by Dr Neelima Mantri | Nov 15, 2022 | Blog, Female Gynaecologist
Vulvitis is one of the most common inflammatory conditions of female genitals that is experienced by women all around the world. It is similar to vaginitis that we talked about earlier – but with a minor difference.
While vaginitis is inflame the insides of the vagina, Vulvitis refers to inflammation of the outer part of this reproductive organ. Though it is a common condition sometimes it can aggravate and cause persistent irritation, pain and swelling for several days at a stretch.
We often get advanced cases of the Vulvitis which would be easily solved in days had they approached us earlier. Since most women overlook this condition as common itching, it tends to show up severe symptoms. So with the inputs from the top gynaecologist in Mumbai, Dr Neelima Mantri, we provide complete details about the symptoms, causes and options for Vulvitis treatment in Mumbai. Read on:
What is Vulvitis? What causes it?
The area outside the vagina is called the vulva and it includes a vaginal opening, labia majora, labia minora and clitoris. This entire area is made up of soft skin and tends to be moist and warm all the time which makes it vulnerable to infections, allergies, irritations and skin disorders – everything leading up to Vulvitis. In addition, this contact this stool or urine may also result in chronic Vulvitis.
What are the symptoms of Vulvitis?
Soreness, redness, itching and irritation are the general symptoms of Vulvitis. In some cases, clear, fluid-filled blisters, small cracks on the skin of the vulva, thick wheatish scaly patches, redness and swelling on the inner labia can also happen.
Diagnosis for Vulvitis in Mumbai:
Diagnosis of Vulvitis starts with a pelvic exam followed by complete monitoring of medical history in the women. Blood tests, urine tests and tests for sexually transmitted diseases are common tests that are performed during the diagnosis. In addition to this pap tests are performed to test the cell’s microscopic levels to detect cancerous conditions.
Treatment for Vulvitis in Mumbai:
Treatment for Vulvitis depends on the cause of inflammation. Practicing proper hygiene of the vulva and protecting the vulva from irritants is the basic step that is suggested by every healthcare provider. Treatment for Vulvitis is provided based on the current condition of the patient, cause and severity of the Vulvitis, tolerance for medical conditions and current symptoms.
Anti-fungal, estrogen or hydrocortisone creams are provided to relieve the symptoms. Along with this care must be taken to avoid using products that cause vulvar irritation – loose fitting clothes, unscented products, and white undergarments for air circulation or often recommended. Along with this, a sitz bath can be hugely beneficial when it comes to relieving the symptoms of Vulvitis.
How to prevent Vulvitis?
“Following a set of good habits with respect to vulva hygiene can cut down the risk of Vulvitis significantly”, says the best gynaecologist in Mumbai Dr Neelima Mantri. She recommends preferring mild unscented soaps, breathable and dry loose fitting cotton underwear and refraining from self-diagnosis and medication as three simple steps to avoid Vulvitis.
by Dr Neelima Mantri | Oct 21, 2022 | Blog, Women Health Issues
Vaginal Agenesis is a congenital abnormality where the foetus is born with an underdeveloped vagina. Yes, that can happen in rare cases, say 1 out of 5000. Like a few foetuses are born with an underdeveloped spine, arms, legs or kidneys, a few are born with an underdeveloped vagina which is then repaired by specialist surgeons.
What symptoms identify this condition, what causes this condition and how is it treated? With the inputs from the top gynaecologist in Mumbai Dr Neelima Mantri, we have answered the most commonly asked question about Vaginal Agenesis. Read on to know the answers:
What is Vaginal Agenesis?
As said above Vaginal Agenesis is a congenital abnormality where the vagina of the foetus may not fully develop to be a normal one. While some girls have shorter vaginas, others have remnant ones or even lack one completely.
“More often than not this condition develops in tandem with other abnormalities of the reproductive system like underdeveloped fallopian tubes, or uterus, even spine and kidney growth problems too”, says the best lady gynaecologist in Mumbai, Dr Neelima Mantri.
Vaginal Agenesis Symptoms:
In some cases, the outer organs appear normal and hence this condition may not be identified at birth in some cases. So unable to have menstruation is only the symptom in such cases that may signal Vaginal Agenesis. This condition is called Amenorrhea.
“In a few other cases, menstrual blood is pooled inside and stuck due to lack of exit. This condition is called Amenorrhea and it causes abdominal pain and cramping too. Pain during sex is another symptom which is caused due to shorted vagina. Divot or dimple in place of the vagina is another symptom which is often rare in my practice.” says gynaecologist in Mumbai Dr Neelima Mantri.
