by Dr Neelima Mantri | May 22, 2025 | Blog, Gynecologist
Tubal ligation is the surgical procedure for permanent birth control. It is a safe, common, and effective surgery where the fallopian tubes are blocked to prevent eggs from reaching the sperm. The surgery is performed under general anaesthetic, takes only 20-30 minutes, and women can go home the same day.
If you already have a basic idea about Tubal Ligation and are looking to improve your awareness about the post-procedure situation – the chance of complications, care, and the importance of recovery, then this blog is for you.
With inputs from the best lady gynaecologist in Mumbai, Dr. Neelima Mantri, we help you understand everything you need to know after tubal ligation surgery.
Tubal Ligation Surgery – Side Effects & Risk Factors
Tubal ligation surgery is performed using a laparoscope (a small camera inserted through a minor incision) or during a C-section or abdominal surgery. Though it is a simple and routine procedure, it requires precision and adequate post-operative care to ensure long-term success.
Neglecting post-surgical care (which most women are unaware of) can increase the risk of side effects or complications. The side effects can be immediate like blood clots, infection, shoulder pain, or back pain. Or they can be delayed side effects, like wound issues, menstrual irregularities, hormonal imbalances, pelvic pain, and even ectopic pregnancy.
That said, pre-existing medical conditions like diabetes, lung disease, heart issues, obesity, and previous abdominal or pelvic surgery can increase the risk of complications or side effects after tubal ligation. So, women undergoing tubal ligation must strictly follow and stick to a standard recovery plan to avoid these complications.
Recovery after Tubal Ligation Surgery: What Every Woman Should Know
Tubal ligation is typically performed with laparoscopy (mini-laparotomy), during C-section, or using hysteroscopy. Regardless of the procedure used, each tubal ligation involves surgical incisions that need time to heal properly and prevent infections.
Here is some key advice every gynaecologist gives patients for a successful recovery after tubal ligation surgery:
- Mild pain and cramping are common:Post-operative pain, some discomfort, and mild bloating are the most common symptoms after the surgery.
- Always monitor the signs of infection: Every surgical procedure carries the risk of infection. So, it’s important to ensure proper wound care by monitoring signs of infection like fever or redness.
- Avoid strenuous activity after the surgery:Strenuous activities involving heavy lifting should be completely avoided, as they increase the risk of pain or issues at the incision site.
- Allow the body to adjust to the routine naturally:Returning too quickly to regular activities increases the risk of complications. Since surgical manipulation and anaesthesia demand adequate recovery, we suggest women rest and slowly return to normal activities, says a gynaecologist in Mumbai, Dr. Neelima Mantri
- Detect problems early:After tubal ligation surgery, the recovery process must be carefully monitored for any unusual issues or complications. Women are advised to stay attentive to their bodies and contact a gynaecologist in case any signs like fever, heavy bleeding, or signs of infection develop.
Whether you are a woman looking for expert guidance on tubal ligation or you’ve already been through the procedure and are experiencing any of the symptoms mentioned above, we suggest you consult a gynaecologist immediately. If you are in Mumbai, Dr. Neelima Mantri is one of the top lady gynaecologists in Mumbai with an exceptional track record in guiding women to a safe and successful recovery after tubal ligation surgery.
by Dr Neelima Mantri | Apr 17, 2025 | Blog, Gynecologist
The thyroid gland is a small gland, but it plays an essential role in the proper functioning of a woman’s body. This is a butterfly-shaped gland situated in the front of the neck and secretes hormones that affect almost all the organs of the body. These hormones are especially important in regulating metabolism, energy levels, and the reproductive system.
When the thyroid does not function properly, it can lead to menstruation problems and complications related to fertility. It is crucial to know the relationship between the thyroid and the female reproductive system so that any problems can be detected and treated on time.
The Role of the Thyroid in Female Reproduction
Thyroid hormones play a role in the regulation of the menstrual cycle and the secretion of reproductive hormones, including oestrogen and progesterone. If these hormones are imbalanced, the whole reproductive system may be thrown off balance as well. Hypothyroidism and hyperthyroidism can also affect ovulation and thus make it hard for women to conceive.
