelima Mantri. In rare cases, Cervicitis is also a condition that precedes cervical cancer.
When left untreated, Cervicitis can move up to the fallopian tubes and uterine lining, leading to pelvic inflammatory disease that causes infertility problems, vaginal discharge, and pregnancy complications.
Cervicitis – Diagnosis & Treatment Options:
Cervicitis, in some cases, doesn’t show any symptoms and is even identified during routine pelvic exams. Pap tests, cervical biopsy, and cervical discharge cultures are some exams to diagnose the condition.
Upon identification, the treatment for Cervicitis is based on the severity, overall health, medical history, and causes of Cervicitis. The treatment plan for Cervicitis usually involves antibiotics and watchful waiting. If Cervicitis is caused by cervical cancer or another cancerous condition, the treatment requires cryosurgery or freezing abnormal cells to destroy them. The treatment for Cervicitis must begin as soon as the condition is identified. Delaying the treatment can lead to prolonged vaginal discharge and pain during sexual intercourse.
Following healthy sexual practices, avoiding scented vaginal products, and adhering to vaginal hygiene can help reduce the risk of Cervicitis in women, according to the best gynaecologist in Mumbai, Dr. Neelima Mantri. For more information on the prevention and treatment of Cervicitis in Mumbai, you can contact Dr. Neelima Mantri here.
by Dr Neelima Mantri | May 17, 2023 | Blog, Female Gynaecologist
An inflammation, thinning, and dryness of the vaginal walls is known as atrophic vaginitis. After menopause, it typically occurs as a result of declining estrogen levels. As ovaries generate fewer hormones during menopause, the body begins to go through multiple changes.
The hormone estrogen levels tend to decrease by about 85% in vaginal atrophy cases. The urethra, the pelvic floor muscles, the vaginal lining, as well as the vulval skin are all thin when estrogen levels are low. Reduced blood flow in the pelvis and discomfort in these regions are also possible effects of this.
Lately, the term genitourinary syndrome of menopause (GSM), which is more recent, has taken the place of vaginal atrophy. This new phrase assists in describing the urinary as well as vaginal signs and symptoms that may develop from low estrogen. Although atrophic vaginitis is a typical menopausal symptom, not much is known about the ailment, therefore few people look for atrophic vaginitis treatment.
The Causes
Estrogen is required for the vagina (as well as other tissues in the pelvis) to remain functional. The elasticity and fullness of vaginal tissues decline as estrogen levels drop. They instead become drier, thinner, and more sensitive. As a consequence, there is a higher chance of irritation or abrasions, which can lead to urinary tract infections.
Estrogen levels begin to fluctuate irregularly throughout perimenopause (the years before menopause), and they continue to decline following menopause. Estrogen levels can be lower due to:
- Surgical menopause
- Chemotherapy
- Breastfeeding
- Oral contraceptives
- Pelvic radiation treatment for the cancer
The Symptoms
When you have vaginal atrophy, the tissue that borders the vaginal wall becomes thin, dry, and inflammatory. The first symptom is frequently a loss of lubrication (dryness). Female gynecologists in Mumbai say the following are other signs of genitourinary syndrome of menopause:
- Frequent or urgent bathroom visits
- Recurrent urinary tract infections
- Burning sensation when urinating
- Narrowing and tightness of the vaginal canal
- Bleeding after sex
- Itchy vulva
- Blood in urine
- Vaginal dryness
- Thin, yellow discharge
The Treatment
Typically, vaginal lubricants and estrogen vaginal preparations are used as the first line of treatment for vaginal atrophy. Non-estrogen topical hormonal therapies, however, may be recommended for people who are unable to utilize estrogen. If none of these therapies work, a CO2 laser procedure may be suggested. This procedure can regenerate vaginal tissue, boost collagen synthesis, and restore the vagina to normal functionality.
HRT, also known as systemic estrogen treatment, is another option for treating it. It is taking medication to replenish the hormones lost during menopause. Gynecologists in Mumbai can prescribe HRT, which comes in a variety of forms such as tablets, gels, and implants. The body receives estrogen from this kind of estrogen therapy.
