by Dr Neelima Mantri | May 18, 2021 | Blog, Female Gynaecologist
In normal pregnancy, the fertilization of egg and sperm occurs in the fallopian tube which then travels to the womb where the baby starts growing. But in the case of ectopic pregnancy, the situation is a bit complicated. The fertilized egg doesn’t grow in the womb rather settles and grows in the cervix, ovary, or tube and sometimes in the abdomen.
Though this case happens rarely, it is a severe problem that can be fatal for the mother. This is why precautions should be taken. Let us first learn about the symptoms of this critical pregnancy.
Below are mentioned some symptoms of ectopic pregnancy.
- > The very first symptom is vaginal bleeding and bleeding inside the tummy.
- > The patient may suffer from severe pain in the stomach.
- > Symptoms like nausea and puking are very common in this case.
- > The patients may suffer from extreme pain in the shoulder tips that can be a result of blood in the abdomen.
- > The patient may feel uncomfortable and irritated while peeing and pooping.
- > Due to excessive bleeding, there is a chance of fainting and collapsing.
The normal pregnancy symptoms are also shown in this critical pregnancy. However, if the abdominal pain, vaginal bleeding, shoulder pain, and fainting become severe, you must consult the best female gynae to diagnose for ectopic pregnancy.
The diagnosis involves transvaginal sonography after 4-5 weeks of the last menstruation to see if the fertilized egg is growing in the womb or not. A blood test for the hormone HCG can be done as well to see if it doubles in 48 hours or not. If not, then this is a possible case of ectopic pregnancy.
The Treatments
Several treatment options are suggested to the patients according to their physical condition, the severity of pregnancy, and weeks of pregnancy.
- Methotrexate injection– This is a primary treatment where methotrexate is pushed into the patient only if her health condition is stable. Also, it is only for the primary stage of pregnancy. It stops the growth of pregnancy cells. After taking the injection, you can’t breastfeed.
- Surgery– Laparoscopic surgery can be done in the case of ectopic pregnancy. It involves either removing or repairing the tube. The decision would depend on the condition of the patient. If the case is serious (heavy bleeding), doctors suggest open surgery to remove ectopic tissues. You may require a blood transfusion if the bleeding is severe.
The Causes
There are various reasons behind ectopic pregnancy. The best female gynae suggests the possible causes below.
- Many hormonal disorders can be the reason.
- Any infection or inflammation in the fallopian tube can be a cause.
- Smoking may cause this condition.
- Fertility drugs and treatments can also result in ectopic pregnancy.
- Sexually transmitted infection may cause this condition.
Dr. Neelima Mantri, a successful, renowned, and reputed gynecologist in Mumbai has extensive expertise and experience in this field. She has been treating patients with critical conditions successfully for years including ectopic pregnancy.
Consult Dr Neelima Mantri (+91 70451 15577) to get the best treatment for any gynecological or pregnancy complications.
by Dr Neelima Mantri | May 18, 2021 | Blog, Female Gynaecologist
Cystocele is the fall or prolapse of the bladder into the woman’s vagina from its usual anatomical position. Though all the organs in the pelvic region are put in place by muscles or ligaments, these tissues may weaken over time due to certain factors causing Cystocele.
A bulge in the vagina, urination difficulty, frequent urination, vaginal pain or pressure, painful sexual intercourse, inability to stand or walk a long time, urine leakage during physical activity coughing sneezing are some of the common symptoms suffered by patients who often consult gynaecologist, Dr Neelima Mantri, for Cystocele treatment in Mumbai.
What Causes Cystocele?
Cystocele in general occurs due to the weakening of the wall that separates the bladder and the vagina. This weakening can happen for a variety of reasons which include:
- > Repeated childbirth
- > Heavy weightlifting
- > Excessive weight gain
- > Hormone deficiency
- > Menopause
- > Prior Hysterectomy
- > Chronic constipation
Treatment for Cystocele in Mumbai:
Mild cases of Cystocele are usually treated using conservative treatment options like physical therapy (Kegel exercises), Pessary, dietary changes and laxatives. Cystocele repair in Mumbai using surgery is only recommended in cases where the symptoms of Cystocele begin to reduce significantly interfere with daily life and is the last resort of the Cystocele repair.
