by Dr Neelima Mantri | Aug 8, 2022 | Blog, Female Gynaecologist
Endometrial ablation is one of the most popular solutions recommended for treating abnormal bleeding. While it effectively reduces abnormal bleeding, it is not recommended for every woman. Know more about this procedure’s limitations, risks, benefits and recovery from the best lady gynaecologist in Mumbai Dr Neelima Mantri in this blog today:
What is Endometrial Ablation?
Endometrial Ablation is the procedure of scraping a thin layer of the uterus to reduce the abnormal menstrual flow of a woman.
Every month during the date of menstruation, the inner layer of the uterus (endometrium) thickens to prepare the uterus for conception. When the egg doesn’t receive the sperm, the hardened wall sheds and bleeds every month (period bleeding). In a few cases, the bleeding can be abnormal with sharp pain stretching for an extended period. Endometrial Ablation is the most common procedure that is performed to reduce the intensity of the blood flow and pain.
When is the Endometrial Ablation recommended by a gynaecologist?
Heavy and abnormal bleeding is when the gynaecologist actively considers Endometrial Ablation. Periods are considered heavy and abnormal if they last for more than 7 days, develop a risk for anaemia, and interfere with daily routine. Along with the incidence of abnormal bleeding, this procedure is requested only when:
- The woman is sure she doesn’t need pregnancy and is willing to use birth control to avoid the risk of pregnancy and subsequent miscarriage.
- There are no other possible causes of abnormal bleeding like thyroid, cancer or any other congenital conditions.
How is Endometrial Ablation performed?
Unlike other surgical procedures, endometrial ablation is a simple procedure that will not need incisions or stitches. “It is relatively a short and simple procedure where the woman can leave home on the same day. Radio frequency, heat, freezing, heated balloon, miniature electricity – a variety of procedures are used to remove the lining.” says the best gynaecologist in Mumbai Dr Neelima Mantri.
Who is not suited for Endometrial Ablation Surgery?
As the lining of the endometrium is destroyed, the ablation procedure severely reduces the ability to get pregnant. In addition to this, an ablation procedure is not recommended when the woman:
- Is younger than 40 years of age
- Is post-menopause
- Had a recent pregnancy
- Diagnosed with pelvic inflammatory diseases
- Suffers cervical or vaginal infections, and endometrial cancer.
Risks & recovery after Endometrial Ablation Treatment:
Endometrial ablation is the most simple and most successful way of treating the abnormal bleeding condition provided the conditions are met. Only in very rare cases do women experience side effects chills, fever, trouble peeing, mild cramps, and strong-smelling fluid discharge – temporarily.
On average it takes 2 days for recovery after the Endometrial Ablation treatment with the right pain relief medication.
After the treatment, the woman is advised to regularly use birth control such as tubal ligation or IUI device without which one suffers risk of pregnancy or miscarriage and maternal risk. The gynaecologist must be consulted regarding the exercise regimen, sexual practices and usage of tampons post-surgery. If you are in Mumbai and are looking for more information about Endometrial Ablation, Dr Neelima Mantri is one of the best endometrial ablation doctors in Mumbai who can help you. Contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jul 21, 2022 | Blog, Female Gynaecologist
Pregnancy, as we all know is the most challenging journey a woman gets to experience in her life. The sheer amount of physical and mental changes bring on a lot of new problems in due course. The back pains, cramps, heart burns, indigestion and the list go on and on. Of all the problems, the final act of hard labour is the most aggravating of the lot.
Fortunately, there are pelvic floor exercises that can also help you give shorter labour and also accelerate your post-birth recovery. Millions of women all around the world work have benefitted by ingesting them into their daily routine. With the input of the best gynaecologist in Mumbai Dr Neelima Mantri, we give a short intro to these pelvic exercises in this blog here. Read on to know:
What is the Pelvic Floor?
This Pelvic Floor is a group of muscles that bind together to form a base hammock that supports your internal organs: The Bladder, Uterus, Rectum and Vagina (in the case of women). This Pelvic floor is responsible for your Pee and Poo and importantly controls their outflow.
Needless to say, this Pelvic Floor also plays a huge part in amplifying your sexual pleasure during the Orgasm. But the most important for the moment is its ability to stretch enormously which is of real help in letting the baby out and restoring everything to its normal shape. But the Pregnancy part changes a bit or two in the process. The lack of exercise regimen compounded by the growing weight of your baby in the uterus wreaks these Pelvic Floor Muscles weakening them in due course.
