by Dr Neelima Mantri | Aug 22, 2023 | Blog, Laparoscopic Surgery
Ovarian Remnant Syndrome is a severe yet rare medical problem that can happen to women who have had surgery to remove either part of their ovary or both ovaries and fallopian tubes.
Given the fundamental role of the ovaries and fallopian tubes in reproduction, removal is prescribed only as a last resort. “These procedures are performed for the right reasons after weighing potential complications. Yet, in rare cases, Ovarian Remnant Syndrome may strike the women, causing a host of problems for them,” says Neelima Mantri, the leading female gynaecologist in Mumbai.
So, what makes Ovarian Remnant Syndrome dangerous, and how is it treated? Read on to know what gynaecologist Dr. Neelima Mantri has to say.
How Serious is Ovarian Remnant Syndrome?
Ovarian Remnant Syndrome happens when the small parts of the reproductive organs (ovaries or fallopian tubes) are left behind in the body. These leftover tiny bits of tissues may sometimes trigger abnormal hormonal activity, which triggers various health problems for women undergoing surgery. What makes Ovarian Remnant Syndrome dangerous is its ability to initiate and exacerbate a host of reproductive issues for women, which include:
Hormone Imbalances: The residual tissues may interfere with hormonal production, throwing off hormonal balance. The hormonal imbalance may lead to hot flashes, mood swings, irregular menstrual cycles, and other hormonal problems that dampen women’s quality of life.
Reproductive Problems: Hormonal problems are always associated with reproductive issues; in the case of ORS, they are more pronounced. According to gynaecologist Dr. Neelima Mantri, infertility and conception problems are rife in women who suffer from Ovarian Remnant Syndrome.
Chronic Pelvic Pain: Pelvic pain is often the first symptom experienced by women suffering from a possible syndrome. The pain can be continuous or sporadic and can happen during sex, urination, or bowel movements.
Endometriosis: Endometriosis is a serious condition where the endometrial tissue grows outside its intended location, i.e., the uterus. This abnormal allocation often contributes to pain and other reproductive problems, making it one of the primary causes of infertility. Ovarian Remnant Syndrome can further exacerbate the existing endometriosis condition or contribute to developing Endometriosis, making the complications worse.
Ovarian Remnant Syndrome Treatment in Mumbai:
“Patients who tend to suffer from Ovarian Remnant Syndrome usually have a history of pelvic adhesions or Endometriosis. In few cases, the ORS also results from inefficient surgery that leaves over the remnants of ovarian tissue,” says Dr. Neelima Mantri, the best laparoscopic surgeon in Mumbai with an impeccable track record in Ovarian Remnant Syndrome.
A laparoscopic surgery is performed to diagnose this condition adequately; once it is identified, the laparoscopic surgeon prescribes the right treatment course based on the severity of the disease. The treatment plan involves targeted laparoscopic surgery to clean up the residual tissue in the body. Women who have experienced symptoms like irregular menstruation, pelvic pain, painful intercourse, bowel movements, or urination must immediately consult the gynaecologist to evaluate their condition and cause.
by Dr Neelima Mantri | Aug 18, 2023 | Blog, Women Health Issues
Transvaginal mesh is a surgical mesh used to treat stress-related urinary incontinence, a condition where women, particularly those post-childbirth, experience urinary leakage from the bladder during high-impact activities such as running or jumping.
Around 20% of women suffer from this problem, and surgery using a transvaginal mesh provides a low-complication method for treating the incontinence problem. But all this information only scratches the surface of the transvaginal mesh. The topic needs to be delved into deeply to understand the usage of transvaginal mesh, its uses and complications, and the reasons for the ongoing controversy in gynaecological treatment.
With inputs from the best gynec laparoscopic surgeon in Mumbai, Dr. Neelima Mantri, we provide the complete information you need in this blog. Read on:
Transvaginal Mesh – A Treatment for Pelvic Disorders:
Urinary incontinence is only one aspect of pelvic disorder treated by transvaginal mesh surgery. Gynaecologists have been actively leveraging transvaginal mesh to treat various pelvic infections. To understand the role of transvaginal mesh, let us provide you with a backstory of the pelvic floor and its conditions.
