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.
by Dr Neelima Mantri | Apr 26, 2022 | Blog, Female Gynaecologist
A gynecologist is a medical healthcare professional, educated and trained to practice in case of medical conditions related to gynecology. They diagnose and treat gynecological conditions and also advise couples planning a baby or matters relating to pregnancy, fertility, birth control, and childbirth.
All women have to see a gynecologist at some point of time in their life. Apart from matters relating to childbirth and pregnancy, a gynecologist also assists women dealing with several health issues. These issues include but are not limited to menstrual cycles, irregular periods, heavy menstrual bleeding, spotting in between periods, no periods, vaginal pain, infections, STDs, and confusion regarding safe and unsafe ways of sexual intercourse.
A gynecologist is a person who understands the female reproductive and gynecological health and in case of difficulties, they provide the needed help.
A lot of women find themselves struggling with period-related problems. While some women experience irregular periods, some struggle with excessive or heavy menstrual bleeding.
Both, irregular and heavy bleeding causes great discomfort to women but heavy bleeding can be more disturbing since it can get in the way of normal day-to-day activities for women. Heavy menstrual bleeding also leads to blood loss, making women feel weak and irritable.
Is heavy menstrual bleeding normal?
No two women experience the same kind of periods. Every woman’s menstrual flow is different but there is a threshold to define “normal” and “abnormal”. Though it is not possible to measure the blood loss, if your heavy bleeding is affecting your day-to-day activities then it is considered not normal.
Wearing a sanitary napkin for too long can lead to rashes, skin irritation, and infections. To avoid this, women are advised to change their pads every 7-8 hours. If your pad is completely wet, you should change it as soon as possible to avoid leakage and staining. A pad normally takes around 6-7 hours to get soaked completely.
But if you need to change your pad too many times, let us say, 8-9 times a day, then it is indicative of heavy bleeding.
The Best gynecologist in Mumbai suggests seeking medical help soon if you are experiencing problems related to menstrual bleeding.
When should you consult a gynecologist in Mumbai?
You should immediately consult a gynecologist if you are experiencing one or more of the symptoms mentioned below.
- Frequent and recurring periods- if your periods are back before time, it is time to consult a gynecologist.
- Spotting in between periods- some women experience spotting in between two cycles. Sometimes, spotting can be a result of some contraceptive methods and it is normal in that case. But if you are not taking any contraceptives and experience frequent spotting, consult a gynecologist.
- Abnormally heavy bleeding- if you are experiencing abnormally heavy bleeding, heavy enough to disrupt your day-to-day activities then it is time to consult a gynecologist.
The Best lady gynecologist in Mumbai examines your body and conditions of illness and suggests precautionary as well as preventive measures accordingly. Heavy bleeding and periods problems can be caused by many factors like genetics, hormonal imbalances, lifestyle causes, eating habits, and contraceptive methods. A gynecologist will help you deal with your problems effectively.
Dr. Neelima Mantri is the best gynecologist in Mumbai. She is well qualified and experienced and her non-judgmental attitude helps patients discuss their problems freely with her.
by Dr Neelima Mantri | Apr 19, 2022 | Blog, Female Gynaecologist
Vulval Intraepithelial Neoplasia is a skin disorder that affects the vulva (outer part of the vagina). Vulval Intraepithelial Neoplasia is a precancerous condition i.e. it is no cancer but can potentially develop into Vulval Cancer when left untreated.
What exactly causes Vulval Intraepithelial Neoplasia and how does this regular skin disorder of the vagina leads to cancer? To know answers we take help from the top gynaecologist in India Dr Neelima Mantri in this blog. Read on to know:
Relation between Cancer & Vulval Intraepithelial Neoplasia:
Cancer happens when the cells of certain body organs rapidly divide to form lump tissue. Vulval Intraepithelial Neoplasia is a vulva skin disorder where certain changes happen to the skin cells that rapidly divide into the lines of cancer. These abnormal cells thus formed sometimes go away on their own or over the course of time (10 years) cause cancer.