This is because even slight alterations in thyroid hormones can disrupt the ovulation cycle and its rhythm. For this reason, thyroid function is closely checked in women with fertility issues or irregular menstrual cycles.
Menstruation Problems Linked to Thyroid Imbalance
Thyroid disorders are common among women, and these women are likely to experience several menstruation complications depending on the state of their thyroid gland. Hypothyroidism may cause the periods to be heavy, long, and more often, while hyperthyroidism may cause light, short, or infrequent periods. Sometimes, women may have to endure amenorrhoea, which is a condition where there are no periods at all.
These irregularities can make it difficult to determine when the woman is most likely to conceive, which only adds to the challenges of conception. It also brings mood swings, fatigue, and weight changes, which are also very stressful to a woman’s physical and mental health. These symptoms are often associated with other illnesses, so it is important to perform thyroid tests to determine the cause of the irregular menstrual cycle.
Impact on Fertility and Conception
There is ample evidence in the literature that connects thyroid disorders with female infertility. This means that when the hormone levels are not balanced, ovulation may not take place in the normal cycle or may not occur at all. This can lower the chances of pregnancy even in otherwise healthy women.
In India, a large number of women undergo female infertility treatment in Mumbai, and thyroid disorders are the first to be diagnosed. Treating the thyroid may help to regulate the menstrual cycle and fertility in some cases, and pregnancy can be achieved without the use of assisted reproductive technologies.
Moreover, if thyroid disorders are not treated during pregnancy, it can be dangerous for both the mother and the foetus. This makes early diagnosis and management crucial not only for conception but also for a healthy pregnancy.
Seeking the Right Support
In cases of chronic irregular menstrual cycles or infertility, it is advisable to seek the services of a doctor who knows the relationship between thyroid and fertility. Most people start this process by consulting the best gynaecologist in Mumbai for infertility, where they are subjected to thyroid tests, hormonal tests, and counselling.
Treatment may involve the use of drugs to balance thyroid hormones, changes in diet, and tracking of menstrual and ovulation cycles. In some cases, other treatments or fertility treatments may be suggested depending on the degree of the problem.
Final Thoughts
The thyroid gland has a more crucial role in a woman’s fertility than many people are aware of. From menstrual issues to reproductive issues, hormonal imbalances can profoundly affect a woman.
This paper aims to highlight the signs of hormonal imbalance and the need for women to consult a doctor in order to address the issue and enhance the chances of conception. Treating thyroid disorders not only helps in fertility but also in the overall health of a woman.
by Dr Neelima Mantri | Feb 24, 2025 | Blog, Gynecologist
Menopause is a natural biological part of life regarding the female reproductive organs. Menopause marks the end of a woman’s reproductive years and menstrual cycle. It usually starts around the ages of 44 and 55 and is a phase that brings about several physical and emotional changes due to hormonal fluctuations.
It can bring about uncomfortable symptoms like night sweats, hot flashes, and vaginal dryness. Menopause doesn’t have to be a difficult phase because, with the right approach, knowledge and care, you can manage the symptoms effectively. If you seek professional support, you can start your search online for the best menopause specialist near me or ask for referrals from family and friends. This article will focus on the symptoms of menopause and help you understand the best options for relief available.
Menopause Symptoms
Every woman is different; hence will experience different symptoms but the most common symptoms include:
- Hot Flashes: Women going through menopause will experience sudden feelings of heat, often accompanied by sweating.
- Mood Swings: Due to hormonal fluctuations, emotional changes like irritability, depression or anxiety may occur in this phase of a woman’s life.
- Night Sweat: These are hot flashes that occur at night and cause excessive sweating during sleep, disrupting sleep.
- Vaginal Dryness: Hormonal shifts cause a reduction in estrogen levels which leads to reduced lubrication, itching or discomfort during sex.
- Weight Gain: Metabolism is slowed down, which leads to weight gain.
Best Menopause Treatment
- Lifestyle Changes: Eating balanced meals, exercising regularly, and avoiding caffeine, processed foods and alcohol can alleviate symptoms and improve overall health.