Pelvic Floor & Pelvic Organ Prolapse:
The pelvic floor in women is a hammock-like structure of connective tissue and muscle. It keeps the bladder, rectum, vagina, uterus, and cervix intact. More robust and healthier pelvic floor results in adequately functioning these pelvic organs.
In cases where the pelvic floor becomes weaker due to a medical condition, injury, or pregnancy, the pelvic organs may move and drop, resulting in pelvic-organ prolapse. Pelvic organ prolapse can result in various pelvic disorders, including urinary incontinence, sexual problems, pain or pressure in the pelvis, and loss of control over bowel movements.
Benefits of Transvaginal Mesh for Pelvic Disorders:
Transvaginal mesh is a medical-grade mesh made from animal tissues, which is used in surgeries to restore the anatomical positioning of pelvic organs and strengthen the support to the pelvic floor. “This surgery alleviates pain and discomfort and significantly improves bladder control to help urinary incontinence. It is a minimally invasive treatment option that involves lower surgical cuts and hence offers accelerated recovery”, says Dr. Neelima Mantri, a top female gynaecologist in Mumbai.
Then, what are the complications of transvaginal mesh that led to ongoing controversies?
Complications of Transvaginal Mesh: Why It Can Be Risky?
A mesh is a net-like implant that comes in different tape, mesh, ribbon, or hammock that provides reinforced support to weak pelvic organs. The mesh is implanted and held in its place with tissue fixation devices or statures through a small incision in the vaginal or abdominal wall. However, there have been reports around the world about the possible complications, which included:
Mesh Erosion: The mesh interacting and pushing through the sensitive vaginal area can cause pain and discomfort.
Infections: The mesh is historically made through artificial materials, which sometimes may lead to infections near the vagina.
Mesh Migrations: In a few cases, the mesh may dislocate and migrate, changing its orientation and displacing from the intended locations to harm other sensitive pelvic organs.
Painful Sexual Intercourse: In rare cases, mesh in its location may meddle with sexual intercourse, leading to pain.
“In addition to the pain caused by mesh erosion, nerve damage, and urinary problems are some of the transvaginal mesh complications reported across the globe,” says leading gynaecologist and laparoscopic surgeon in Mumbai, Dr. Neelima Mantri. Due to ongoing complications, transvaginal mesh is not recommended for treating pelvic prolapse and other pelvic disorders.
Fortunately, plenty of other surgical treatment options can now help women get rid of the pain and discomfort caused by pelvic disorders. For more information on the treatment of pelvic infections and alternatives to the transvaginal mesh procedure, you can contact gynaecologist Dr. Neelima Mantri here.
by Dr Neelima Mantri | Aug 17, 2023 | Blog, Pregnancy Complications
Thrombocytopenia is a medical term that refers to a low blood platelet count in the body. Gestational Thrombocytopenia is when the blood platelet count drops below the average level during pregnancy. A comforting fact about this condition is that gestational Thrombocytopenia is common during pregnancy. It affects an average of 10% of pregnant women and usually resolves independently under the monitoring and care of a gynaecologist.
However, every condition during pregnancy, no matter how minor it seems, carries a risk. Given the sensitive state of the patient, no health condition should be taken lightly. Take gestational Thrombocytopenia, for example. While it is common, it can quickly escalate to cause complications such as severe bruising, prolonged abnormal bleeding, preeclampsia, reduced urination, and weakness. So, how does a gynaecologist treat this condition, and what can be done to avoid its risks? We asked one of the top 10 gynaecologists in Mumbai, Dr. Neelima Mantri. Read on to know her answers.
Thrombocytopenia in Pregnancy: What Is It Exactly?