To summarise – Vulval Intraepithelial Neoplasia is not vulva cancer, in a few cases it over time can develop into one. So it sure is a high-risk factor for Vulval Cancer.
What Causes Vulval Intraepithelial Neoplasia?
The exact cause of Vulval Intraepithelial Neoplasia is not known but there are certain risk factors that increase the risk of contracting VIN, they are:
HPV virus: There are more than 100 strains and types 16 & 18 associated with VIN. It is a common infection and is passed on by sexual intercourse.
Weak immune system: The viruses like HPV are usually cleared by the system unless the patients’ immune system is weak. This can happen with bad lifestyle choices (smoking and alcohol consumption) or medications that may weaken the immune system.
Other vulval disorders: Vulval lichen sclerosus (VLS) or lichen planus (VLP) are some of the conditions that may further increase the risk of contracting VIN.
Symptoms of Vulval Intraepithelial Neoplasia:
“In few cases, Vulval Intraepithelial Neoplasia (VIN) does not cause any symptoms and it is identified during routine examination or tests during any other health problems”, says gynaecologist & laparoscopic surgeon in Mumbai Dr Neelima Mantri. In other cases, VIN can cause the following symptoms:
- Itching or burning sensation at the vulva that may worsen when peeing.
- Pain or soreness in vulva
- Pain during sex
- Red, white or dark patched vulva skin
- Thickened or warty skin on the vulva.
“A most of the above symptoms are too personal to disclose, women usually feel embarrassed to discuss and wait until they subside which is a mistake”, says gynaecologist Dr Neelima Mantri. Though VIN may take years to progress, the patients may not know or ignore it over time which may further increase the risk of cancer without their awareness. So it is always important to consult a gynaecologist at the first sign of problems with these sensitive organs.
Treatment for Vulval Intraepithelial Neoplasia in Mumbai:
Treatment for VIN depends on the extent, severity of the infection & symptoms of VIN. Mild VIN can be treated by regular medical check-ups by a gynaecologist in Mumbai.
While in a few cases medications creams like Imiquimod & Cidofovir are used, others may need Ablation and surgery for VIN. Only a gynaecologist can decide the treatment opti
on after thoroughly monitoring the condition.
If you are in Mumbai and are looking for treatment in Mumbai, Dr Neelima Mantri is the top gynaecologist in Mumbai with expertise and experience in the treatment of Vulval Intraepithelial Neoplasia. You can Mail her here: info@drneelimamantri.com
by Dr Neelima Mantri | Mar 22, 2022 | Blog, Female Gynaecologist
In the case of some women, the vagina subconsciously or persistently contracts when engaging in vaginal penetration. Such contractions make coitus extremely difficult and very painful in some cases. Vaginismus doesn’t affect or interfere with a woman’s sexual arousal, it only hiders the process of vaginal penetration. Such disorders affect your mental and physical health and could also affect your relationships, it’s best to consult a gynecologist.
Types of Vaginismus:
There are two classifications of vaginismus, known as primary vaginismus and secondary vaginismus.
- Primary vaginismus: this refers to such a condition where vaginal penetration has never been achieved.
- Secondary vaginismus: referring to such a condition where vaginal penetration was achieved in the past but is no longer viable because of pain or other reasons.
In the case of women who are over their menopause, vaginismus can be seen very often as a lack of vaginal lubrication causes pain and duress when subjected to vaginal intercourse. In cases of extreme pain, it is advised to consult with a gynecologist and obstetrician.
Causes of Vaginismus
There are no set causes for vaginismus to occur, the condition is often linked to reasons such as:
- A history of trauma and sexual abuse in the patient
- Painful acts of intercourse in the past
- Emotional damage and rooted trauma
It is fairly common for some cases of vaginismus to have no clear reasons. For the doctor to make a diagnosis you will need to undergo some basic tests and will have to share the details of past sexual encounters and medical history.