- Hormone Replacement Therapy: This is a treatment for severe menopausal symptoms and involves taking hormones to replenish declining levels of hormones in the body, this helps to alleviate symptoms like hot flashes and mood swings.
- Consult a Specialist: Consult a doctor who specialises in gynaecology, hormone therapy or endocrinology and understands the complexities of hormonal changes. For women in India, seek health care providers well versed in menopause symptoms and treatment in Mumbaito offer available options for you.
- Natural Therapy: A lot of women prefer using natural remedies to manage menopause symptoms, such as herbs like red clover and evening primrose oil, which is known for its potential to reduce symptoms like hot flashes. The use of aromatherapy and essential oils like lavender and peppermint can help reduce stress. Another natural therapy commonly used is acupuncture, which is claimed to balance hormones.
- Non-hormonal Medication: The use of medication such as blood pressure and antidepressants to alleviate symptoms. Make sure to consult your doctor first.
Conclusion
Menopause is a natural and significant life change. While it brings uncomfortable symptoms, with the aid of treatment options, you can limit the symptoms and improve the quality of your life. It is important to remember that every woman’s menopausal experience is different.
Hence, the journey to discover the right treatment option to alleviate symptoms is personal. Seek out a specialist, like Dr Neelima Mantri, to know the best menopause treatment for you so you can have a well-thought-out process on how to still thrive during this phase and after.
by Dr Neelima Mantri | Jan 30, 2025 | Blog, Gynecologist
Vulvodynia is a common condition that affects the vulva. The experience for many women is confusing! It isn’t caused by infection or any physical thing that can be seen which makes it hard to diagnose. However, the pain can be unbearable and negatively impacts the quality of life.
It is a common issue that isn’t often spoken about. Vulvodynia affects up to 16% of women at one point or the other in their life. Knowledge is important. This article discusses the causes, symptoms, and treatment options available to women so they can seek the required help and get relief.
Understanding Vulvodynia
It is the pain in the vulva area that can last up to 3 months or longer, and no clear cause is known. Generally, it is qualified into two:
- Generalized Vulvodynia: Here, the pain occurs in different parts of the vulva. It may be constant or occur at different intervals.
- Localised Vulvodynia: The pain here is only to a specific area. It could be triggered by pressure or by touch, like during sexual intercourse or when inserting a tampon.
Causes of Vulvodynia
It is not a consequence of bad hygiene or sexually transmitted infections. However, these myths still exist, and the lack of awareness does not do good to the women in pain. What causes Vulvodynia is not always clear, but it can be a combination of the following:
- Neurological Factors: Nerve damage or hypersensitivity in the vulvar region would lead to severe pain. This could be after an injury, surgery or even without any reason at all.
- Hormonal Changes: As women grow older and experience hormonal changes, it can affect their health. Hormonal changes like those from oral contraceptives or menopause can affect the tissue around the vulva and cause pain.
- Inflammation: When a person has to deal with a series of infections or inflammation, the vulva area can become sensitive long after the initial issue has been sorted.
- Psychological Contributors: Experiencing anxiety, depression, or a history of trauma can increase the pain and make it harder to manage.
It is important to remember that the pan is real and doesn’t exist just in your head. In addressing it, several underlying factors need to be addressed.
Symptoms of Vulvodynia
The human body is different, so the symptoms vary from person to person. Common symptoms include:
- Constant vulvar pain, which comes as burning, stinging, rawness, or itching.
- Pain during specific activities, such as sitting, wearing tight clothing, or engaging in sexual intercourse.
- Sensitivity to touch, even from something as light as underwear.
It can range from mild discomfort to unbearable pain, which affects daily activities. If these symptoms sound familiar, it’s important to consult a gynaecologist in Mumbai like Dr Neelima Mantri.
Vulvodynia Treatment
There’s no one-size-fits-all treatment. Each treatment is peculiar to each individual.
- Medical Treatments: You could be given a cream to numb the area, which can bring temporary relief. Some drugs may also be prescribed.
- Physical Therapy: Pelvic floor therapy involves exercises that can help relax tight muscles, and it may help reduce pain.
