by Dr Neelima Mantri | Aug 23, 2022 | Blog, Female Gynaecologist
Uterine polyps as the name suggest are the soft fleshy overgrowth of uterine cells which tend to extend into the uterine cavity. Also called endometrial polyps these polyps can be benign or cancerous, single or multiple, and can range in sizes from millimetres to centimetres (golf-ball size). These polyps are thatched to the uterus with a stalk-like structure and in rare cases, they can even slip into the vagina too.
“Though uterine polyps are usually associated with women going through menopause they can also occur in young women causing infertility,” says lady gynaecologist in Mumbai Dr Neelima Mantri. In the majority of cases, uterine polyps tend to be the reason for pregnancy and other fertility problems
What causes uterine polyps and what are the uterine polyps’ treatment options in Mumbai? Read on to the answers from gynaecologist Dr Neelima Mantri:
Uterine Polyps Symptoms:
The overgrowth of the tissues will interfere with the regular reproductive function of women. Irregular menstrual periods, bleeding between periods, abnormal blood flow during menstruation, vaginal bleeding and spotting and infertility are some of the common symptoms.
Out of all the symptoms mentioned, irregular menstrual periods are the most common as far as polyps are concerned. Bleeding after menopause or even during sexual intercourse are other unique symptoms that can even show up due to uterine polyps. In a few cases, with the above symptoms, women may even be unable to conceive due to uterine polyps even without showing up any of the symptoms mentioned above.
What causes Uterine Polyps?
The exact cause of uterine polyps is not yet certain. High oestrogen levels and obesity are the three strong risk factors identified by gynaecologists. Even age is also strongly correlated with the incidence of polyps – it is more likely to strike in women between 40 to 50 years of age. As menopause reduces the oestrogen levels in women and risk of uterine polyps is less. But even post-menopausal women undergoing tamoxifen therapy are also at greater risk of developing uterine polyps.
Treatment for Uterine Polyps in Mumbai:
Not all polyps are symptomatic. Some may sit silently without actually impacting a woman’s reproductive function and in this case, a gynaecologist usually adheres to wait and see approach to come up with a treatment plan.
The most common treatment for uterine polyps is their surgical removal obviously. Hysterectomy is a non-invasive surgical procedure that is used to remove uterine polyps with or without administering general anaesthesia. In a few cases, even after the removal of polyps, there is a risk of regrowth and a gynaecologist will come up with the right medical treatment option to mitigate the risk. Endometrial ablation is another treatment option where the endometrial lining is destroyed to remove the polyps and mitigate their regrowth. However, this is only suggested to elder women who decide to not have children in the future. If you are in Mumbai and are looking for uterine polyps’ treatment in Mumbai, Dr Neelima Mantri is the best lady gynaecologist in Mumbai who can help you. 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 | Aug 8, 2022 | Blog, Female Gynaecologist
Endometrial ablation is one of the most popular solutions recommended for treating abnormal bleeding. While it effectively reduces abnormal bleeding, it is not recommended for every woman. Know more about this procedure’s limitations, risks, benefits and recovery from the best lady gynaecologist in Mumbai Dr Neelima Mantri in this blog today:
What is Endometrial Ablation?
Endometrial Ablation is the procedure of scraping a thin layer of the uterus to reduce the abnormal menstrual flow of a woman.
Every month during the date of menstruation, the inner layer of the uterus (endometrium) thickens to prepare the uterus for conception. When the egg doesn’t receive the sperm, the hardened wall sheds and bleeds every month (period bleeding). In a few cases, the bleeding can be abnormal with sharp pain stretching for an extended period. Endometrial Ablation is the most common procedure that is performed to reduce the intensity of the blood flow and pain.
When is the Endometrial Ablation recommended by a gynaecologist?
Heavy and abnormal bleeding is when the gynaecologist actively considers Endometrial Ablation. Periods are considered heavy and abnormal if they last for more than 7 days, develop a risk for anaemia, and interfere with daily routine. Along with the incidence of abnormal bleeding, this procedure is requested only when:
- The woman is sure she doesn’t need pregnancy and is willing to use birth control to avoid the risk of pregnancy and subsequent miscarriage.
- There are no other possible causes of abnormal bleeding like thyroid, cancer or any other congenital conditions.