What causes Vaginal Agenesis?
Around the first 20 weeks of pregnancy is when the development of the female reproductive system happens and healthcare researchers are yet to pinpoint the reason why. The evidence in cases suggests exposure to toxic substances during pregnancy or environmental factors to be the leading cause of this condition. Genetic factors play a part in a few cases too.
How is Vaginal Agenesis treated?
In the majority of cases, this condition is only diagnosed in the teenage years. A physical exam, ultrasound and MRI followed by a blood test and DNA test (for chromosomal abnormalities) are performed to identify and build the plan of treatment for Vaginal Agenesis.
Self-dilation of the vagina: Self-dilation is recommended in cases of the vaginal dimple. A hard and smooth tampon-shaped plastic tube is used to slowly dilate the vagina with pressure for 15-20 minutes a day until the vaginal attains a normal shape. A regular time frame for this non-surgical standard procedure is 18-24 months
Vaginoplasty: In case the vaginal dilation is not suitable, Vaginoplasty is considered by the gynaecologist to construct the vaginal canal. It is created using skin from the insides of the cheek or bowel along with a placeholder to make it stay intact in shape. It may take a month for the recovery after the surgery post which people can enjoy their sex life without any problem. However every case is different as is their anatomy, so only a gynaecologist can adequately provide the right details about the efficiency and timeframe of the condition. If you are in Mumbai and are looking for more information about Vaginal Agenesis, then Dr Neelima Mantri is the best gynaecologist in Mumbai who can help you. Contact her here:
by Dr Neelima Mantri | Oct 19, 2022 | Blog, Pregnancy Complications
In our previous blog – Fibroids in Pregnancy What You Should Know? , we have mentioned how fibroid can lead to placental abruption during pregnancy. And we have received quite a few questions on the topic of placental abruption. To make it easy for everyone we have gathered all the answers from the best gynaecologist in Mumbai Dr Neelima Mantri, read on to know them.
What is Placental Abruption?
A fertilised egg divides into two components – an embryo and a placenta. While the embryo grows the baby, the placenta is the support system that helps its growth. By attaching itself to the inside wall of the uterus, the placenta provides oxygen and nutrients to the baby and removes waste products from the baby’s blood using the umbilical cord.
“To put it simply – the placenta is a temporary organ that absorbs nutrients and oxygen from the mother and transports them to the baby using the umbilical cord”, says the best obstetrician in Mumbai, Dr Neelima Mantri
In rare cases, the placenta may peel away partially or completely from the inner wall of the uterus before delivery leading to placental abruption. This disconnection can deprive the baby of essential nutrients and oxygen causing heavy vaginal bleeding and ultimately leading to early delivery.
What causes Placental Abruption?
The cause of Placental Abruption is not certain. It mostly commonly occurs in cases of trauma or injury to the abdomen form fall or accidents. Sudden loss of fluid that surrounds the baby also may result in Placental Abruption.
When does Placental Abruption occur?
“Placental Abruption is an uncommon condition that occurs in 1% of pregnant women in India. It can happen to anyone after 20 weeks of pregnancy but it is most probable to occur in the third trimester”, says a female gynaecologist in Mumbai Dr Neelima Mantri.
Is Placental Abruption harmful to the baby?
Placental Abruption is a serious condition which can be life threatening to both the baby and the mother. It is known to cause low birth weight, premature birth, growth problems, injury to the brain, and stillbirth of the baby. As for the mother, it can lead to blood loss, blood clotting problems, Haemorrhage, and even kidney failure.
In short, Placental Abruption is a serious medical condition that needs immediate treatment as soon as symptoms show up.
Symptoms of Placenta Abruption:
Placental Abruption is usually sudden but there are a few symptoms that can act as signs of this condition:
- On-off vaginal bleeding
- Low amniotic fluid
- Developmental problems of baby
- Heart rate problems of baby
- Pain in the back or belly
- Pain or tenderness due to quickly repeated uterus contractions.
How is Placental Abruption treated?
A separated placenta cannot be repaired or reconnected. Keeping this in mind, treatment for Placenta Abruption is performed based on the severity of the abruption, blood loss, severity of abruption, and the signs of foetus distress.
If the Placental Abruption is mild and it is too soon for the baby to be born, the mother is closely monitored until 34 weeks of pregnancy with the help of medications. In case the abruption is severe the health of the foetus is at risk immediate delivery is recommended. If a mild abruption is identified when the foetus is near the full term, the mother is closely monitored for vaginal delivery. In case of severe abruption, an emergency caesarean section is recommended.