Thrombocytes, also called blood platelets, are tiny blood cells that help with blood clotting. Pregnancy is a condition where clotting is needed to reduce the risk of excessive bleeding. So, these platelets, which make clotting happen, are much needed during pregnancy. They work in blood vessels to reduce clotting.
Sometimes they also build up plaque that can cause heart attacks, but that’s a different story. But sticking to the topic of Thrombocytopenia – a lesser number of blood platelets lowers the clotting potential. It increases the risk of excessive bleeding, significantly increasing the chance of pregnancy problems (prolonged bleeding, fluid loss & early birth).
Thrombocytopenia in Pregnancy: When to Worry?
The normal range for platelets in a non-pregnant condition is 150,000 to 450,000/µL. Due to changes in the body during pregnancy, it makes more plasma for its daily functions, and consequently, the platelet count drops by a few thousand, which is quite common. It’s a matter of concern when the platelet count falls below 100,000/µL, says Dr. Neelima Mantri, the best gynaecologist in South Mumbai.
What Causes Thrombocytopenia in Pregnancy?
The human body is pretty savvy in adapting to rapid changes like pregnancy. However, occasionally, the balance gets impacted due to pre-existing conditions or chance.
One of the common reasons is the enlargement of the spleen, which tends to destroy the blood in the filtering process. The lack of folic acid is another common cause, and even viral and bacterial illnesses can lower the total platelet count. Medications such as antibiotics and anticonvulsants also impact the production of platelets.
Thrombocytopenia in Pregnancy Can Impact Both Mom & Baby – Dr Neelima Mantri:
Lower blood platelets can interfere with medications that must be given for a safe pregnancy. For example, the inability to have an epidural, which is given to block the pain from labour contractions, can result in spine damage. The lack of clotting potential can lead to abnormal bleeding and even preeclampsia, which may further trigger premature delivery.
Though a lower blood platelet count doesn’t directly impact the baby, the cause of the lower count must be considered to assess the potential impact on the baby. If the lower blood count is due to an autoimmune condition, antibodies that destroy these platelets may travel through the placenta and cause similar issues for the child.
Treatment Options for Thrombocytopenia in Pregnancy:
Lowered blood platelet count is often treated with regular treatment options like dietary prescriptions and lifestyle changes. Gynaecologists often recommend foods such as dark chocolate, green leafy vegetables, Vitamin C foods, and fortified breakfast cereals as primary treatment options. In cases where autoimmune conditions or any other factors, treatments may vary based on the specific reason causing Thrombocytopenia in pregnancy.
by Dr Neelima Mantri | Jul 31, 2023 | Blog, Women Health Issues
The Retroverted uterus is a gynaecological condition where the uterus sits tilted towards the spine instead of its usual forward position. In most cases, this condition doesn’t affect reproductive health and is considered a normal variation in female anatomy. However, in some instances, this may impact regular bowel, urinary, and menstrual health too.
“We often find a Retroverted uterus a common denominator of urinary tract infection, painful periods, and abnormal pain during pregnancy or sexual intercourse. Some women even find difficulties using tampons, which is usually the case with a Retroverted uterus,” says Dr. Neelima Mantri, a leading gynaecologist and best laparoscopic surgeon in Mumbai.
Is Retroverted Uterus Normal or a Health Issue?
A Retroverted uterus is a normal anatomical variation and is not considered a health issue. But it may cause complications and reproductive issues mentioned above in a few cases. The symptoms may vary from person to person, as does their severity.
However, this answer needs a more thorough approach involving its impact on various aspects of reproductive health. So, we have answered the most frequently asked questions here, along with the causes of the Retroverted uterus. Read on to know them:
Causes of Retroverted Uterus:
In general, some women are born with a Retroverted uterus. But surprisingly, in a few cases, a Retroverted uterus can develop later in life also. The reasons that could trigger this condition are diverse and they involve reproductive conditions like uterine fibroids, adhesions, endometriosis, or natural diseases like menopause or even childbirth. So does this condition cause problems for women? Let us find out.
