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.
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
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