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.
by Dr Neelima Mantri | Jan 27, 2022 | Blog, Female Gynaecologist
The precancerous condition in which there is abnormal cell growth on the surface lining of the cervix, opening between the uterus and on the vagina is referred to as cervical dysplasia. Even though women below thirty years of age are most prone to this condition, it can affect women belonging to any age group. Getting a routine test from your gynecologist specialist helps diagnose it at the right time.
Causes of Cervical Dysplasia
One of the most common causes of cervical dysplasia is the human papillomavirus (HPV) in cervical cells. While the immunity system of most people is efficient enough to get rid of such a virus, the infection can still manage to survive in a few cases.
HPV is most commonly transmitted from one person to another sexually. This includes vaginal, anal, and oral intercourse. Even though it is primarily a sexually transmitted virus, it is also capable to spread by contact with the skin.
Treating Cervical Dysplasia
Just as in the case of any medical condition, the treatment options for cervical dysplasia also depend on the severity of the condition. For instance:
- Mild cervical dysplasia: in most cases, the treatment of mild cervical dysplasia only consists of continuous pap tests and close monitoring of the infection growth. In the case of women belonging to the older age group, no clinical treatment is recommended unless there happens to be some medical complications.
- Moderate to severe: women suffering from a moderate to severe level of cervical dysplasia should consider one of the many treatment options available to them. One of the most common treatments for such cases is the removal of excessive cells to prevent cervical cancer.
If a woman is suffering from mild cervical dysplasia for more than about two years, they should consider getting it treated too. Few treatment options offered to women by any famous gynecologist seeking treatment for cervical dysplasia are:
- Cone biopsy
- LEEP
- Cryosurgery
- Electrocauterization
- Laser surgery
Preventing Cervical Dysplasia
Even though the treatment options do exist in the case of conditions such as cervical dysplasia, one should always take preventive steps so that the condition does not exist in the first place. Hence, here are a few preventive steps to avoid having this condition as suggested by the leading female gynecology specialist reports:
> Indulge into safe sex practices, like ensuring the use of condoms
> Quit smoking, as it weakens the immunity system
> Get vaccinated
Conclusion
The worst part about suffering from cervical dysplasia is that no visible symptoms are indicating its presence. It is often diagnosed while getting a routine pap test. Women who get the diagnosis in the early stages of cervical dysplasia end up recovering soon. When the diagnosis and treatment are not done in the right time frame, this condition tends to turn into cervical cancer.
Hence, it is always advised to visit the gynecologist at regular intervals to avoid this issue altogether. Dr Neelima Mantri is the most well-known and reputed lady gynecologist in Mumbai, and one should consider booking timely appointments with her. Her warm guidance and expert skills make her one of the best specialists in her field, and hence is a go-to option for most women.
by Dr Neelima Mantri | Oct 27, 2021 | Blog, Female Gynaecologist
The prolapse of the small intestine i.e. descending of the small intestine into the lower pelvic cavity causing a vaginal bulge is called an Enterocele. On average 4% of women suffer this pelvic organ prolapse at some point in time, this risk increases in post-menopausal women.
What causes Enterocele in women?
The pelvic floor acts as a sac to support the pelvic organs – bowels, uterus and vagina with the help of the ligaments and muscles. When these ligaments and muscles weaken, the chances of organ prolapse increases significantly and over time the organs slip into the pelvic area.
Enterocele is the condition where the small intestine due to lack of support begins to descend, presses against the upper vagina causing a vaginal bulge.
Who are at risk of Enterocele?
As the strength of pelvic muscles is strongly linked with estrogen levels in women, the risk of organ prolapse increases in women as their estrogen levels decline. So post–menopausal women above age 60 suffer a greater risk of Enterocele.
But that is not all – the risk of Enterocele is high among women with certain medical conditions like bronchitis, asthma, Ehlers-Danlos syndrome or even for women who have undergone radiation therapy. In rare cases lifting heavy items, obesity, constipation or hysterectomy may also lead to this condition, says Dr Neelima Mantri a top gynaecologist in Mumbai.
How to identify the Enterocele in women?
A vaginal bulge is the most common symptom of Enterocele. But not every woman experience symptoms when it comes to Enterocele but when they do, they can be any one of the following:
- Urinary incontinence, pooping difficulties.
- Feeling pain during sex or during prolonged physical activity.
- Pressure in the pelvic area for no apparent reason.
- Pain in the lower back that subsides in sleeping posture.
Diagnosis and Treatment for Enterocele in Mumbai:
Enterocele is diagnosed by a gynaecologist in Mumbai using a pelvic exam. The bulge can be felt by hand during a press or cough. Cystoscopy, urodynamic tests and other imaging tests are performed to identify the severity of the condition.
Enterocele is usually treated by a gynaecologist in Mumbai using non-surgical treatment procedures like pessary where silicone or rubber device is inserted into the vagina to support the pelvic floor for the time being. Pelvic floor exercises are also suggested to strengthen the pelvic floor in women. Surgery as always is the last resort in treatment for Enterocele where the small intestine is out back into its place by repairing the tissues.
Fortunately the risk of Enterocele can be reduced by strengthening the pelvic floor muscles and adopting a healthy lifestyle with a high fibre diet. If you are looking for more information on Enterocele treatment in Mumbai, Dr Neelima Mantri is the best gynaecologist in Mumbai who helped hundreds of women get rid of this condition using both surgical and non-surgical treatment options. You can contact her here: +91 7045115577
by Dr Neelima Mantri | Oct 26, 2021 | Blog, Female Gynaecologist
The uterine septum is a frequent but undetected cause for female infertility and recurrent miscarriages; this is a condition where the uterus is divided in half and acts as an obstacle in successfully conceiving a baby.