- Lifestyle Adjustments: Avoiding things that irritate the body, like scented soaps, tight clothing, or rough fabrics, can prevent you from having flare-ups. Use cotton underwear and adopt a gentle cleansing routine.
- Surgical Interventions: In rare, severe cases, a procedure called Vestibulectomy (removal of painful tissue around the vulva) may be recommended.
Conclusion
While vulvodynia may be challenging, it can be managed with the right care and support. Let’s work together to break the silence, debunk the myths around vulvodynia, and ensure that no woman feels alone in her pain. If you or a loved one is experiencing this pain, consult the best lady gynaecologist in Mumbai, Dr Neelima Mantri, today.
by Dr Neelima Mantri | Jul 12, 2024 | Blog, Gynecologist
You might have heard of trachelectomy as a type of treatment for cervical cancer. This surgical procedure has been in the limelight because it allows many women to preserve their fertility while being treated for early stages of cervical cancer.
If you were ever to be diagnosed with cervical cancer, then knowing and understanding what is trachelectomy, who it benefits, and how it compares with other forms of treatment are very important questions. The guide looks at the important aspects of trachelectomy, trying to demystify this very important and beneficial procedure.
Understanding The Fundamentals of Trachelectomy
This trachelectomy, also referred to as cervicectomy, is the removal of the neck or cervix while preserving the uterus. The procedure is most valuable in women who must retain their fertility, and it enables them to conceive and carry babies to term.
Unlike hysterectomy, which drains the entire uterus, trachelectomy seeks to remove tumor tissues while retaining childbearing potential. This procedure is usually advisable for only those women who have early-stage cervical cancer and meet certain criteria.
Candidates for Trachelectomy
Not all women with cervical cancer are potential candidates for a trachelectomy. It is normally considered an option for those among them whose cervical cancer is diagnosed at an early stage, viz., stage IA2 and IB1, that the tumor is small and has not yet spread beyond the cervix.
Moreover, patients must have a deep interest in fertility preservation, apart from meeting other medical eligibility criteria which include tumor size and lack of involvement of the lymph nodes. Consult an experienced gynecologist in Mumbai to know more about your eligibility to undergo trachelectomy based on individual health conditions and cancer staging.
Procedure and Recovery
The trachelectomy involves removing the uterus, along with the cervix and the top portion of the vagina. But through this technique, the uterus itself will not be removed, unlike in other treatments.
Some surgeons also conduct a lymphadenectomy with this surgery, where a certain number of lymph nodes from the pelvis are taken out and examined whether cancer has spread to them. Recovery from trachelectomy surgeries includes some days of hospitalization and then some weeks of rest at home.
This also helps inform patients that they should refrain from strenuous activities and that they should closely follow their doctors’ instructions for them to properly heal without complications.
Preservation of Fertility
The most glaring advantage associated with trachelectomy is that fertility is not compromised. During this procedure, the uterus is retained, and so a woman can conceive and carry a pregnancy. However, pregnancy after trachelectomy is considered a high-risk state and has to be managed by a health provider.
Women are usually advised to conceive after at least six months from the surgery for adequate healing. An appointment with the best gynecologist in Mumbai will surely help the lady gain more insight and tips into management for pregnancy post-trachelectomy.
Comparison with Other Treatments
Trachelectomy has certain advantages over other cervical cancer treatments, especially in young women who need fertility preservation. While hysterectomy and radiotherapy are indeed very powerful treatments for cervical cancer, they render women infertile.
Trachelectomy provides an alternative by balancing the need to treat cancer to preserve reproductive function. It is, however, extremely important to consider that not all cases may be suitable for trachelectomy, and such a decision can only be best arrived at under the consultation of a well-qualified gynecologist in Mumbai.
Risks and Complications
Though trachelectomy is a surgical procedure, some of its potential risks and complications include:
- Bleeding,
- Infection,
- Damage to surrounding organs,
- Risk of preterm birth, and
- Other pregnancy complications in women who have had the procedure.
