by Dr Neelima Mantri | Dec 26, 2022 | Blog, Gynecologist
Pregnancy had to be the most exhaustive phase that every woman goes through in their life. Especially during the first 12 weeks and last 6, the changes brought by the body will trigger tiredness that was never felt before.
It is natural to assume that something is wrong when they feel extremely tired. So naturally, tiredness and fatigue are the most common complaints we receive at our clinic in Mumbai. And we have created this blog to address the common concerns and douse the fear of fire in pregnant women. Read on to know complete information about fatigue during pregnancy – its causes and way to mitigate and fight it.
What causes fatigue and exhaustion during pregnancy?
While fatigue is common during the entirety of the pregnancy, it is more prominent during the first and third trimesters and mild during the second trimester. The cause of exhaustion and fatigue is as follows:
- Causes for fatigue during the first trimester of pregnancy: During the first trimester, the body increases the production of blood to ensure the transportation of more nutrients to the baby. Blood sugars and blood pressure lower, and progesterone levels increase too. These hormonal, physiological, physical and emotional changes do dissipate energy resulting in tiredness and fatigue.
- Causes for fatigue during the first trimester of pregnancy: The body gets used to the above changes and as a result, one can notice an improvement in energy levels. In the majority of cases, this trimester is far better than the first and it is even considered a happy trimester since the third trimester causes a decline in energy levels. “Increased tiredness as compared to the first trimester is rare in the second trimester. If that is the case there could be an inherent reason which must be investigated as soon as possible”, says the best gynaecologist in Mumbai, Dr Neelima Mantri.
- Causes for fatigue during the first trimester of pregnancy: Extra weight, frequent urination, and troubled sleep are three major reasons for exhaustion for women in the third trimester. They are at their weakest-self carrying extra weight with inadequate rest resulting in tiredness and fatigue which could be detrimental if not treated, according to female gynaecologist Dr Neelima Mantri.
How to fight fatigue and tiredness during pregnancy?
Every pregnant woman experiences increase tiredness and fatigue during pregnancy. But not every one of them adheres to best practices to mitigate them. If you are a pregnant woman we would suggest to below practices to improve your energy levels and cut down the fatigue.
Rest: The most common advice that is given but not followed. Get to bed earlier, take naps in the afternoon, and avoid fluid just before bed to avoid trips to the washroom. Always prioritise sleep over any other activity to ensure adequate recovery.
Make a new schedule to prioritise rest: The changes brought by the pregnancy may not align with the previous schedule. So realign your schedule by cutting down the hours at work to accommodate naps, food and sleep.
Well-balanced diet: Pregnancy dissipates so much energy in women that they need refeeds to power up again. Ensure a well-balanced diet that perfectly combines all the essential nutrients suggested by the gynaecologist.
If you have already adhered red to the above guidelines but are still feeling tired then many fixes could solve this exhaustion. Dr Neelima Mantri is the leading gynaecologist in Mumbai who can help you improve your rest, recovery, and energy while reducing your fatigue and exhaustion. You can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Aug 9, 2022 | Blog, Gynecologist
Adenomyosis is a disorder that causes heavy painful periods, blood clots during menstrual bleeding, and painful sexual intercourse. These symptoms are similar to that of Endometriosis and as a result, can be tough to detect. But the causes of both these conditions vary and so does the treatment. More often than not patients confuse take one condition to another.
So with the inputs from a female gynaecologist and laparoscopic surgeon in Mumbai, Dr Neelima Mantri, we delve into this condition and help you understand eh difference between Adenomyosis and Endometriosis:
What is Adenomyosis?
Adenomyosis as a benign uterine condition is one of the causes of pelvic pain in premenopausal women. The endometrial tissue burrows deep into the muscle spaces that are between the inner and outer layers of the uterus. This misplaced tissue thickens the muscle walls, distorts the vasculature of thru uterus and causes heavy painful periods in women.
Difference between Adenomyosis and Endometriosis?
Adenomyosis like endometriosis is also caused by misplaced growth of the endometrial tissue that lines the uterus. However, the key difference lies in the place of growth.
In Endometriosis, the tissues can displace, attach and grow anywhere outside the uterus – bowels, bladder or any other internal organ. Adenomyosis happens when the same tissues invade and goes deep inside the uterus. In both cases, the tissue is hormonally responsive and grows along the menstrual cycle resulting in pain and inflammation in the foreign site.
Adenomyosis vs Endometriosis:
Similarities: Both the conditions result in painful and heavy periods.