Cystocele is graded into stages based on the severity of the descent – stage 4 is when the bladder protrudes through the vagina. Surgical treatment of Cystocele is usually reserved for stage 3 and 4 cases.
Rectocele Repair in Mumbai:
Also called posterior vaginal prolapse, Rectocele is a medical condition where the tissue between the vagina and rectum weakens over time resulting in a vaginal bulge. This bulge may protrude into the back of the vagina as a hernia causing discomfort. While 40% of the Rectocele cases are mild and do not have any noticeable symptoms, the rest may experience the following symptoms.
Symptoms and Causes of Rectocele:
Common symptoms of Rectocele can be rectal and vaginal. While difficulties in bowel movements, especially evacuations is a common rectal symptom of Rectocele, pain during sexual intercourse, vaginal bleeding and tissue protruding out of the vagina are a vaginal symptom of Rectocele.
Rectocele Treatment in Mumbai:
Rectocele is usually diagnosed using physical examination by a gynaecologist in Mumbai. After a complete evaluation, the degree of severity is ascertained and treatment is started if the patient is experiencing significant symptoms. A consistent nutrition regimen with adequate fibre and water intake, pelvic strengthening, following prescribed bowel regimen are some of the non-surgical treatment options recommended for Rectocele.
While there are both surgical and non-surgical treatments available for Rectocele repair in Mumbai, surgical treatments are only recommended for severe cases, according to lady gynaecologist Dr Neelima Mantri. Colorectal surgeons, urogynecologists, gynaecologists are trained to diagnose and provide surgical treatment for Rectocele repair in Mumbai. But there are only a handful of experts with adequate track records and success rate in treating Cystocele and Rectocele in Mumbai, Dr. Neelima Mantri is one of them. If you are looking for Cystocele or Rectocele repair surgery in Mumbai, you can contact here: +91 70451 15577
by Dr Neelima Mantri | Apr 8, 2021 | Blog, Female Gynaecologist
Pregnancy is special and beautiful. But the struggle of bringing a child on the Earth is massive. While family and friends celebrate when they see the baby bump, the mother may suffer from pain and discomfort. During pregnancy, some health difficulties are quite natural yet hard to bear with.
The best gynecologist in India has suggestions for pregnant women who are enduring natural pregnancy problems. The most common side-effect of pregnancy is a pain in various body parts, especially in the back, pelvic area, and hip. Let us look into the advice of the top Gynecologist in Mumbai to cure the common pregnancy problems.
Back pain is a very common problem among most would-be mothers. Therefore, doctors always suggest women strengthening their backs before they try to get pregnant. Regular exercise suffices to keep the back healthy. Yoga, swimming, cycling, walking, and sitting straight can help women to make their backs strong.
As the baby grows in the womb, the body becomes heavier naturally changing the body posture of the mother. This makes the back muscles fatigued. The weight gain also often causes pain and fatigue in the neck and shoulder.
The back pain can be cured by regular massages in the back muscles and usage of a hot-water bag. Also, prenatal yoga and daily mild exercises maintain good back health. Also, sitting straight and maintaining a good posture is necessary.
Wearing heels and lifting heavy weights should be strictly avoided during pregnancy.
Your pelvic bone is most likely to soften during pregnancy due to the weight gain and release of relaxin that exerts pressure on the joints causing pain. You may also suffer from soreness and swelling depending on the position of the baby.
For comfort and relief from pelvic pain, you can take a long warm water bath in a bathtub. The pregnant woman would need to exercise a bit as well for muscle and joint relaxation. Sitting posture has to be comfortable.
In extreme situations, a binder is used to support the pelvic area. If it doesn’t work, a walker is suggested to put up the weight on it instead of the pelvic area.
Pregnant women need to stay careful while using the stairs. Also, carrying heavy weights is strictly prohibited.
The pregnancy hormone relaxin loosens the ligaments that attach the back with the pelvis. This is important for the birthing process but causes hip pain. This happens as the uterus weight is exerted on the flexed joints and bones.
The way out is to keep the body straight while sleeping by putting a pillow on the back and between knees to relax. Yoga and pilates also strengthen joints and muscles. Warm water baths and hot bags help give comfort too.