HRT is advised if you have other menopause-related symptoms because it will have a more significant impact on the body than vaginal estrogen. It’s crucial to remember that HRT has several risks and side effects, such as vaginal or urinary issues, which may discourage many women from pursuing this course of treatment for their vaginal atrophy.
Dr. Neelima Mantri is one of the best gynecologists in Mumbai, known for successfully managing High-Risk Obstetrics and handling numerous complex obstetric cases. If you are looking for effective treatment for Vaginal Atrophy issues, you may consult Dr. Neelima Mantri.
by Dr Neelima Mantri | May 12, 2023 | Blog, Female Gynaecologist
Uterine Artery Embolization is a minimally invasive procedure employed to address uterine fibroids. These fibroids are non-cancerous growths in the uterus. The process entails obstructing the blood flow to the fibroids which results in their reduction in size leading to eventual demise.
This is recommended for women with symptomatic fibroids, which results in heavy menstrual bleeding, pelvic pain, and pressure on the bladder and this process also serves as an option for women who do not want to go for traditional surgery such as myomectomy. Nowadays, one can get this done easily, especially in tier 1 cities like Mumbai where a person can easily consult any of the best gynecologists in Mumbai or any other well-known place.
The Procedure:
Embolization of the uterine artery usually requires a duration ranging from 30 minutes to one hour to be accomplished. At first, the doctor will use X-ray guidance to access the uterine artery and block the blood supply to the fibroids.
The patient will be administered a gentle sedative to aid in their relaxation before the treatment. A minor cut is created in the groin region, through which a slender tube is placed into the femoral artery. Subsequently, the catheter is steered along the artery pathway until it reaches the uterine artery.
After inserting the catheter, miniature substances are infused into the artery of the uterus. The fibroids experience a size reduction gradually as a result of these particles impeding the blood flow to them.
Once the process is done, the catheter is taken out and pressure is exerted on the surgical site to avoid any bleeding. These minute operations should be done with proper facilities and in such situations one can easily trust the laparoscopic surgeons in Mumbai.
The Recovery:
Following the procedure, individuals may encounter a few days of cramping and unease. Prescribed pain medication can aid in the management of such symptoms. Following the procedure, patients could potentially encounter some vaginal bleeding or discharge that may persist for a few weeks.
The majority of patients display the capacity to recommence their regular activities and work schedule within one to two weeks following the medical procedure. For the body to fully recuperate, it is imperative to refrain from engaging in physically demanding tasks and lifting heavy objects for several weeks.
Final Overview
To sum up, a viable substitute to conventional surgery for tackling uterine fibroids is the less intrusive uterine artery embolization technique. Following the procedure, patients may encounter certain discomfort and vaginal bleeding, nevertheless, the majority can resume their regular activities within one or two weeks.
The process of Uterine Artery Embolization is really good for women who wish to have children in the future as this process takes less time, causes fewer complications, and preserves the uterus. Patients can easily consult with doctors online nowadays and what better way to get consultations other than a phone call?
Dr. Neelima Mantri is one of the best gynae laparoscopic surgeons in Mumbai and people can easily contact her over her website. She has been a pioneer in the field for many years and one should get in touch with her regarding these issues.
by Dr Neelima Mantri | Feb 3, 2023 | Blog, Female Gynaecologist
A rectovaginal fistula is an abnormal and uncomfortable condition caused due to an unnatural connection between the rectum and vagina. This connection allows the stool and gas in the rectum to leak into the vagina resulting in physical discomfort, and emotional distress and in the majority of cases, can even damage the physical intimacy of the couple.
What causes Rectovaginal Fistula and how does it impact a woman’s health and what is it treatment options? Find out answers to these questions from the best lady gynaecologist in Mumbai Dr Neelima Mantri today:
Rectovaginal Fistula Symptoms- How does Rectovaginal Fistula impact woman?