Differences: The major difference between Adenomyosis and Endometriosis is the origination of pain. Unlike Adenomyosis where the endometrial tissue is planted deep inside the uterus, Endometriosis can have tissue planted anywhere below the pelvic area. As a result, endometriosis can cause mild to severe pain anywhere the issue attaches itself – bladder, rectum, or even bowel.
Adenomyosis vs Endometriosis – Which is more dangerous?
“Both Adenomyosis and Endometriosis result in heavy and painful menstruation. But Endometriosis is more likely to cause infertility in women by triggering scarring of ovaries, blocking of the egg during fertilization and provoking ovulation dysfunction”, says leading gynaecologist in Mumbai Dr Neelima Mantri.
Endometriosis vs Adenomyosis – Treatment:
Since Adenomyosis is caused due to the structural changes in the anatomy of the uterus, hysterectomy is the Adenomyosis surgery that is commonly used to rectify the issue. Medications and hormonal treatment plans are other non-surgical treatments available for Adenomyosis. As for Endometriosis, the surgical removal of tissue is the only effective treatment plan available.
Both Adenomyosis and Endometriosis are the result of displacement and growth of endometrial tissues. These uterine conditions have similar as well as different symptoms, treatment options and also varying levels of severity. Patients with Adenomyosis in a few cases suffer symptoms and in most cases have a safe and successful pregnancy.
But be it Adenomyosis or Endometriosis, the risk is always present which is why patients must consult a gynaecologist as soon as any of the above symptoms above show up. If you are in Mumbai and are looking for Endometriosis treatment or Adenomyosis treatment in Mumbai, Dr Neelima Mantri is the best lady gynaecologist in Mumbai and you can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jul 22, 2022 | Blog, Gynecologist
Uterus also called the womb, is the epicentre of female fertility. This hallow pear-shaped organ is where the embryo implants itself and the development of the foetus (unborn baby) happens. So naturally, the health of the uterus plays a key role in female fertility.
“The shape of the uterus, it’s lining and general health can even impact the success of the pregnancy and health of the child to be born. Any uterine abnormality whether it is congenital or acquired, can lead to fertility and pregnancy problems over time.” says lady gynaecologist in Mumbai, Dr Neelima Mantri.
It is estimated that 1 in every 10 women suffer from uterine abnormalities which come to create fertility problems for them. We often have women consult us at our clinic in Mumbai regarding fertility and pregnancy issues. And uterine abnormalities tend to be the most common issues suffered by all age groups. So with the input of gynaecologist Dr Neelima Mantri, we chose to raise awareness about uterine abnormalities and their role in fertility problems today. Read in to know:
What are uterine abnormalities?
A uterus that is in a different shape or size from the norm is called the abnormal uterus. The reason for this abnormal development can be congenital (in most cases) or acquired (trauma) uterine abnormality.
Congenital abnormalities: These types of abnormalities are formed during the embryonic life of the foetus. Depending on the type of abnormality, congenital abnormalities are further divided into Septate, Bicornuate, Arcuate, Unicornuate, and Didelphy abnormalities. These abnormalities occur in 5% of women.
Acquired uterine abnormalities: Acquired abnormalities are the uterine abnormalities that develop later in life. In most cases, they manifest in the form of menstrual cramps, heavy periods, irregular uterine bleeding, and other fertility and pregnancy problems. Uterine fibroids, polyps, and intrauterine adhesions are some of the common uterine abnormalities.
How do uterine abnormalities impact fertility/pregnancy?
The uterus is responsible for the implantation and growth of the embryo. So uterine abnormalities do negatively affect the chance of successful pregnancy. Each of them affects uterus differently and hence the severity and treatment may differ too:
> Uterine polyps are an overgrowth of the uterus lining which can increase the chance of miscarriage.
> Uterine fibroids also negatively impact the pregnancy outcome based on their specific location.
> The scar tissue that is caused by trauma/uterine adhesions can affect the healthy menstrual cycle of women.
> Luteal phase defect results in the suboptimal formation of the uterine lining which is also one of the most common factors of female infertility.
> All congenital uterine abnormalities increase the chance of miscarriage, and premature birth if they do not make pregnancy difficult.
Treatment for Uterine Abnormalities in Mumbai:
Each of the above uterine abnormalities has its way of interacting with the reproductive system and dampening the chances of pregnancy. So it is important to have tailored treatment for uterine abnormalities to improve fertility changes and improve pregnancy outcomes. If you are suffering from pregnancy/miscarriage problems we suggest you consult an experienced gynaecologist who can uncover the root cause and provide appropriate treatments.