Patients should discuss these risks with their healthcare provider and weigh them against the benefits accruable in fertility preservation. Identifying the best lady gynecologist in Mumbai can minimize these risks and ensure maximum care standards.
Choosing the Right Gynecologist
Success in a trachelectomy and post-operative care lies in the selection of the right gynecologist. The gynecologist should have sufficient performing experience with trachelectomies and management of cervical cancer.
Dr. Neelima Mantri is a well-known gynecologist in Mumbai who has built credibility in providing end-to-end care to women afflicted with cervical cancer. Her efficiency and politeness make her one of the most preferred choices that patients seek to ensure the best possible outcome.
Trachelectomy is an option, with feasibility, in the setting of early disease for patients suffering from cervical cancer needing preservation of reproductive potential. Knowledge about the procedure, candidature assessment, and options of treatment provides a patient with the freedom to make choices in their care.
One can curate and get effective treatment with an experience like that of Dr. Neelima Mantri. In the case of treatment for cervical cancer, the best gynecologist in Mumbai will restore confidence in women and provide them with the necessary support. With dedication toward patient care and an ever-high reputation as the best lady gynecologist in Mumbai, Dr. Mantri can be trusted to embark on this journey with her patients.
by Dr Neelima Mantri | Feb 20, 2024 | Blog, Gynecologist
The field of family planning has been associated with an eternal quest for safe, effective, and convenient contraceptives. Long-acting reversible Contraception (LARC) is a revolutionary practice that allows people to have an easily available yet highly effective and convenient tool for controlling reproductive health.
LARC methods like IUDs and contraceptive implants offer extended protection from unwanted birth. This article shall talk about the advantages of LARC and how this method can revolutionize family planning.
Unparalleled Effectiveness –
The effectiveness of LARC methods is its greatest strength; as compared to short-term contraceptives such as birth control pills, long-acting reversible contraceptives (LARC) are more effective at preventing unwanted pregnancies.
For instance, IUDs have a failure rate of less than 1%, making them some of the most effective contraceptive methods. This high efficacy comes from the fact that they can provide uninterrupted protection without the need for compliance and hence low human pill intake risks.
Convenience and Low Maintenance –
As far as their convenience and lack of maintenance go, the LARC methods are ahead. Once inserted, IUDs and implants are long-acting contraceptives that can last from 3 to 10 years. This makes it unnecessary to adhere to daily or monthly compliance, thus lowering the risk of accidental slippage in contraceptive coverage.
This convenience is very important to people with a busy lifestyle, providing consistent and reliable protection over a long time. Gynecologists in Mumbai are highly skilled in dealing with such cases.
Reversible and Prompt Return to Fecundity –
Irrespective of the fact that LARC methods have a prolonged duration of action, they are reversible and people can regain their fertility within a very short time after cessation. This is particularly attractive to people who want a measure of control over their family life. Unlike permanent sterilization that includes tubal ligation, LARC options preserve the possibility of future pregnancies without affecting long-term contraceptive effectiveness.
Reduced Side Effects and User-Dependent Factors –
One of the main advantages of LARC methods for many users is that they do not have a lot of side effects and there are no user-dependent factors. Different from hormonal contraceptives that might lead to mood swings, weight gain, or other unpleasant side effects, LARC options provide a localized and lower-dose hormonal delivery mechanism.
Moreover, nonhormonal IUDs are offered for those who prefer a hormone-free contraceptive. The best gynecologists in Mumbai are well efficient in treating such cases and providing patients with the best treatment.
Cost-Effectiveness –
The initial cost of LARC methods is higher than that of short-term contraceptives, however, their overall cost-effectiveness over time cannot be denied. Taking into account the extended period of protection and decreased burden associated with the required clinic visits or prescription refills, LARC options are usually more cost-effective in the long run.
Long-acting reversible Contraception is among the most progressive forms of family planning today, providing a whole range of benefits that appeal to different users.
From unrivaled efficiency and convenience to few side effects and cost-effectiveness, LARC methods can change how people view contraception. Dr Neelima Mantri is one of the best lady gynecologists in Mumbai offering superior treatment and expert guidance to her patients.
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