How is Endometrial Ablation performed?
Unlike other surgical procedures, endometrial ablation is a simple procedure that will not need incisions or stitches. “It is relatively a short and simple procedure where the woman can leave home on the same day. Radio frequency, heat, freezing, heated balloon, miniature electricity – a variety of procedures are used to remove the lining.” says the best gynaecologist in Mumbai Dr Neelima Mantri.
Who is not suited for Endometrial Ablation Surgery?
As the lining of the endometrium is destroyed, the ablation procedure severely reduces the ability to get pregnant. In addition to this, an ablation procedure is not recommended when the woman:
- Is younger than 40 years of age
- Is post-menopause
- Had a recent pregnancy
- Diagnosed with pelvic inflammatory diseases
- Suffers cervical or vaginal infections, and endometrial cancer.
Risks & recovery after Endometrial Ablation Treatment:
Endometrial ablation is the most simple and most successful way of treating the abnormal bleeding condition provided the conditions are met. Only in very rare cases do women experience side effects chills, fever, trouble peeing, mild cramps, and strong-smelling fluid discharge – temporarily.
On average it takes 2 days for recovery after the Endometrial Ablation treatment with the right pain relief medication.
After the treatment, the woman is advised to regularly use birth control such as tubal ligation or IUI device without which one suffers risk of pregnancy or miscarriage and maternal risk. The gynaecologist must be consulted regarding the exercise regimen, sexual practices and usage of tampons post-surgery. If you are in Mumbai and are looking for more information about Endometrial Ablation, Dr Neelima Mantri is one of the best endometrial ablation doctors in Mumbai who can help you. 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 21, 2022 | Blog, Female Gynaecologist
Pregnancy, as we all know is the most challenging journey a woman gets to experience in her life. The sheer amount of physical and mental changes bring on a lot of new problems in due course. The back pains, cramps, heart burns, indigestion and the list go on and on. Of all the problems, the final act of hard labour is the most aggravating of the lot.
Fortunately, there are pelvic floor exercises that can also help you give shorter labour and also accelerate your post-birth recovery. Millions of women all around the world work have benefitted by ingesting them into their daily routine. With the input of the best gynaecologist in Mumbai Dr Neelima Mantri, we give a short intro to these pelvic exercises in this blog here. Read on to know:
What is the Pelvic Floor?
This Pelvic Floor is a group of muscles that bind together to form a base hammock that supports your internal organs: The Bladder, Uterus, Rectum and Vagina (in the case of women). This Pelvic floor is responsible for your Pee and Poo and importantly controls their outflow.
Needless to say, this Pelvic Floor also plays a huge part in amplifying your sexual pleasure during the Orgasm. But the most important for the moment is its ability to stretch enormously which is of real help in letting the baby out and restoring everything to its normal shape. But the Pregnancy part changes a bit or two in the process. The lack of exercise regimen compounded by the growing weight of your baby in the uterus wreaks these Pelvic Floor Muscles weakening them in due course.
Consequently, these Pelvic Floor muscles are at their weakest when you need them the most!
How to Strengthen your Pelvic Floor?
It takes a lot of strength to push your baby through the Pelvis and you will have to count on your Pelvic Muscles to help you sail through. And all these muscles need a little help from your side to regain their strength for you. And pelvic exercise is how you strengthen them. “They are simple, easier to learn and can be done anywhere. If you decide to stick to one exercise during the pregnancy period, stick to this magic set.” says a lady gynaecologist in Mumbai Dr Neelima Mantri
Namely, there is three type of pelvic floor exercise – Pelvic floor relaxations, Endurance contractions & Quick flick contraction and each of these exercises can be performed anywhere anytime. Just identify the right muscles and perform three sets of pelvic – start slow and be consistent. Our next blog will be dedicated to a depth exercise guide pelvic floor, you can find it here.
However, anything you try during your Pregnancy should be recommended by qualified gynaecologists and health professionals. Dr Neelima Mantri is the best gynaecologist in Mumbai who has helped hundreds of pregnant women simplify their pregnancy journey with expert pre-natal and post-natal care. She can perfectly monitor your health and guide you towards your prenatal journey with the right exercise plan that can help you pelvic strength for a smooth labour. You can contact me 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/