Dr Neelima Mantri is the best gynaecologist in Mumbai who helped hundreds of women get rid of fertility problems with tailor-made treatment options. If you are in Mumbai, you can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jul 13, 2022 | Blog, Gynecologist
On average, babies weigh between 2.3 kg and 3.8 kg at birth. Macrosomia is a medication that is used to describe a baby that is born with a weight greater than 3.8 kg. This higher weight usually makes the delivery difficult and increases the risk of health problems for the baby later in life. So what causes this Macrosomia and how does it impact Macrosomia on the health of baby and mother?
With the input of the best gynaecologist in Mumbai, Dr Neelima Mantri, let us find out in this blog here:
What Causes Macrosomia?
On average 10% of the babies are born with Macrosomia in India. The common causes in these cases always tend to be medical conditions like diabetes and obesity in the mothers. Macrosomia can also happen in mothers who are free from these two conditions if they gain too much weight during pregnancy, have high blood pressure during pregnancy or conceive after 35 years of age.
“Gestational diabetes also tends to result in Macrosomia in mothers free from above conditions”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
What are the symptoms of Macrosomia?
Symptoms of Macrosomia are straightforward – babies weigh more than 3.8 kg at birth which usually results in difficult delivery for the mothers. A gynaecologist can diagnose Macrosomia during the pregnancy by ultrasound, amniotic fluid level, biophysical; profile and height of fundus (uterus to pubic bone).
Impact of Macrosomia on Mother’s Health:
As mentioned earlier Macrosomia can result in difficult delivery which can further impact the health and wellness of the mother. Macrosomia increases the duration of labour, increases the chance of C-section and may also result in oxygen difficulties for the baby. Injury to the vagina, uterine rapture and excessive bleeding are three common conditions usually suffered by mothers in this case.
Problems caused by Macrosomia to the baby:
Difficult delivery may eventually injure the baby in the process. In a few cases, the baby’s clavicle or shoulder gets stuck in the birth canal leading to a fracture. Babies born large are more prone to developing metabolic conditions – high blood pressure, high blood sugar and cholesterol levels. “They are also at high risk of developing heart diseases and diabetes in the long run”, says the best obstetrician in Mumbai, Dr Neelima Mantri.
What to do when diagnosed with Macrosomia?
If you are a woman with a pre-existing medical condition it helps a lot to seek the help of an expert gynaecologist to plan out the pregnancy with active monitoring of health levels.
Diet and health activity levels are found to have a positive impact until certain stages in pregnancy. If you are a pregnant woman diagnosed with Macrosomia, it is advised to seek help from a gynaecologist in improving your current health. Also, it helps to consider C-section options, and specialized care for monitoring the baby’s health post-pregnancy.
By actively monitoring the health conditions of the new-born and monitoring the health into adulthood, the complications of Macrosomia can be controlled and even prevented to a greater degree. If you are in Mumbai and are looking for a lady gynaecologist with expertise in Macrosomia you can contact Dr Neelima Mantri here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jun 20, 2022 | Blog, Gynecologist
Women seldomly speak when it comes to their menstrual health and hence, they tend to avoid proper guidance on Menstrual Hygiene which further increases the risks of getting infections. If you struggle from any discomfort or infection related to intimate health, you can seek the advice of a gynaecologist in Mumbai and get proper treatment.
What is Menstrual Hygiene?
Menstrual Hygiene refers to the healthy practices that are necessary for women to follow during menstruation. These practices are associated with good menstrual health and are required to adopt in order to avoid infections.
Why is Menstrual Hygiene Important?
During the process of menstruation, the occurrence of vaginal bleeding is normal. In order to cope with the discharge of blood, women acquire several measures to maintain their hygiene. However, there have been various misconceptions around Menstrual Hygiene due to prejudice and lack of information.
People especially in India, associate menstruation with impurity and embarrassment which cause insecurities among young females, resulting in neglecting their intimate hygiene which in turn can lead to numerous health issues such as- UTIs, Fungal infections, Reproductive infections, Bacterial vaginosis, toxic shock syndrome and so on.
Menstruation is a natural phenomenon to women’s life and hence to normalise it, there is a need to debunk the myths and empower women through awareness and various educational programs.
Recently, the Ministry of Health and Family Welfare has introduced a scheme which aims at educating the importance of Menstrual Hygiene among adolescent girls in rural areas. Such schemes on maintenance of Menstrual Hygiene allow girls to be prepared for their first time and less vulnerable to the adverse effects of poor hygiene.
5 Tips to Maintain Menstrual Hygiene
Menstrual Hygiene has an impact on our overall health and failing to maintain so can expose you to some serious infections.
Here are 5 Tips to always consider for Menstrual Hygiene as shared by the best gynecologist in mumbai.