Consequently, these Pelvic Floor muscles are at their weakest when you need them the most!
How to Strengthen your Pelvic Floor?
It takes a lot of strength to push your baby through the Pelvis and you will have to count on your Pelvic Muscles to help you sail through. And all these muscles need a little help from your side to regain their strength for you. And pelvic exercise is how you strengthen them. “They are simple, easier to learn and can be done anywhere. If you decide to stick to one exercise during the pregnancy period, stick to this magic set.” says a lady gynaecologist in Mumbai Dr Neelima Mantri
Namely, there is three type of pelvic floor exercise – Pelvic floor relaxations, Endurance contractions & Quick flick contraction and each of these exercises can be performed anywhere anytime. Just identify the right muscles and perform three sets of pelvic – start slow and be consistent. Our next blog will be dedicated to a depth exercise guide pelvic floor, you can find it here.
However, anything you try during your Pregnancy should be recommended by qualified gynaecologists and health professionals. Dr Neelima Mantri is the best gynaecologist in Mumbai who has helped hundreds of pregnant women simplify their pregnancy journey with expert pre-natal and post-natal care. She can perfectly monitor your health and guide you towards your prenatal journey with the right exercise plan that can help you pelvic strength for a smooth labour. You can contact me here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Women’s sexual health is a topic which is frequently overlooked, even after significant steps have been taken towards raising awareness about various indispositions through web series, articles, podcasts, and what not. There are various menstrual issues which are still considered to be a taboo subject when it comes to discussing them in public, many due to religious aspects. India is one of those many countries who needs to generalize talking about various sexual health issues out in the open.
The Symptoms and Effects of Bicornuate Uterus on Pregnancy
Conditions like PCOS (polycystic ovarian syndrome) are more common than it seems especially for women in their child-bearing age. Women suffering from PCOS have high levels of androgens, they may not ovulate and have the presence of small cysts in their ovaries which may lead to infertility and obesity. Other conditions often seen are Amenorrhea or absence of menstruation, and some lesser-known conditions such as Bicornuate Uterus.
Many female gynaecologists have not only treated women suffering due to bicornuate uterus but also experienced it themselves and hence know what they’re dealing with. A Bicornuate Uterus is a heart shaped uterus due to a rare, congenital condition caused due to incomplete fusion of Mullerian ducts during earlier stages of embryogenesis, which results in two hollow uterus cavities instead of one.
Yes, although it is possible to carry out a full-term pregnancy with a bicornuate uterus but it comes with a very high-risk pregnancy, accompanied by miscarriages, infertility (due to lack of implantation) and birthing complications (lack of space for the foetus to grow), and also preterm labour.
The primary function of the uterus is to maintain gestation (the period of carrying a child in the womb) it expands to accommodate a growing baby during pregnancy. In case of a Bicornuate uterus, the top of the uterus, also known as fundus, is separated by an isthmus which hinders complete expansion of the uterus leading to a high-risk pregnancy.
region), painful menstruation, frequent miscarriages (usually more than 3) and dyspareunia, which is pain experienced during intercourse. As already mentioned, the bicornuate uterus is a congenital condition, which means you’re born with it. Having a bicornuate uterus is not a bad or a dangerous condition; it is observed in less than 5% of the people assigned as women at birth.
Final Overview
There is no other method of treatment for bicornuate uterus except for surgery by an experienced obstetrician/ gynaecologist (OB/GYN). One of the best obstetricians in India is Dr. Neelima Mantri. Surgery to correct a bicornuate uterus is recommended for ease in conceiving (as it provides an obstruction-free pathway for the sperm to easily reach the egg for fertilization), a smooth pregnancy without any miscarriages or future complications.
Dr Neelima Mantri is an MS-Obstetrics and Gynecology, MBBS, FMAS, FACAS and a laparoscopic surgeon with 14 years of experience.
To avail more information, feel free to contact Dr Neelima Mantri on the website who is one of the best obstetricians in Mumbai and will guide and support you through your birthing journey with ease and comfort. Book your appointment today!
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Women’s bodies are home to new lives and roller-coaster rides for all dancing hormones. Throughout their life, a woman’s body goes through lots of changes, which directly or indirectly affect her libido and sexual pleasure.
