by Dr Neelima Mantri | Jan 29, 2024 | Blog, Pregnancy Complications
Adrenal diseases, an umbrella term for medical conditions, can impact and lead to malfunction of the adrenal glands. These medical conditions can push the other body out of equilibrium by disrupting several bodily functions, including metabolism, immune response, blood pressure, and stress bodies.
Women who are at their most sensitive and vulnerable selves during pregnancy are prone to more health risks due to adrenal diseases. The reproductive complications can range from gestational diabetes, preeclampsia, higher risk of infections, foetal abnormalities, preterm birth, and even miscarriage,” says a female gynaecologist in Mumbai, Dr. Neelima Mantri.
So what is an adrenal disease, what causes it, and how does one prevent or treat it during pregnancy? With input from Dr. Neelima Mantri, the best gynaecologist in Mumbai and a specialist in adrenal diseases, let us find answers to the questions in this blog.
Adrenal Glands – Key for Many Body Functions
The adrenal glands are tiny triangular glands at the top of our kidneys. These small glands are crucial in regulating hormones that control several body functions. Any malfunction of these glands directly impacts regular body functions, causing problems in the human body.
It produces Cortisol and manages metabolism, blood sugar levels, and blood pressure. The Aldosterone it spawns controls blood pressure, while adrenaline is responsible for heightened alertness and an increased heart rate. Its Noradrenaline helps regulate blood pressure. Additionally, the adrenal glands are crucial for the production of sex hormones, contributing to the regulation of sexual development and function. So Adrenal Glands are essential for many body functions, and their malfunction is tipped to wreak havoc in the body.
Adrenal Diseases: What Causes Them?
Adrenal diseases occur when the adrenal glands overproduce or under produce hormones. Overproduction results in Cushing’s disease. Cushing’s excess cortisol leads to weight gain, high blood pressure, fatigue, and mood swings. Underproduction of adrenal hormones can result in Addison’s disease. This underproduction of cortisol leads to fatigue, salt cravings, and stress problems.
“There is no one specific cause for adrenal diseases. Autoimmune disorders, infections, tumours, genetic abnormalities, and long-term use of medications can trigger adrenal diseases,” says Dr. Neelima Mantri, the best female gynaecologist in Mumbai and a specialist in Adrenal diseases during pregnancy.
Adrenal Diseases – Impact on Pregnancy:
Untreated Addison’s disease increases the risk of miscarriage, preterm birth, electrolyte imbalance, dehydration, and shock during pregnancy. Cushing’s excessive cortisol can lead to gestational diabetes, preeclampsia, and an increased risk of C-section. The baby also faces a risk of congenital adrenal hyperplasia if the mother has a specific genetic form of Cushing’s disease. With proper medication and treatment, women with adrenal diseases can have healthy pregnancies today.
That said, proper preconception and prenatal care, regular exercise, a balanced diet, and consultation with a gynaecologist can help reduce the risk of adrenal diseases during pregnancy. For more information on managing, treating, and preventing adrenal disease during pregnancy, you can contact gynaecologist Dr. Neelima Mantri here.
by Dr Neelima Mantri | Jan 2, 2024 | Blog, Female Gynaecologist
Salpingitis is a medical term for inflammation of the fallopian tubes, which connect the ovaries to the uterus in the female reproductive system. It often starts with lower abdominal pain that worsens with ovulation or menstruation, accompanied by cramping and pelvic pain. In some cases, the pain is also accompanied by fever, tiredness, painful urination, and vaginal discharge.
“Surprisingly, Salpingitis can be a silent threat with no symptoms in a few cases. This is dangerous because stealthily, this condition may damage the uterus and fallopian tubes, leading to infertility and pregnancy problems,” says the best female gynaecologist in Mumbai, Dr. Neelima Mantri.
Salpingitis – Can Be Silent & More Prone in Younger Women:
Unlike other gynaecological conditions, Salpingitis is more common among younger women, who are often unaware of this situation. Also, unlike other inflammation conditions, Salpingitis can have non-sexual causes, like surgery, bacteria during childbirth, and IUD insertion.
When not treated early, Salpingitis can cause adhesions, scars, and even block fallopian tubes, hindering egg development and leading to fertility problems. In this blog with insights from a leading gynaecologist in Mumbai, Dr. Neelima Mantri, let us go through the causes, warning signs, and treatment for Salpingitis in Mumbai. Read on:
What is Salpingitis? What causes it?
Salpingitis is the inflammation of the fallopian tubes caused by infection from bacteria that enter the woman’s body. The infection can happen due to sexually transmitted diseases like chlamydia, gonorrhoea, or even non-sexual ways like surgery, bacteria during childbirth, or even insertion of intrauterine devices.