For expert consultation regarding pregnancy pain and difficulties, you may visit the best lady gynecologist in Mumbai, Dr. Neelima Mantri. She is a veteran gynecologist and can suggest ways to get a healthy and comfortable pregnancy.
by Dr Neelima Mantri | Mar 18, 2021 | Blog, Female Gynaecologist
Babies born before 37th week of pregnancy are medically termed premature babies. On average, 1 in 10 babies born in Mumbai tends to be born prematurely due to a variety of reasons. Premature babies tend to have health problems growing up and a few can even have long-term challenges.
Pregnancy is a challenging journey and a woman planning for pregnancy must beware of all the challenges ahead. At our gynaecology clinic in Mumbai, we help hundreds of pregnant woman get set and prepare for a healthy pregnancy – and premature infants are one of the topics gynaecologists Dr. Neelima Mantri we focuses on thoroughly.
If you are planning for pregnancy too, it is important to be aware of the premature infant situation – its causes, complications and preventions to improve your chances of having a healthy baby. And this blog here we try to give a brief intro into this topic read on:
Premature Baby – Causes:
Premature birth in most cases can happen due to premature rupture of the foetal membrane that initiates early labour resulting in a premature baby. There is no one single cause for premature birth, the causes can include:
- > Abruption of placenta
- > Incompetent cervix which opens before it is tipped to.
- > Infections – untreated vaginal infections, bacterial vaginosis
- > Hormonal changes
Other risk factors can increase the risk of premature birth – a history of prior premature birth, pregnancy with multiple babies, anaemia, weight gain, extreme stress and usage of intoxications.
Premature Baby – Complications:
Symptoms that show-up in a premature baby can vary from baby to baby, some of the common ones include – low weight, troubled breathing, extremely low body fat, lower activity, coordination problems, feeding problems, pale or yellowish skin. The intensity of the symptoms is inversely proportional to the age of the baby – the earlier the baby is born, the more his risk of having medical problems.
In a few cases, the baby can also suffer from the long term which can include – brain or pulmonary haemorrhage, anaemia, pneumonia, neonatal respiratory distress syndrome, patent ductus arteriosus and more.
Treatment for Premature Birth:
In case the premature birth cannot be stooped, there are also premature treatment options available where the baby is immediately treated after birth. The doctors prepare for high-risk birth i.e. the pregnant mother is taken into the neonatal intensive care unit where the babies are treated to support vital organ development up to the stage where they can adequately breastfeed, breath without the support and maintain their body weight, temperature.
However, the risk of premature birth can be significantly decreased by following the premature birth prevention tips below.
How to Prevent Premature Birth – Tips:
Maintaining a healthy weight, completely avoiding smoke, drink, and drugs for an extended period of time before you conceive, reducing stress, getting treatment for current health conditions and more importantly, seeking help from an experienced gynaecologist as you plan your pregnancy can help decrease the risk of premature birth.
So, if you are a woman planning to get pregnant you must consult an expert gynaecologist as soon as possible to get the right support for a healthy pregnancy. If you are in Mumbai are looking for the best lady gynaecologist in Mumbai, you can contact Dr Neelima Mantri call: +917045115577
by Dr Neelima Mantri | Feb 10, 2021 | Blog, Female Gynaecologist
It is quite common for pregnant women to wrestle with their bed as the pregnancy progresses. While it is possible to find a comfortable position, there always lingers this doubt whether it is safe for the baby, which is quite natural. And as the pregnancy progresses the number of comfortable positions is drastically reduced as the body undergoes a slew of physical changes.
Add the physical discomforts caused by the back pain, insomnia, back pain, and other conditions pregnant women usually go through, it becomes a herculean task to find the right sleeping position. If you are pregnant women going through a similar problem, then this blog is for you. Here we suggest the best sleeping positions that can help you sleep better during your pregnancy. So read on:
Avoid the Back:
First things first let us discuss the one sleep position you must avoid, especially in the second half of the pregnancy which is sleeping on the back. We understand it comes naturally and every woman is used to this one here yet it is not so ideal for the pregnant women.
When you sleep on your back i.e. belly-up, the weight of the uterus can shift downwards and can compress the blood vessel which disrupts the flow of blood to the baby leaving you short of breath and dizzy. This position can also interfere with digestion, cause backaches and cause circulation problems, especially if you are in the second half of your pregnancy. If you wake-up in this one, don’t panic but carefully avoid this position. So which positions are best for pregnant women? The next ones are.