Symptoms of Vaginismus:
Involuntary contraction of the vaginal tissue is the primary cause of vaginismus in females around the globe. The severity of the condition would differ from patient to patient. Moreover, the contraction of the vagina in all such cases makes intercourse extremely painful and stressful. Vaginismus cannot be voluntarily solved by the patient; the patient loses control over the contraction ability of their vaginas which leads to the condition.
Females diagnosed with vaginismus often complain about a stinging pain or a burning sensation when any object is inserted into the vagina. Other reasons such as mental fear of vaginal intercourse or decreased libido related to penetration are also the underlying conditions that lead to the condition developing in women.
It’s not necessary for women with vaginismus to not engage in sexual activities. Sexual pleasure can still be achieved and craved for while having vaginismus. Oral sex, masturbation, and massages are the ways through which orgasms can be achieved without engaging in vaginal penetration.
Final Overview
Dr Neelima Mantri is often regarded as one of the best gynecologist surgeons in India. With over a decade’s worth of experience under her belt, she is an extremely experienced and trained medical professional.
If you are suffering from vaginismus or haven’t been diagnosed yet but feel extreme pain while engaging in sexual activities. Book an appointment with the doctor who is appraised as one of the best female gynecologists in Mumbai. Early diagnosis and treatment can help alleviate your condition without complications.
by Dr Neelima Mantri | Feb 18, 2022 | Blog, Female Gynaecologist
In a normal pregnancy, days before the delivery, the baby turns upside down, ready for delivery with his head towards the birth canal. But when the opposite is seen where the feet of the baby are towards the birth canal, it is the case of a breech baby, resulting in a breech delivery. Breech delivery has its complications for both the baby and the mother.
There are different kinds of breech pregnancies depending on the position of the baby in the womb, namely, footling breech, complete breech and frank breech. But in all three cases, the baby’s head is away from the birth canal while the feet are nearer to it.
Causes of breech pregnancies
Doctors have still not found the exact causes that result in breeching of the baby but APA (American Pregnancy Association) has mentioned a few reasons which can result in breech pregnancies. And many top gynaecologists have also approved the following causes.
- The amount of amniotic fluid greatly influences the movement of the baby. Either there can be more fluid or less than it is in normal pregnancy. In either case, the baby has got a lot of movement facilities or has got no such facility at all.
- The shape of the uterus also determines the position of the baby inside the uterus. A normal uterus is inverted pear-shaped. Any diversion from the normal shape leads to breech pregnancy.
- If the woman has had the premature end of the gestation period (pregnancy).
- Also, a case of multiple pregnancies can lead to the breech baby being born.
Complications
Breech pregnancy can result in severe complications both to the mother and the baby.
- There can be issues faced during delivery as the baby might get stuck between the birth canal
- Increased risk of lesser oxygen supply via the umbilical cord, as it might get automatically cut-off at the time of delivery
- A child has very delicate and soft bones at the time of birth. Breech delivery might result in breaking or further weakening of bones of the baby.
- Lack of oxygen via the twisted or flattened umbilical cord might result in nerve or brain damage of the baby.
These were the major complications that can be faced due to breech pregnancies.
Is turning possible in breech pregnancy?
In the case of breech pregnancy, gynaecologists usually recommend the cesarean birth of the baby. But if the mother wants to go with vaginal birth then, there are methods through which the baby can be turned upside down inside the womb. Essential oils are used to simulate the turning of the baby. Women also try some common home remedies for turning the baby like standing on their hands, etc.
Final Overview
However, since breech pregnancies come with fatal dangers it is better to consult with a good gynaecologist. Dr Neelima Mantri is the best female gynaecologist in Mumbai. You can contact her and follow her advice to keep the mother as well as the baby safe.
She has been a saviour to hundreds of couples and helped them to give safe births in case of a breech pregnancy. She’s the top gynaecologist in Mumbai. You can also reach out to her if you’re experiencing multiple pregnancies, or any other issue is coming in between your child’s safe birth. To keep the mother and child safe is her topmost priority.
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