One of the most drastic events for the body and psyche is being pregnant, carrying the life for nine months, delivering the same life, and the tornado of emotions with all the stress of being a mum takes a toll on the woman’s body. In this progressive era, the aftermath of delivery is still overshadowed by the ‘happiness of being a mum’.
The concept of ‘VAGINAL LAXITY’, is experienced by all the new mothers after delivering their babies. Vaginal laxity, which is commonly abbreviated as VL is caused mostly due to pregnancy and vaginal birth, it is generally associated with vaginal looseness which leads to the loss of sensation in the vagina during intercourse or causes obstacles to healthy and satisfactory sexual relationships.
Understanding Vaginal Laxity
Vaginal laxity is as common as mass love for pizzas, but the catch here is love for pizzas is well known and well talked about, and on the other hand vaginal laxity is an underlying issue that is common among the world of new bee mums, however not talked about. Despite how common it is, females still are shy about VL. Instead of consulting the ob-gyn, most females choose to suffer from this dense condition in silence.
The walls of the vagina are made up of fibrous materials and collagen which is firmly responsible for the elasticity, flexibility, and strength of the pelvic floor. While delivering the baby, the process puts immense stress on the vaginal walls, all the contractions, pushing, and delivering the whole baby make the vaginal walls tired and drained out. This stress results in the loss of sensation down there.
Causes and Effects of Vaginal Laxity
Vaginal Laxity is commonly associated with childbirth, Vaginal laxity can be the result of aging and menopause, weight fluctuations, and other underlying reasons.
- Vaginal birth of a child.
- Decreased estrogen levels due to menopause.
- Natural aging.
- Genetics, responsible for the structure of the vagina.
Vaginal laxity doesn’t only affect the horizons of sexual pleasures, but it also ruins the self-esteem of women and does have the capability of building up frustration. Sexual relationships can be an integral part of a marriage, and it might lead to major obstacles during intercourse. Insufficient lubrication may lead to painful sex, decreased sexual satisfaction, loss of confidence, and leads to severe self-esteem issues.
Treatments for Vaginal Laxity
Kegel Exercises
Mild vaginal laxity can be treated with Kegel exercises. Kegel exercises are specifically designed for strengthening the pelvic floor. Kegel exercises can help to reduce the looseness of the vagina after childbirth. Unfortunately, kegel exercises are not capable of dealing with the actual and heightened form of vaginal laxity the reason being they don’t address and focus on vaginal tissues.
Vaginoplasty Surgery and Vaginal Rejuvenation
Vaginoplasty surgery is a surgical procedure that focuses on tightening the vaginal muscles and considering the rebuilding of vaginal walls. The end result of vaginoplasty surgery is the tighten vaginal walls which enhances the sensation in vaginal areas.
Vagina; Rejuvenation is the laser procedure that subtly ablates the weakened vaginal muscles promoting the growth of natural fibrin and collagen production. This is a perfect option for women looking for effective results and wishes to avoid the horrors of vaginoplasty surgeries.
Finding the correct ob-gyn is a major concern these days, as thousands of budding doctors are establishing their foot in the medical industry. Dr. Neelima Mantri, with formal training from South Korea and 14+ years of experience. Dr. Neelima Mantri is the best Obstetrician and Gynecologist in Mumbai. With her experience and professional training, Dr. Mantri has established her name in India and is one of the best Gynecologists in Mumbai.
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Round ligament pain is sharp or cramping-like pain that is experienced most likely during her second trimester. The pain can jab on one side or both side of the abdomen and usually springs up when you (pregnant women) sneeze, laughs or changes sleeping positions.
Round ligament pain is not harmful to the health of you are your baby. It is considered normal in pregnancy and is often experienced by 30% of women worldwide. However since its symptoms coincide with other health problems during pregnancy, pregnant women can ignore them assuming round ligament pain.
So it is important to know about round ligaments beforehand to better avoid stress beforehand. So with the input of one of the top 10 gynaecologists in Mumbai, Dr Neelima Mantri we give you a brief introduction to round ligament pain in this blog here by answering a few frequently asked questions. Read on.
What Causes Round Ligament Pain?
The human pelvis consists of two specific ligaments that are located around the uterus. These ligaments stretch out and thicken to accommodate and support this growing uterus during pregnancy. This sudden change may once in a while prod mild spasms that are harmless. However, when the body is acutely stressed while changing sleeping position, coughing or sneezing, these ligaments can get hurt, causing a sharp jabbing-like pain – the round ligament pain.