Got more questions about Placental Abruption, you can directly write to us here. In case you live in and around Mumbai you can directly book an appointment with Dr Neelima Mantri here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Oct 13, 2022 | Blog, Fibroids
Uterine fibroids are smooth muscle tumours that grow in the uterus of women. They are considered benign in a few cases they may negatively impact fertility and even cause pregnancy complications. Given this mostly happens in women of reproductive age, they surely are cause for concern due to the potential pregnancy complications they can trigger.
“Pain, preterm labour and birth, obstetric complications, foetal malpresentation and placental abruption are some of the common pregnancy complications fibroids can cause”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
Fibroids are often considered the common cause of infertility in women. But not many know that they can pose a risk for pregnancy too. So how do fibroids impact pregnancy, what exactly are these symptoms and how are these fibroids managed and treated during pregnancy? Read on to know the answers from Dr Neelima Mantri herself:
Fibroids & Their Impact on Pregnancy:
Fibroids are common among women of reproductive age. While they do hamper fertility they are easily treatable. However, fibroids during pregnancy can be a serious condition due to the nature of the complication they trigger.
While there are cases where they do not pose any risk, the chances of complications are slowly rising in the past few years. Some of the complications that are triggered by fibroids include:
- Miscarriage: The chance of miscarriage doubles when the fibroids that develop in the uterus are greater than 5cm.
- Breech position: The fibroids in the uterus may change the shape of the uterus causing alignment issues for the foetus in the uterus.
- Foetal growth restriction: Larger fibroids bypass the nutrition and restrict the space to prevent the baby from growing to its full potential.
- Preterm delivery: The pain caused by the fibroids may force the woman to have preterm delivery.
- Placental abruption: Fibroids may block the placenta and break it away from the uterus reducing the delivery of nutrients and oxygen in the process.
So, can fibroids harm the pregnancy?
The risk depends on the location of the fibroids, their size and also their number. Smaller and fewer fibroids rarely are a cause of concern. The risk of complication increases as fibroids grow in size (>5cm) and number. Nonetheless, the pregnant will need to consult a qualified gynaecologist who can effectively suggest the right course of treatment.
Fibroid Treatment during Pregnancy:
For non-pregnant women, the fibroid treatment procedure is simple and convenient. As soon as they pass the mandatory 6-month period post-pregnancy, fibroid treatment is performed based on the severity.
Medications & surgery procedures like Myomectomy, Hysterectomy, Radiofrequency ablation & Uterine fibroid embolization are performed to get rid of the fibroids.
As for pregnant women, the treatment options can be limited due to the risk that can be posed to the baby inside. Rest pain relievers, and hydration is often suggested and in only very rare cases surgery procedures like Myomectomy are prescribed to remove the fibroids. If you are in Mumbai and are looking for fibroid treatment during pregnancy, you can contact best gynaecologist in Mumbai Dr Neelima Mantri here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Sep 21, 2022 | Blog, Pregnancy Complications
A majority of women experience low blood pressure during pregnancy which usually gets sorted in their third trimester without medications. However, like everything in medical science, symptoms and their impact on health need not always be the same in every case. For example, low blood pressure which is considered common in pregnant women could be assigned to ectopic pregnancy where the fertilised egg is implanted outside the uterus.
“Sometimes the symptoms caused by low blood pressure can be severe. In a few cases, they can even harm the baby too. This is the reason gynaecologists continuously monitor the blood pressure levels in women” says the best gynaecologist in Mumbai, Dr Neelima Mantri. So how exactly does low blood pressure impact pregnant women and what steps can be taken to mitigate their impact? Let us find out in this blog with the inputs from gynaecologist Dr Neelima Mantri here:
What causes low blood pressure during pregnancy?
As the woman has to support a baby now, the pregnancy demands an expansion of blood circulation in the body. The hormonal changes during the pregnancy also tend to dilate the blood vessels which also results in a lowering of blood pressure in the body. The blood pressure tends to lower from the first trimester and is at its lowest in the middle of the pregnancy and tends to be normal from the start of the third trimester.
In a few cases, low blood pressure can also be a result of infections, allergic reactions, malnutrition, dehydration, anaemia, internal bleeding, endocrine disorders and even heart conditions.
What are the symptoms of low blood pressure during pregnancy?
Even though low blood pressure is considered normal the symptoms can be debilitating for pregnant women. These symptoms include nausea, dizziness, light-headedness, thirstiness, confusion, vision problems, fatigue, breathlessness, rapid breathing and even clammy skin.
Low blood pressure & pregnancy: How does low blood pressure affect the baby?