The abnormal connection of the rectum and vagina impacts both the reproductive and execratory function of a woman making it an emotionally distressing condition. Some of the most common symptoms suffered by a woman with Rectovaginal Fistula include:
- Passing gas or stool from the vagina
- Smelly vaginal discharge
- Incontinence
- Trouble controlling bowel movements
- Pain during intercourse
- Repeated urinary and vaginal infections
- Pain in the perineum (area between vagina and anus) or even in the vagina
Rectovaginal Fistula can be an embarrassing condition for a woman that can impact her self-esteem of a woman when not treated. But what exactly causes this abnormal condition in a woman? The top gynaecologist in Mumbai, Dr Neelima Mantri answers.
Rectovaginal Fistula Causes – Why does Rectovaginal Fistula happen?
Anyone can suffer from this condition because it has far too many causes. Some of the most common causes of Rectovaginal Fistula include:
- Trauma or tear of the perineum during childbirth
- Inflammatory bowel disease
- An infection or an injury/complication during childbirth
- Prior pelvic surgery complication
- Cancer in the pelvic area and radiation treatment that follows
In addition to the above certain cases anus and rectum infections, faecal impaction (stool stuck in the rectum), infected pouches in intestines, and sexual assault can also lead to Rectovaginal Fistula. So how is rectovaginal Fistula treated? Let us find out:
What is the treatment for Rectovaginal Fistula?
Surgery is recommended to get rid of the Rectovaginal Fistula. In case the condition triggers infection, the patient is also run through a course of antibiotics before the surgical procedure. “The type of surgery performed to treat Rectovaginal Fistula depends on the location and size of the Fistula”, says a gynaecologist in Mumbai, Dr Neelima Mantri. Some of the common surgical procedures performed to treat Rectovaginal Fistula include simple fistulotomy, Flap Advancement, and a combination of fistulotomy and anal sphincter repair.
Who is at more risk of developing Rectovaginal Fistula?
Though Rectovaginal Fistula is caused by a variety of factors mentioned above not everyone develops it. Women with long and difficult labour, injured perineum, infections, cancer in the pelvic area, and pelvic surgery are at more risk of developing Rectovaginal Fistula.
If you are already experiencing any of the symptoms mentioned above and are seeking treatment for Rectovaginal Fistula in Mumbai, Dr Neelima Mantri is the best gynaecologist in Mumbai with an excellent track record in treating Rectovaginal Fistula. You can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Dec 13, 2022 | Blog, Female Gynaecologist
First things first, heartburn has nothing to do with the heart. It is characterized by a burning feeling in the chest and throat which intensifies after eating when bending over or lying down.
It is a discomfort that is common which most people can manage with the right medications. But in some cases, it can be a frequent condition that interferes with daily routine, even tougher in the case of pregnant women as it can impact her and the offspring in multiple ways if not treated.
“Unfortunately, heartburn or indigestion is more frequent during pregnancy due to a variety of reasons”, says Dr Neelima Mantri, the top gynaecologist in Mumbai. So what causes heartburn during pregnancy and how to tackle it efficiently? Read on to know the answers:
What causes heartburn?
Heartburn occurs when the stomach acid flows back to the oesophagus – a tube that carries the food from the throat to the stomach. This can lead to a burning sensation in the chest accompanied by a mild sore sensation in the mouth. The flow back of acid is called acid reflux and the burning sensation that triggers it is called heartburn (again, it has nothing to do with the heart)
It is quite normal when it happens occasionally but in pregnant women, heartburn can frequently happen in 2 and 3 semesters. “More than 50% of the women in 3rd-semester experience frequent heartburn and acid reflux”, says a gynaecologist in Mumbai Dr Neelima Mantri.
Symptoms of heartburn during pregnancy:
Burning sensation in the chest
Frequent burps
Bring up of food or vomiting
Frequent coughs & sore throat
Bloating and feeling filled-up
So why does a pregnant woman have to suffer from frequent heartburn and acid reflux? Here’s why:
Heartburn during pregnancy is common and it happens due to the following reasons:
Enlargement of Uterus: Heartburn is more common during the third semester because that is when the baby grows more and the uterus enlarges to the point that it pushes the stomach. And this can trigger acid reflux.
Change in hormonal levels: The hormonal changes during pregnancy slow down digestion which can cause bloating and cause heartburn.
