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/
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/