The Side Support is Better for Sleep:
Sleeping on your side especially the left side is considered the best for women in second and trimesters of pregnancy. While sleeping on either side left or right helps, the left side is found to be ideal for better blood flow to the baby, increase circulation, better digestion and efficient functioning of kidneys in women, according to research. But how do you make it a habit to sleep on your side if you are so much used to sleep on your back? We got a few tips for you:
- Use pillows to either side to help you sleep on your side and avoid getting back to the back position.
- Getting a wedge-shaped pillow or 5-feet pregnancy pillow can simplify your sleep.
- Use incliners to sleep in an upright position or to take naps to make it even simple.
That said, it is quite normal to experience sleep problems while being pregnant and the problems may get heavier as days go by. By implementing a few strategies you can alleviate your sleep difficulties and an expert gynaecologist like Dr Neelima Mantri can help you in this regard. If you are in Mumbai and are looking for the best gynaecologist in Mumbai to provide an expert help during pregnancy you can contact Dr Neelima Mantri Call here: +91 70451 15577
by Dr Neelima Mantri | Dec 11, 2020 | Blog, Female Gynaecologist
Uterine prolapse as the name suggests is the prolapse i.e. drop of the uterus from its initial position. With 15 to 40% chance of prolapse of some degree, Uterine Prolapse is a relatively common gynaecological condition suffered by ageing women.
And since it has become a common condition, there is a wide variety of treatment for Uterine Prolapse available today. At our premier gynaecology clinic in Mumbai, Dr Neelima Mantri has solved hundreds of cases of Uterine Prolapse with ease. Having helped a large number of Uterine Prolapse cases it was evident to us that majority of women are not exactly ware about the condition and this blog here we aim to solve this awareness problem. Here we give you a simple idea about the symptoms, causes and treatment of Uterine Prolapse to improve your awareness, so read on:
Uterine Prolapse – Causes & Symptoms:
The uterus or the womb as it is generally called is the baby house that is responsible to bear and nourish the child. It is held in its place by a group of pelvic floor muscles, ligaments, and other tissues in the body. Imagine a sling ling bag in your lower tummy that holds the vagina, uterus and bladder and now you have an idea of the pelvic floor.
Due to natural ageing or change is the body these muscles and tissues can stretch and the sling (pelvic floor) becomes loose over time. The reasons for these changes can range from a vaginal birth, obesity, pelvic tumour, or even lack of estrogen post-menopause. For any of these reasons when the pelvic floor muscles and the surrounding ligaments become weak and can no longer give proper support the uterus, it can slowly descend downwards, sometimes to the point that it protrudes out of the vagina.
Symptoms of Uterine Prolapse vary based on the degree of displacement and age of the women suffering the prolapse. Having treated hundreds of Uterine Prolapse cases, the most common Uterine Prolapse symptoms we have encountered so far include:
- Heaviness in vagina area or pelvis.
- Lower backache that increases with exercise.
- Increase vaginal bleeding and discharge.
- Bladder infections.
- Problems with sexual intercourse.
Uterine Prolapse Treatment Procedures:
Majority of women experience prolapse of the uterus to some degree and most of them may not experience any symptoms. If the symptoms do not bother a patient m the treatment is a choice but if the symptoms are slowly starting to make their presence felt patients are advised to lose weight, refrain from exercise or lifting objects and quit smoking or drinking. You are requested to consult an expert gynaecologist in Mumbai to have a clear evaluation of the condition.
Based on the status and symptoms, your healthcare provider recommends vaginal pessary (non-surgical uterine prolapse treatment) or in some severe cases, surgery can also be advised. A gynaecologist takes note of the plans of pregnancy before recommending the surgery. Fortunately, surgery for Uterine Prolapse is minimally invasive, ensure faster recovery and less hospital stay. For younger women who wish to prevent the Uterine Prolapse in future, we recommend Uterine Prolapse exercise like Kegels that strengthen the pelvic floor muscles to reduce the risk of uterine prolapse. Got more questions about Uterine Prolapse treatment options? Dr Neelima Mantri is the best gynaecologist in Mumbai who can help you. You can contact her here: https://www.drneelimamantri.com