Why is uterine septum surgery advised?
During the initial stages of growth, two separate uteri come together and this leads to the formation of a female triangular-shaped uterus, but in the case of the uterine septum, the tissue between them also known as Mullerian tissue, is unable to reabsorb, so the rest of the tissue has to be removed. Along with this, any other tissue that acts as a hindrance has to be removed in uterine septum surgery.
What is the goal of the surgery?
Uterine septum problems can cause issues related to menstruation, so doctors recommend surgery to correct symptoms of this abnormality. Uses of sanitary pads and tampons become easier after surgery and provide relief in menstrual pain.
They don’t lead to any sort of health issues in women and some cases there might be no requirement for treatment but they can lead to future problems related to infertility in a few women. Other issues could be premature labour, recurrent pregnancy loss and miscarriages.
In which cases is uterine septum surgery effective?
Septate uterus– this is a septum that leads to two halves of the uterus. Surgery is performed to increase the space inside which makes it possible to implant a fertilized egg and conceive a child. This increases the chance of fertility for many patients.
Vaginal septum– this problem can be solved because surgery helps in easy delivery of children and convenience in using tampons during menstrual periods.
Another uterine septum- there is an option to conduct surgery in case of the bicornuate or unicornuate uterus but this is usually not recommended. It is a very harsh form and could lead to a scar in the uterine tissue and might lead to an increase in fertility issues instead of acting as a solution.
Recovery after completion of uterine septum surgery
Surgery in different cases depends upon each patient’s symptoms and severity of pain. So based on that, you will be able to return to normal life and routine within 1-2 days following the surgery and a full recovery is possible within the span of 2 to 4 weeks.
You might have to face certain problems regarding abdominal pain after completion of uterine surgery and in case of vagina surgery, you could face vaginal pain. It is difficult to sit down comfortably and conveniently for a few days, but it does get normal with time. If that is not happening, do not avoid it and consider it to be mild.
In some cases, there might be visibility of spots in the area of surgery. You can use a cotton pad to absorb any discharge or blood. Try to avoid the usage of tampons and start using them only once the doctor recommends. If you are facing symptoms such as nausea, tiredness, vomiting and infections in the area of surgery, consult your doctor without any further delay.
Dr Neelima Mantri is the best doctor for uterine septum surgery in Mumbai who has been trained in high risk obstetrics, normal gynaecology and laparoscopy. She can help you with all stages before and after pregnancy and any further issues related to fertility. She offers uterine septum treatment in Mumbai and has been trusted for the same by many patients.
by Dr Neelima Mantri | Sep 9, 2021 | Blog, Female Gynaecologist
Labour can be very painful, unbearable even, for some mothers. So, if you are thinking of getting an epidural to help you cope with the intense pain, then you are not alone. Observations have shown that more than 60% of women delivering in hospitals opt for an epidural during labour and delivery.
Understanding the concept of Epidural?
An epidural is an anaesthetic that numbs the body making it unable to feel any sort of sensation or pain.
How Does It Work?
This anaesthetic is injected into the space around the spinal nerves called the epidural space in your lower back by an anesthesiologist via a catheter. The process of numbing begins within 10 to 30 minutes.
The catheter remains in the epidural space during labour and delivery to continually provide the medication when needed.
Epidurals eliminate the pain from labour contractions as well as during birth quite effectively. Therefore, with this anaesthetic, birthing is made less painful.
Types Of Epidurals
While experiencing labour pains, you may be offered different types of epidurals. You must know which type you prefer.
1.Epidural Block
This type of epidural is an amalgamation of analgesics along with anaesthetics. It is considered to be common which usually surfaces during childbirth. The block is injected through a catheter present in the lower back region and the mother soon gets relief from the pain while being alert at the same time. This allows the mother to exert pressure and push harder when there is a need for it.
1. Spinal Block
The block is injected into the spinal cord which holds the fluid. It begins to take action quickly and lasts for around 60 minutes or so. This type of anaesthetic is given usually at the time of C-section deliveries.
1.Combined Spinal-epidural [CSE]
As the name suggests, a CSE is a combination of both the epidural and the spinal block and offers pain relief for as long as one requires.
The Pros And Cons Of Epidural During Pregnancy
Pros: Considered as the safest method of controlling pain
It relieves you from intense pain.
It gives you rest.
It keeps you alert and aware of the birthing process.
It is effective for long surgical procedures such as C-sections.
The drugs injected remain in the epidural space and do not enter the bloodstream. This means that it does not reach your baby.
Cons:
It may cause sudden low blood pressure.
It can make pushing more difficult leading to the intervention of forceps, vacuum, or C-section.
It may increase the possibility of perineal tear.
It might slow down the second stage of labour.
You may experience some side effects such as nausea, shivering, fever, and itchiness.
The epidural space where the catheter is inserted may begin to feel sore leading to back pains.
You must discuss labour pains and ways to manage them with a pregnancy specialist doctor or midwife before rushing into getting epidurals.
Dr Neelima Mantri is the best gynaecologist in Mumbai for high-risk pregnancies with over a decade of experience in gynaecology and obstetrics. With the title of the best doctor for pregnancy, she has dealt with many challenging cases regarding her field of expertise and has outshined these challenges with confidence and success making her the ideal pregnancy doctor in India.
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