When Does Round Ligament Pain Start?
Round ligament pain in most cases starts around the second trimester of the pregnancy (weeks 13-28). But one cannot rule out its incidence in early or later part of pregnancy too
How Long Does Round Ligament Pain Last?
“Round ligament pain is temporary and intermittent that goes away on its own. However, it can be difficult to measure how long it can last. It can go away in seconds, linger for a few minutes, or hours” says top lady gynaecologist in Mumbai Dr Neelima Mantri.
How is Round Ligament Pain Different from Abdominal Pain?
As discussed at the start of the blog, the pain associated with round ligament pain is also identical to abdominal pain which is the precursor of serious pregnancy conditions like placental abruption, severe preeclampsia, preterm labour or even appendicitis. While round ligament pain goes away quickly the pain associated with the above condition may continue to linger. One should consult a gynaecologist or obstetrician in Mumbai as soon as possible if the following symptoms show up:
- Severe cramping or pain.
- Contractions (more than 4 in an hour)
- Pressure on the pelvic area.
- Persistent lower back pain
Relief for round ligament pain during pregnancy:
If you ever experience round ligament pain, stop whatever you are doing, sit back and rest in a comfortable position”, says a lady gynaecologist in Mumbai, Dr Neelima Mantri. In addition to this, she suggests proper body mechanics (posture & avoiding unnatural movements), light massage, application of warmth on the site of pain and maternity support garments for round ligament pain relief during pregnancy. For more information, you can contact her here.
by Dr Neelima Mantri | May 20, 2022 | Blog, Female Gynaecologist
The process that occurs during the 40 weeks prior to the child birth is called prenatal development. It is divided in 3 trimesters and does not correspond with the stages. The first trimester ends when the embryo comes to an end, the second trimester ends on the 20th week and the third trimester ends when the child is born.
Prenatal development is the development of the child inside the mother’s womb. The child does not just come out of the mother’s womb, it goes through stages of change and development. This stage of development is referred to as prenatal development. There are three major stages in the prenatal development:
1. Germinal stage
The germinal stage occurs from the time of conception until 2 weeks. The conception occurs when the sperm fertilizes an egg to form a zygote. In the first week after conception, the zygote begins to divide and multiply from one cell structure to two cell structures and so on.
This cell division process is called mitosis. Five days after the mitosis 100 cells are built up and later million cells are built up after 9 months. These cells get specialized and divided into the different organs of the body. During this stage the cells necessary for umbilical cord, placenta and amniotic fluid are differentiated to form the embryo.
2. Embryonic stage
This is the second stage of prenatal development. This occurs from the 3rd week of pregnancy till the 8th week of the pregnancy. During this period the major organs and body systems develop. The heart also gets developed and starts to beat.
The amniotic sac is formed. The sac filled with amniotic fluid forms around the embryo in the uterus. Then, the placenta is formed. The role of the placenta is that it absorbs oxygen and nourishment from the mother to give to the baby. The umbilical cord is also formed at this stage.
This cord is a long tube that connects the placenta and the baby. It carries nourishment to the baby and the wastes away to the placenta and then the mother’s blood stream.
3. Fetal stage
This stage occurs from the 9th week of pregnancy. From the 9th week to the 15th week the reproductive organs are formed, the tooth buds appear, the eyelids form and the fetus is very active. The brain activity of the baby can also be detected by this time. From the 16th to 26h week, the brain develops rapidly and alveoli forms in the lungs.
The internal parts of the eyes and ears begin to form. The eyebrows, eyelashes and nails start to appear and the muscles develop. From the 27th week to the 38th week, the child’s body fat increases rapidly and bones also complete their development. The head hair gets coarser and thicker. The brain of the child is also seen to be continuously active.
Final Overview
Pregnancy can be a very complicated process especially if the pregnancy is a first. The best gynecologist in Mumbai offers you the best explanation and things to do when someone is pregnant and needs the proper guidance.
Some of the top gynecologists in Mumbai have their own clinic or consultancies that offer the best advice and thoroughly explain the things to do and not to do when a woman is pregnant. They work with the aim of educating and making birth giving an easy experience.
Dr. Neelima Mantri is the best lady gynecologist in Mumbai. Her qualifications include MS-Obstetrics & Gynaecology, MBBS, FMAS AND FACS. She focuses on obstetric, general gynaecology. She offers the best remedies and helps in understanding the whole process of gynecology.
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