Does a Retroverted uterus cause menstruation problems?
Yes, a Retroverted uterus may interfere with regular menstruation, making it abnormally painful and even may contribute to painful sex. While pain is common in either of these cases, it is advisable to visit a gynaecologist as soon as the pain becomes unbearable.
Will a Retroverted Uterus Cause Pregnancy Complications?
The first question on everyone’s minds is whether the abnormal uterus position will impact their pregnancy health and cause complications. “Retroverted uterus should not be causing any problems during pregnancy despite the abnormal position. The orientation of the uterus does not affect pregnancy, labour, and delivery. In rare cases, the position may cause mild back pain, which is quite normal during pregnancy,” says the leading gynaecologist in Mumbai, Dr. Neelima Mantri. But it may impact the road to pregnancy by causing fertility problems in a few cases.
So Does a Retroverted Uterus Impact Fertility?
A Retroverted uterus does not impact the fertility of women. It may sometimes be present in women who, unbeknownst to them, suffer from gynaecological conditions like endometriosis, PCOS, or uterine fibroids, which cause fertility problems. So if you are worrying about the role of a Retroverted uterus, it is advisable to contact an expert gynaecologist to find the exact causes. If you are in Mumbai and are looking to consult a lady gynaecologist in Mumbai who can help you with your queries, you can contact Dr. Neelima Mantri here.
by Dr Neelima Mantri | Jul 26, 2023 | Blog, Female Gynaecologist
Cervicitis is the inflammation of the cervix, the lower part of the uterus. While inflammation is commonly considered a simple condition, Cervicitis can be complicated and may increase the risk of pregnancy complications, infertility, and pelvic inflammatory disease. It also significantly increases the chance of sexually transmitted infections.
So, what is Cervicitis, and how is it identified and treated to lower its impact on women’s reproductive health? We asked the top gynaecologist in Mumbai, Dr. Neelima Mantri, and read on to find the answers.
What is Cervicitis? What are its Symptoms?
The cervix is a narrow, tunnel-like structural pathway that connects the vagina with the uterus. When a woman has her period, the discharge comes from the uterus through the cervix and the vagina. So, when this pathway becomes inflamed due to one reason or another, a woman may develop Cervicitis.
Cervicitis manifests in women as abnormal vaginal bleeding, back pain, prolonged vaginal discharge, vaginal pain, pain during sexual intercourse, and a pressure sensation on the pelvis. In severe cases of Cervicitis, women may experience pus-like vaginal discharge too.
What Causes Cervicitis?
The causes for inflammation are usually sexually transmitted infections like Chlamydia, Herpes, Gonorrhoea, and Trichomoniasis. They trigger an acute form of Cervicitis which starts with sudden symptoms and will lonely last for days and is relieved using the proper medications; chronic Cervicitis is also a condition experienced by women in a few cases, which may prolong for months at a stretch.
Not all the causes of Cervicitis are serious infections. Inflammation of the cervix can also be triggered by regular vaginal bacteria, allergy to the latex of the condom, or even chemicals found in the tampons, according to the female gynaecologist in Mumbai, Dr. Neelima Mantri. In rare cases, Cervicitis is also a condition that precedes cervical cancer.
When left untreated, Cervicitis can move up to the fallopian tubes and uterine lining, leading to pelvic inflammatory disease that causes infertility problems, vaginal discharge, and pregnancy complications.
Cervicitis – Diagnosis & Treatment Options:
Cervicitis, in some cases, doesn’t show any symptoms and is even identified during routine pelvic exams. Pap tests, cervical biopsy, and cervical discharge cultures are some exams to diagnose the condition.
Upon identification, the treatment for Cervicitis is based on the severity, overall health, medical history, and causes of Cervicitis. The treatment plan for Cervicitis usually involves antibiotics and watchful waiting. If Cervicitis is caused by cervical cancer or another cancerous condition, the treatment requires cryosurgery or freezing abnormal cells to destroy them. The treatment for Cervicitis must begin as soon as the condition is identified. Delaying the treatment can lead to prolonged vaginal discharge and pain during sexual intercourse.