“This simple bacterial infection impacts the fallopian tubes, causing lower abdominal pain, fever, eventually leading to pregnancy and infertility problems if not treated promptly.”, says Salpingitis specialist in Mumbai, Dr. Neelima Mantri.
Salpingitis Symptoms: How to identify Salpingitis?
Pain in the lower abdomen or pelvic area, painful menstruation or ovulation that worsens as the date approaches, painful sexual intercourse, abnormal vaginal discharge, painful urination, fever, and tiredness are some of the symptoms of Salpingitis.
These symptoms may manifest among other infections, but Salpingitis can also be a silent threat with no apparent symptoms; only routine gynaecological check-ups can help accurately identify the situation.
Salpingitis Treatment and Prevention:
Antibiotics are the straight-up treatment option for Salpingitis. Over-the-counter medication like Ibuprofen, rest, fluid intake, avoidance of irritants, and follow-up care are other critical elements of the treatment plan for Salpingitis.
In a few cases, patients may already be experiencing certain gynaecological conditions, which, on top of Salpingitis, can have adverse effects on reproductive health. In such cases, a gynaecologist crafts a customized treatment plan for a patient with Salpingitis based on reproductive health.
That said, the painful symptoms of Salpingitis can be avoided altogether by following specific prevention tips. We often advise regular screening for STI infections, maintaining vaginal hygiene, adhering to safe sex practices, and prompt treatment of infections to cut down the risk of Salpingitis. If you are in Mumbai and looking for more information on the treatment and prevention of diseases like Salpingitis, Dr. Neelima Mantri is more than happy to assist you; contact her here.
by Dr Neelima Mantri | Dec 15, 2023 | Blog, Pregnancy Complications
There was a time when being above the age of 35 was considered challenging for pregnancies. It’s no wonder women above this age faced difficulties in healthy conceptions. Thanks to improved awareness, technology, treatments, and fertility procedures, women in their late 30s can now embark on this remarkable journey with greater possibilities.
However, the journey of pregnancy in advanced maternal age does come with its own set of challenges and complications. “Pregnancy, in itself, is a challenging journey for every woman. This journey can be a bit more challenging for women who conceive in advanced maternal age, primarily after the age of 35,” says the renowned gynecologist in Mumbai, Dr. Neelima Mantri.
If you are a woman in this age bracket, the best thing you can do is improve awareness about the pregnancy journey in advanced maternal age—its risks, complications, and treatment options for safe management—before embarking on this remarkable journey. With insights from leading female gynaecologists in Mumbai, Dr. Neelima Mantri, we delve into these commonly asked questions in this blog today.
Pregnancy above Age 35 – Risks and Complications:
Increased risk of chromosomal abnormalities: The quality of the eggs women produce is inversely proportional to their age. Consequently, the foetus of women with advanced maternal age has a higher risk of chromosomal abnormalities. Fortunately, these genetic abnormalities can be easily detected beforehand with cutting-edge technology.
Gestatioal diabetes: Advanced maternal age also increases the risk of gestational diabetes, which elevates the blood sugar levels of pregnant women. Gestational diabetes increases the size of the foetus, leading to complications during surgery. Additionally, gestational diabetes is found to increase the risk of respiratory distress syndrome and type-2 diabetes in children.
Unnatural birth weight: Advanced maternal age increases the chance of lower birth weight. In cases where gestational diabetes sets in, the size and weight of the foetus may increase to abnormal levels as well.
Preeclampsia/High Blood Pressure: Advanced maternal age also increases the risk of preeclampsia in pregnant mothers. Preeclampsia is a high blood pressure condition in pregnant women that can raise the risk of growth restrictions, placental abruption, and, in rare cases, organ damage in the child.
Multiple Births & C-sections: Older couples usually seek advanced fertility treatments, which increase the chances of multiple births that could be risky for women. Multiple births and pregnancy complications may also lead to mandatory C-sections.
It is to be understood that pregnant women also face the above risks in their 20s. However, given the advanced age, the risk of the above conditions slightly increases for women of advanced maternal age.
Pregnancy above Age 35 – Strategies to Mitigate Risk
Increased awareness of changes in Assisted Reproductive Technologies, regular prenatal check-ups, healthy lifestyle choices, genetic counselling, early screening for chromosomal abnormalities, management of gestational diabetes, weight management, preeclampsia risk evaluation, and mitigations are some of the famous and well-established strategies that can help mitigate the risks associated with advanced maternal age for women seeking a healthy and safe pregnancy. However, any woman must first consult a qualified gynaecologist who can thoroughly explain any risks, challenges, and treatment options.
