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 | Jan 2, 2024 | Blog, Female Gynaecologist
Salpingitis is a medical term for inflammation of the fallopian tubes, which connect the ovaries to the uterus in the female reproductive system. It often starts with lower abdominal pain that worsens with ovulation or menstruation, accompanied by cramping and pelvic pain. In some cases, the pain is also accompanied by fever, tiredness, painful urination, and vaginal discharge.
“Surprisingly, Salpingitis can be a silent threat with no symptoms in a few cases. This is dangerous because stealthily, this condition may damage the uterus and fallopian tubes, leading to infertility and pregnancy problems,” says the best female gynaecologist in Mumbai, Dr. Neelima Mantri.
Salpingitis – Can Be Silent & More Prone in Younger Women:
Unlike other gynaecological conditions, Salpingitis is more common among younger women, who are often unaware of this situation. Also, unlike other inflammation conditions, Salpingitis can have non-sexual causes, like surgery, bacteria during childbirth, and IUD insertion.
When not treated early, Salpingitis can cause adhesions, scars, and even block fallopian tubes, hindering egg development and leading to fertility problems. In this blog with insights from a leading gynaecologist in Mumbai, Dr. Neelima Mantri, let us go through the causes, warning signs, and treatment for Salpingitis in Mumbai. Read on:
What is Salpingitis? What causes it?
Salpingitis is the inflammation of the fallopian tubes caused by infection from bacteria that enter the woman’s body. The infection can happen due to sexually transmitted diseases like chlamydia, gonorrhoea, or even non-sexual ways like surgery, bacteria during childbirth, or even insertion of intrauterine devices.
“This simple bacterial infection impacts the fallopian tubes, causing lower abdominal pain, fever, eventually leading to pregnancy and infertility problems if not treated promptly.”, says Salpingitis specialist in Mumbai, Dr. Neelima Mantri.
Salpingitis Symptoms: How to identify Salpingitis?
Pain in the lower abdomen or pelvic area, painful menstruation or ovulation that worsens as the date approaches, painful sexual intercourse, abnormal vaginal discharge, painful urination, fever, and tiredness are some of the symptoms of Salpingitis.
These symptoms may manifest among other infections, but Salpingitis can also be a silent threat with no apparent symptoms; only routine gynaecological check-ups can help accurately identify the situation.
Salpingitis Treatment and Prevention:
Antibiotics are the straight-up treatment option for Salpingitis. Over-the-counter medication like Ibuprofen, rest, fluid intake, avoidance of irritants, and follow-up care are other critical elements of the treatment plan for Salpingitis.
In a few cases, patients may already be experiencing certain gynaecological conditions, which, on top of Salpingitis, can have adverse effects on reproductive health. In such cases, a gynaecologist crafts a customized treatment plan for a patient with Salpingitis based on reproductive health.
That said, the painful symptoms of Salpingitis can be avoided altogether by following specific prevention tips. We often advise regular screening for STI infections, maintaining vaginal hygiene, adhering to safe sex practices, and prompt treatment of infections to cut down the risk of Salpingitis. If you are in Mumbai and looking for more information on the treatment and prevention of diseases like Salpingitis, Dr. Neelima Mantri is more than happy to assist you; contact her here.
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/
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