Low blood pressure does impact the health of the women which in turn shows its effect on the health of the baby. Low blood pressure increases the risk of fainting and injury which may prove to be dangerous for the health of the baby. In addition to this risk, continuous low blood pressure is also found to increase the risk of stillbirth and possible health complications for the baby. Extremely low blood pressure condition is also found to increase the risk of ectopic pregnancy for women.
Treatment for low blood pressure in pregnant women:
Low blood pressure in the majority of the cases is fairly normal and resolves by itself at the start of the third trimester. However, in a few cases, low blood pressure is the result of an underlying condition which may increase the risk of complications for the women. This is the reason pregnant women should always be closely monitored by an expert gynaecologist to identify and take necessary steps to prevent complications. If you are in Mumbai and are looking for treatment for low blood pressure in pregnancy Dr Neelima Mantri is a famous gynaecologist in Mumbai with an excellent track record in helping women ace their pregnancy journey. You can contact her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Sep 19, 2022 | Blog, Pregnancy Complications
Amniotic fluid is a clear, yellowish fluid in the womb during pregnancy. Thus fluid surrounds the baby in the womb and plays a vital role in the optimal development of the baby. This key fluid is generated by the mother within 12 days of the pregnancy and a mother needs to maintain optimal levels of this fluid for safe pregnancy.
Too much or too little – both these conditions can cause complications for the baby. What exactly happens when the optimum levels of this fluid are not met? And how to ensure the right amount of amniotic fluid during pregnancy? Let us know answers from the best gynaecologists in Mumbai Dr Neelima Mantri in this blog.
What is Amniotic Fluid?
The baby in the womb grows in a bag-like structure which is formed by two membranes – the amnion and chorion. The baby grows inside the amniotic sac which is filled with amniotic fluid that is generated as early as 12 weeks into pregnancy. In the early weeks of pregnancy, the amniotic fluid is mostly the water produced by the mother’s body.
By 5th month of pregnancy, this amniotic fluid gradually becomes a mix of water and foetal urine, consisting of key nutrients, antibodies and hormones. The baby swallows the fluid and excretes it increasing its volume over time. This versatile fluid can be said as the bread and butter of the baby due to the essential role it plays in the development of the baby in the womb. Here are the functions of amniotic fluid during pregnancy:
- Amniotic fluid is filled with nutrients and hormones that aid optimal bone growth, and lung and other organ development of the baby.
- Ensures the right temperature for the baby by eliminating heat loss.
- Amniotic fluid acts like a cushion protecting the baby from possible bumps or sudden blows.
- In a few cases umbilical cord may exert pressure on the baby which amniotic fluid prevents.
Ultrasound is used by healthcare providers to measure the amniotic fluid. It is usually measured in pockets of fluid across specific areas of the sac and then the total volume is calculated. The fluid level of 800 ml (average) surrounds the baby at 34 weeks of gestation which is the highest. At full term, a total volume of 600 mL of amniotic fluid surrounds the baby.
What happens when amniotic fluid is low during pregnancy?
Amniotic fluid is an essential element in the optimal development of the baby. A low volume of fluid can risk a condition that is prevented by a good volume of amniotic fluid. Lower amniotic fluid can also be due to lower volume output which is a signal of development problems.
So inadequate volume of the fluid is going to be a problem that can cause serious complications. The causes of the low volume of fluid involve health conditions like diabetes, high blood pressure, placental abruption, breaking of water, certain medications and health conditions like genetic disorders in the baby.
How to increase amniotic fluid during pregnancy?
“In case of lower amniotic fluid during 36-37 weeks of pregnancy, delivery is often the most optimal route that a couple can take,” says the best obstetrician in Mumbai Dr Neelima Mantri. This is suggested because there is no concrete long-term treatment option for low amniotic fluid. In the case of pregnancy that is less than 36 weeks, many short-term treatment options are recommended by gynaecologists in India after monitoring the baby’s health and identifying the causes of the problems. In general, women are suggested to drink more fluids in addition to IV procedures. Omnifusion is another effective procedure where saline is put into the uterus through the cervix using a catheter. This procedure is commonly prescribed when the lower amniotic fluid is seen to impact the baby’s health – an unusual heart rate of the baby is the common sign here.
If you are looking for treatment for lower amniotic fluid then you are suggested to consult a gynaecologist as quickly as possible. An expert gynaecologist identifies the problem causing the lower amniotic fluid to provide the right treatment option for you. If you are in Mumbai, Dr Neelima Mantri is the best female gynaecologist in Mumbai with an excellent track record in treating the low amniotic fluid problem in pregnant women. You can contact her here: https://www.drneelimamantri.com/