If you are living in and around Mumbai and are looking for a female gynaecologist in Mumbai, Dr. Neelima Mantri is the best gynaecologist in Mumbai who can ensure you a safe and healthy pregnancy journey. You can contact her here.
by Dr Neelima Mantri | Nov 30, 2023 | Blog
Thrombophilia is the body’s increased tendency to form blood clots, meaning that individuals with thrombophilia are more likely to form blood clots without a clear reason, leading to serious complications. This heightened clotting tendency can be particularly dangerous during pregnancy, causing problems like gestational diabetes, preeclampsia, placental abruption, pregnancy loss, and stillbirth. While blood clot formation is essential for bodily functions, an increased tendency to form clots can result in significant issues.
The blood clot formation is vital for busy functions, but why does an increased tendency cause problem, you ask? The following will serve you the answer. With the inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we help you understand the dangerous nature of thrombophilia, particularly in pregnancy, its symptoms, and treatment options. Read on to know.
Why Thrombophilia is Dangerous?
Our body’s ability to form blood clots is vital for physiological processes. Blood clots act as natural bandages, stopping excessive bleeding when we’re injured. However, in conditions like thrombophilia, the propensity for blood clotting heightens even without injury, potentially causing serious problems. For instance, unwanted blood clots in blood vessels can travel to the lungs, leading to life-threatening conditions like pulmonary embolism.
Some blood clots may also reach the brain, increasing the risk of fatality. Understanding the dangers of thrombophilia is crucial, especially in the context of pregnancy, where the risks are heightened.
How Challenging is Thrombophilia in Pregnancy?
During pregnancy, a woman is in a state where the formation of blood clots is naturally heightened due to physiological needs. When thrombophilia is introduced into this pregnancy state, it amplifies the risk of complications. The increased blood clotting raises the risk of blood vessel blockage, potentially leading to various complications due to impaired blood flow. These blood flow issues may result in insufficient nourishing blood reaching the baby, causing growth complications for the foetus.
Additionally, blood flow problems can contribute to placental abruption, where the placenta separates from the baby, further complicating the pregnancy progression. The mother’s blood pressure gradually increases, leading to conditions like pre-eclampsia and gestational diabetes, creating new health challenges for both the mother and the baby. “Together, these problems can contribute to recurrent pregnancy loss or even stillbirth. In rare cases, blood clots may travel to the lungs, causing a life-threatening pulmonary embolism, as mentioned earlier.”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
In essence, the risk of pregnancy complications significantly amplifies in the case of thrombophilia during pregnancy.
Thrombophilia in Pregnancy – Treatment & Management
The aim of the treatment for thrombophilia is to reduce the risk of the condition and mitigate its potential complications.
The treatment for pregnant women with thrombophilia is individualized, considering the medical history, previous pregnancy outcomes, lifestyle factors, and specific risk factors, according to gynaecologists in Mumbai, Dr. Neelima Mantri.
“A pregnant woman suffering from thrombophilia is continuously monitored with regular imaging studies and medical tests to assess the health of the foetus and mother. Anticoagulant medication is prescribed to reduce the risk of clotting, stockings are recommended to increase blood circulation, and lifestyle modifications are implemented to improve treatment outcomes and prevent the risk of thrombophilia,” states Dr. Mantri.
by Dr Neelima Mantri | Nov 28, 2023 | Blog, Pregnancy Complications
Amniocentesis is an advanced prenatal test that is performed to check for genetic or chromosomal abnormalities in the growing foetus. Amniocentesis procedure is performed in the 15-16 weeks of pregnancy by collecting a sample of the amniotic fluid.
By evaluating the genetic health beforehand it gives hope, instils confidence, and ensures more informed and supportive parenthood journey. However, given the advanced nature and invasive nature of the surgery, there is also uncertainty about the safety of the procedure for new parents, which is understandable. In this blog, with inputs from the lady gynaecologist in Mumbai Dr. Neelima Mantri, we uncover the process, its benefits, and possible risk factors, if any.
Benefits of Amniocentesis:
There was a time when each precious new-born faced the shadow of potential genetic challenges that only revealed themselves later in life. These looming uncertainties remained hidden, preventing proactive measures and leading to distress and dilemma.
“Thanks to the rapid strides in advanced medical research and technology, today, one can easily assess the risk of genetic conditions in the early weeks of pregnancy. This remarkable opportunity identifies the potential genetic complications of the child to help expectant parents with insights that give them hope, instil confidence, and provide greater control over decision-making,” says best gynaecologist in Mumbai Dr. Neelima Mantri.
Now, the early weeks of pregnancy unveil an opportunity to assess and address the risks of genetic diseases. This remarkable progress not only empowers expectant parents with knowledge but also instils a sense of hope and reassurance for the health and well-being of their unborn child.