Following healthy sexual practices, avoiding scented vaginal products, and adhering to vaginal hygiene can help reduce the risk of Cervicitis in women, according to the best gynaecologist in Mumbai, Dr. Neelima Mantri. For more information on the prevention and treatment of Cervicitis in Mumbai, you can contact Dr. Neelima Mantri here.
by Dr Neelima Mantri | Jul 25, 2023 | Blog, Uterine Fibroids
Submucosal fibroids are the type of uterine fibroids that can potentially cause prolonged and heavy menstrual bleeding, pelvic pain and pressure, and urinary and bowel problems like constipation and bowel obstruction.
“But the most surprising complication of these fibroids is that they cause infertility problems and even decrease the success rate of fertility treatments like IVF. They have a higher potential to cause problems than another type of uterine fibroids”, says a gynaecologist specialist in Mumbai, Dr. Neelima Mantri.
What are submucosal fibroids, what causes them, and how are they treated to prevent possible complications? With inputs from a female gynaecologist in Mumbai, Dr. Neelima Mantri, we answer all your questions today.
What are Submucosal Fibroids?
Submucosal fibroids are a subset of the broader category of uterine fibroids, which are non-cancerous growth that develops in the muscular walls of the uterus. They vary in location, size, and number and are usually classified based on their site.
Submucosal fibroids are the type of fibroids that grow beneath the uterus lining, which, when they grow, protrude into the uterine cavity, thus directly affecting menstrual bleeding and pregnancy outcomes.
Are Submucosal Fibroids a More Dangerous Type of Uterine Fibroids?
As said, submucosal fibroids have more potential to cause problems due to their location beneath the uterine cavity. When these fibroids grow, they may put pressure on the uterine cavity, cause prolonged bleeding and cause fertility problems, negatively impacting pregnancy outcomes, according to the gynaecologist in Mumbai, Dr. Neelima Mantri.
What Causes Submucosal Fibroids?
Hormonal imbalance, disruption in uterine tissue, and genetic predisposition are the common causes of uterine fibroids, which also apply to submucosal fibroids. It is always a combination of all the above factors, along with environment and lifestyle choices, that are believed to increase the risk of submucosal fibroids.
Younger women with a family history and obesity are more prone to fibroids. Vitamin D deficiency, a diet rich in red meat and lower in dairy, fruits, and vegetables, also is believed to be a risk factor for submucosal fibroids.
Diagnosis and Treatment for Submucosal Fibroids:
Submucosal fibroids are usually discovered during routine pelvic exams and are confirmed with blood tests, imaging studies, and hysteroscopy. There are several approaches to managing and treating submucosal fibroids:
- Watchful waiting: This approach is taken when the fibroids are small, asymptomatic, and not causing significant issues. Regular monitoring is done to assess their growth and impact.
- Medications: Medications that reduce pain and symptoms and hormone agonists that temporarily shrink the fibroids are used to manage submucosal fibroids. Painkillers, oral contraceptives, vitamins, and iron supplements may also address specific symptoms and improve overall reproductive health.
- Non-invasive procedures: MRI-guided ultrasound surgery is a surgical procedure that can be used to destroy fibroids. Uterine artery embolization, which involves blocking the blood supply to the fibroids, is another option to shrink the fibroids.
- Radiofrequency ablation: This procedure uses heat to destroy the fibroids and relieve symptoms.
- Myomectomy: Both laparoscopic myomectomy and abdominal myomectomy are surgical procedures that remove the fibroids, offering permanent relief.
The choice of treatment is recommended by the gynaecologist based on the specific condition of the patient, the severity of the fibroids, and their impact on reproductive health. For more information on submucosal fibroid treatment in Mumbai, you can contact Dr. Neelima Mantri.