> Wash your vulva- Use lukewarm water to clean your outside bits(vulva) and pat the area dry with a clean towel. Avoid using scented soaps or gels as they contain chemicals that can cause irritation and disrupt the pH balance of your vagina. However, if only plain water is not enough for you to clean down there, gynecologist mumbai may recommend you to use mild or fragrance free soaps to wash the external area.
> Change Sanitary napkins frequently- If you are using Sanitary napkins, don’t forget to change it from timeto time. Using the same napkin for a prolonged period of time is unhygienic and can result in skin rashes or vaginal yeast infection.
> Use Menstrual cups- Incase, if you are struggling to keep up with napkins, then Menstrual cups are a great substitute to choose. Menstrual cups are hassle free as they not only prevent leakage, but also take less care. However, the only con of using a Menstrual cup is that it’s quite difficult to insert in the vagina and getting the wrong cup size can cause discomfort.
> Dispose the menstrual waste- Make sure to dispose of soiledsanitary napkins or tampons properly by wrapping them in a piece of paper. You can also use sanitary disposal bags as these bags are eco-friendly and prevent direct contact with microbes present in the waste.
> Clean undergarments- Rinse your undergarments in cold water to wash out most of the blood stains. Afterwards, you can wash them with your regular clothes and leave them to dry.
While some of these steps can be tough to sustain on a regular basis, the primary aspect of maintaining Menstrual hygiene is adopting a healthy lifestyle. Having regular baths, cleaning intimate areas and choosing the right diet can lead the way to well being and good Menstrual Health.
Dr. Neelima Mantri is the top female gynecologist in Mumbai who has an experience of 13 years in the field of gynaecology. She has also dealt with multiple High Obstetrics cases and performed minor laparoscopic surgeries. Consult Dr. Neelima Mantri on her website and book an appointment to address issues related to menstruation, vaginal infections, infertility, pelvic disorders and other premalignant conditions.
by Dr Neelima Mantri | May 24, 2022 | Blog, Gynecologist
If you’re pregnant, you’re undoubtedly paying extra close attention to your body. If you are cramping, you may be frightened that it indicates a miscarriage, especially if it happens in the early stages of pregnancy. If you have any pain during your pregnancy, see an obstetrician and gynaecologist.
Even though miscarriage is most common during the first three months, cramping can develop for a variety of reasons. The timing, severity, and existence of additional symptoms all play a role in determining if cramping signals a miscarriage.
Pains in your lower abdomen or lower back during the first three months of pregnancy almost often suggest one of three things: a deranged pregnancy, a miscarriage, or regular discomfort. There is still a one in three probability of a miscarriage, so let’s look at some more facts and observations concerning early pregnancy cramps.
However, before getting paranoid, let’s look at the general symptoms, and causes of the disease so that you can take care of the situation in the best possible way.
General Symptoms of Miscarriage
During the first trimester, keep an eye out for these miscarriage signs and symptoms.
> Bleeding of a dark brown or bright red colour
> Clots of tissue flowing from the vaginal area
> Mild to severe back pain, comparable to menstrual cramps or worse
> Symptoms of pregnancy such as morning sickness or breast tenderness are quickly reduced
> An agonizing contraction every five to twenty minutes
> Loss of weight
> Discharge from the vagina that resembles white-pink mucus
It is important to note, however, that early bleeding could indicate a miscarriage. This is identified when there is uterine bleeding but the cervix is closed and an ultrasound shows that the baby’s heart is beating. If any of these symptoms surfaces, make sure to consult the best gynaecologist in India, Dr Neelima Mantri trusted doctor.
Cramping During Early Pregnancy
Depending on the circumstances, cramping during the second or third trimester can be mild or dangerous. At the beginning of your pregnancy, it’s normal to have minor cramping in your abdominal area on occasion while your body adjusts to your growing baby. Your uterus expands in tandem with your belly. This may produce mild pulling, straining, or straining, comparable to menstruation pains.
Monitor your contractions to discover how frequent and how consistent they are. There are certain things you can do to make them more effective as long as they don’t fall into the irregular group. Although aching is normal, there are certainly major reasons for stomach discomfort that must not be overlooked.
Any pain that is extreme in severity happens at periodic intervals, and worsens with time is considered abnormal. Furthermore, any degree of discomfort caused by vaginal bleeding, steadily increasing watery discharge, or pelvic strain is not typical.
Conclusion
If you are facing any of such issues mentioned in this article, it is better to consult a good gynaecologist in Mumbai so that you don’t fall into a problem that is irreversible. Dr Neelima Mantri, one of the best obstetricians in India, who has been in the business for the last fourteen years, has some of the highest satisfied patients.
A miscarriage is a serious deal and one should never take it lightly. It is the question of a new life or the death of an unborn child, so getting the best treatment for this problem is necessary.
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