By collecting the tissue from the foetus, Amniocentesis can be used to evaluate the following chromosomal or genetic disorders in the foetus, such as:
- Down syndrome
- Patau syndrome
- Edward’s syndrome
- Cystic fibrosis
- Klinefelter syndrome
- Turner syndrome
- Tay-Sachs disease
Amniocentesis can also assess foetal lung maturity, diagnose foetal infections, and treat excessive amniotic fluid (polyhydramnios). So, does this procedure pose any complications to the foetus or pregnant women? Let us find out.
Are there any possible risks of Amniocentesis?
Pregnancy makes women more sensitive, and any complication risk matters. However, Amniocentesis, according to top Mumbai gynaecologist Dr. Neelima Mantri, is the safest prenatal test when done by experts using best practices.
“Amniocentesis is safest after 15 weeks of pregnancy, lowering the risk of complications like miscarriage, which is already at their lowest. The minor risk may increase when the procedure is performed after 15 weeks. There is a slightest risk of sensitization, especially when the baby is RhD positive and the mother is RhD negative, adds to concerns” , says Dr Mantri.
That said, the benefits of Amniocentesis far outweigh the minimal risks. This prenatal test can make a crucial difference for baby’s health by preventing genetic conditions and hence, it is considered gold standard for ensuring the baby’s genetic wellness. For more info, contact Mumbai’s renowned gynaecologist, Dr. Neelima Mantri here.
by Dr Neelima Mantri | Nov 21, 2023 | Blog, Infertility Treatment
Anovulation is a condition where a woman’s ovaries do not release eggs during their regular menstrual cycle. Without the release of eggs by the ovary, there is no chance of fertilization, making conception impossible. “A common cause of infertility, anovulation happens in 1 in 10 women, yet it is the reason for infertility in almost 25% of cases,” says the leading gynaecologist in Mumbai, Dr. Neelima Mantri.
Is anovulation permanent? Do women suffering from Anovulation lose the ability to conceive forever? What causes it, and how is it treated? We have asked the gynaecologist and infertility specialist in Mumbai, Dr. Neelima Mantri, and all the frequently asked questions. Read on to know her answers:
What happens in Anovulation?
A regular menstrual cycle begins after the uterus sheds its lining. Typically lasting for 28 days, various hormonal fluctuations occur. In chronic cases, the egg matures in the ovaries for 14 days, and around the 14th day, luteinizing hormone surges to trigger the release of the egg. The egg then moves into the fallopian tube for fertilization.
However, in cases of Anovulation, the hormonal changes that lead to the release of eggs are disrupted. Consequently, the ovaries hold back and do not release the egg, making conception impossible.
What causes Anovulation?
The hormonal disruption that triggers Anovulation can result from systemic, internal, and external factors. As a result, Anovulation impacts a large number of people. “Anovulation is a common cause of infertility in women. Every year, we treat hundreds of cases at our facility in Mumbai,” says the best obstetrician in Mumbai, Dr. Neelima Mantri. According to her, here are the most common causes of hormonal disruption that triggers Anovulation in women:
Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder that elevates androgens, causes insulin resistance and disrupts the release of Luteinizing Hormone, leading to Anovulation.
Hypothalamic-Pituitary Axis (HPA) Dysfunction: The HPA system regulates the system that controls the menstrual cycle in women. Its dysfunction can throw a spanner into the menstrual health of women, causing a hormonal imbalance that ultimately leads to Anovulation.
Stress: Not just hormonal conditions, external factors like intense stress may also lead to Anovulation. Excessive stress increases the release of cortisol, which suppresses ovulation.
Excessive Exercise: Surprisingly, excessive intensive exercise may also disturb hormonal balance in women, leading to Anovulation.
In addition to the above, certain medications, chemotherapy drugs, and birth control pills can also induce Anovulation in women.
Anovulation Treatment: Is Anovulation Permanent? How is it treated?
Anovulation can be temporary or permanent based on the causes and the available treatments. In cases like stress, weight fluctuations, and illness, Anovulation is usually temporary, and the patient may return to normal over time. However, in cases like PCOS and specific hormone imbalances, Anovulation can be persistent and even permanent if the proper treatment is not available.
Anovulation can be treated with various treatment options based on its specific cause. Some of the treatment options currently available include surgery for structural issues, hormonal therapy to balance hormones and induce ovulation, lifestyle changes, and medications. In some cases, Assisted Reproductive Technologies (ART) may also be used to induce ovulation for conception.
In many cases, women overlook anovulation symptoms, thinking that it will sort itself out. But depending on the cause of Anovulation, the symptoms may persist and may cause severe complications like infertility for couples looking to conceive. So it is always advised to consult with your healthcare professional at the first sign of trouble,” says an infertility specialist in Mumbai, Dr. Neelima Mantri. If you are in Mumbai and are experiencing Anovulation, you can consult with Dr. Mantri here.