Relaxation of Sphincter due to Progesterone: The pregnancy hormone i.e. progesterone relaxes the Sphincter which can trigger the flow back of the acid in the stomach.
How to tackle heartburn and acid reflux during pregnancy?
Pregnant women are at more risk of suffering from heartburn but there are a few factors that can trigger them, such as:
Eating high-fat foods
Eating caffeinated drinks or chocolates
Eating big meals in a short time
High physical activity after eating
Anxiety and as usual hormone surges
So one can easily prevent heartburn during pregnancy by eating smaller meals, avoiding physical activities, and sudden movements, ensuring relaxed and stress-free environments and avoiding the above foods. Maintaining a right sleeping schedule, avoiding caffeine, and sleeping on the left side can help too. For more information on reducing the heartburn and acid reflux during pregnancy, you can contact a lady gynaecologist in Mumbai Dr Neelima Mantri here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Nov 28, 2022 | Blog, Female Gynaecologist
That throbbing pain in the lower abdomen, legs and thighs during menstruation could be the most common pain that is experienced by almost all women in the world. As it is considered common pain, it is silently bore no matter how hard it tends to get.
Pain during menstruation or even sex is common but it doesn’t have to be normal. Consistently intense pains are abnormal and Dysmenorrhea is a medical condition that is associated with this kind of abnormal cramps. “Women that we usually treat for Dysmenorrhea are unaware of the condition. They often assume it is a common pain and silently put up with it until it becomes unbearable to perform regular activities”, says a gynaecologist in Mumbai, Dr Neelima Mantri.
So what is Dysmenorrhea, and what are its causes and treatment options? Here is what a lady gynaecologist in Mumbai Dr Neelima Mantri had to say:
What is Dysmenorrhea?
In general painful periods are often termed Dysmenorrhea. This condition causes severe and frequent cramps in the pelvic area, and pain in the lower back, legs and stomach during menstruation of women. All these symptoms are commonly experienced by every woman during the period, so how is Dysmenorrhea different from common symptoms? Simple, when the pain is abnormal. And here’s when the pain is abnormal:
Dysmenorrhea Symptoms:
- The intense pain stretches for 3 or more 3 days.
- Pain doesn’t improve even with pain-relief medication.
- The pain and cramps are so severe that they start to interfere with your day-to-day functions.
In addition to the above, the other symptoms of Dysmenorrhea include headaches, sickness, and digestive problems like constipation, sore breasts, and swollen abdomen.
Dysmenorrhea Causes:
There are two types of Dysmenorrhea – Primary & Secondary Dysmenorrhea each with its causes.Primary dysmenorrhea is caused due to chemical imbalance problems in the female body which causes abnormal contractions of the uterus.
Secondary Dysmenorrhea is caused by physical changes which are a result of inherent reproductive problems like endometriosis, abnormal pregnancy, uterine fibroids, tumours, infection, or even polyps in the pelvic cavity.
So who is more prone to Dysmenorrhea?
Women diagnosed with the reproductive problems listed above are prone to Dysmenorrhea. In addition to it, risk factors that increase the risk of Dysmenorrhea are smoking alcohol consumption, obesity, and early menstruation.
Treatment for Dysmenorrhea in Mumbai:
MRI, Ultrasound, Laparoscopy, & Hysteroscopy are performed to diagnose Dysmenorrhea. Upon confirmation, a treatment plan is crafted the by considering the age, severity of the symptoms, expectations and other preferences.
In the case of primary Dysmenorrhea, the treatment options include vitamin supplements, medications, oral contraceptives, hormonal treatments, abdominal massages, and regular exercise. In the case of secondary Dysmenorrhea, the appropriate cause is identified and treated to reduce the symptoms. This may include medical procedures like hysterectomy, endometrial ablation and endometrial resection.
Dysmenorrhea: When to see the doctor?
Women are requested to consult a gynaecologist when the period pain affects their ability to perform their day-to-day activities and regular treatments fail to cut down the period pain. If you are in Mumbai you can consult Gynaecologist Dr Neelima Mantri here: https://www.drneelimamantri.com/
Page 3 of 11«12345...10...»Last »
