by Dr Neelima Mantri | Nov 2, 2021 | Infertility Treatment
Couples who are falling short of natural conception even after trying out treatment plans no longer have to worry about their parenthood. Today, gynaecologists are equipped with powerful procedures using Assisted Reproductive Technology (ART) that can help parents realize their parenthood.
Out of all the advanced procedures available and Ovulation Induction is the simplest procedure that can help the couple trying to conceive. But what is Ovulation Induction? How it performed and what is are the chances of conception with Ovulation Induction? With the help of the top gynaecologist in Mumbai, Dr Neelima Mantri, We answer all your question in this blog here. Read on:
What is Ovulation Induction?
Inducing ovulation through medications to increase the chances of successful fertilization is called Ovulation Induction.
Why is Ovulation Induction performed?
Regular ovulation is the release of the mature egg every 28 days in general. The interval of 21 to 35 days is considered normal, but the release of an egg sooner or later in this interval is generally considered abnormal.
More women suffer inconsistent and irregular periods (later than 35 days) and suffer fertility problems. On average 25 to 30% of the infertility problems are due to inconsistent and irregular ovulation for women who undergo infertility treatment in Mumbai.
The goal of Ovulation Induction is to persuade and consistent release of mature for fertilization to happen effortlessly, either through natural or using assisted reproductive technology.
When is Ovulation Induction performed?
Ovulation induction is performed when the lack of ovulation or inconsistency of ovulation in a woman is the cause of the conception problems, says top infertility specialist in Mumbai, Dr Neelima Mantri.
Ovulation Induction in itself is used to induce ovulation for natural fertilization or as a first step in the process of further assisted reproductive treatments like Intra Uterine Insemination or In Vitro Fertilization.
How is Ovulation Induction performed?
Specialized hormone-based medications are used in Ovulation Induction treatments to bring a woman’s hormone profile into order to make regular and healthy ovulation possible.
This medication stack may include Insulin-sensitizing agents, Aromatase inhibitors, Gonadotropins or medications like Clomiphene citrate. “Sometimes these medications are not even needed, regular ovulation can be achieved just by treating inherent health problems like obesity or hypothyroidism” top gynaecologist in Mumbai Dr Neelima Mantri.
Who is suited better for Ovulation Induction treatment?
As mentioned earlier, women who experience irregular ovulation are commonly benefitted from Ovulation Induction treatment procedures. The gynaecologist first takes inherent gynaecological problems suffered by women into account and devise a treatment plan based on the cause of irregular ovulation.
Are there are any side effects for Ovulation Induction?
In very rare cases women may experience side effects that may include bloating, nausea, headaches, hot flashes and pelvic tenderness. But Incidence of these symptoms is rare. Every year thousands of women in Mumbai made use of the Ovulation Induction to realize their parenthood dream. With the right gynaecological you can too.
If you are in Mumbai and are facing fertility problems that are keeping you away from becoming a parent then Dr Neelima Mantri is the best gynaecologist in Mumbai who can help you. You can contact her here: +91 7045115577
by Dr Neelima Mantri | Oct 27, 2021 | Blog, Female Gynaecologist
The prolapse of the small intestine i.e. descending of the small intestine into the lower pelvic cavity causing a vaginal bulge is called an Enterocele. On average 4% of women suffer this pelvic organ prolapse at some point in time, this risk increases in post-menopausal women.
What causes Enterocele in women?
The pelvic floor acts as a sac to support the pelvic organs – bowels, uterus and vagina with the help of the ligaments and muscles. When these ligaments and muscles weaken, the chances of organ prolapse increases significantly and over time the organs slip into the pelvic area.
Enterocele is the condition where the small intestine due to lack of support begins to descend, presses against the upper vagina causing a vaginal bulge.
Who are at risk of Enterocele?
As the strength of pelvic muscles is strongly linked with estrogen levels in women, the risk of organ prolapse increases in women as their estrogen levels decline. So post–menopausal women above age 60 suffer a greater risk of Enterocele.
But that is not all – the risk of Enterocele is high among women with certain medical conditions like bronchitis, asthma, Ehlers-Danlos syndrome or even for women who have undergone radiation therapy. In rare cases lifting heavy items, obesity, constipation or hysterectomy may also lead to this condition, says Dr Neelima Mantri a top gynaecologist in Mumbai.
How to identify the Enterocele in women?
A vaginal bulge is the most common symptom of Enterocele. But not every woman experience symptoms when it comes to Enterocele but when they do, they can be any one of the following:
- Urinary incontinence, pooping difficulties.
- Feeling pain during sex or during prolonged physical activity.
- Pressure in the pelvic area for no apparent reason.
- Pain in the lower back that subsides in sleeping posture.
Diagnosis and Treatment for Enterocele in Mumbai:
Enterocele is diagnosed by a gynaecologist in Mumbai using a pelvic exam. The bulge can be felt by hand during a press or cough. Cystoscopy, urodynamic tests and other imaging tests are performed to identify the severity of the condition.
Enterocele is usually treated by a gynaecologist in Mumbai using non-surgical treatment procedures like pessary where silicone or rubber device is inserted into the vagina to support the pelvic floor for the time being. Pelvic floor exercises are also suggested to strengthen the pelvic floor in women. Surgery as always is the last resort in treatment for Enterocele where the small intestine is out back into its place by repairing the tissues.
Fortunately the risk of Enterocele can be reduced by strengthening the pelvic floor muscles and adopting a healthy lifestyle with a high fibre diet. If you are looking for more information on Enterocele treatment in Mumbai, Dr Neelima Mantri is the best gynaecologist in Mumbai who helped hundreds of women get rid of this condition using both surgical and non-surgical treatment options. You can contact her here: +91 7045115577
by Dr Neelima Mantri | Oct 26, 2021 | Blog, Laparoscopic Surgery
Prolapse is when something slips out or falls out of its normal position in our body. Rectal prolapse is when the rectum or the last portion of the large intestine drops out of the anus. Although this sounds like a grave medical condition, it is not life-threatening. However, ignoring the condition of rectal prolapse is not wise. Rectal prolapse may affect your life and may be a cause of embarrassment in many cases.
There can be three types of rectal prolapse. The three kinds of rectal prolapse are as follows:
- Mucosal prolapse: This is a kind of rectal prolapse in which the rectal lining slips out of the anus.
- External prolapse: This is a kind of rectal prolapse in which the entirety of the rectum sticks out of the anus.
- Internal prolapse: This is the kind of rectal prolapse in which the rectum starts to slip off from its original position but does not stick out of the anus yet.
Symptoms of rectal prolapse:
Rectal prolapse can have the following symptoms:
- Feeling like something has slipped out of the body during bowel movements.
- Visibility of red mass outside the anus.
- Pain in the anal region.
- Leakage of blood, mucus and stool from the anal region.
Diagnosis of rectal prolapse:
Rectal prolapse can be diagnosed in a patient in the following ways:
- The doctor may conduct a rectal exam.
- Anal electromyography maybe is recommended by the doctor to check the possibility of nerve damage.
- Anal ultrasound may be recommended by the doctor to examine the muscles and tissues of the anal region.
- Manometry can be suggested by the doctor to check the strength of the anus.
- Proctosigmoidoscopy is a test that is ordered by the doctor to check the instances of scarring and inflammation in the intestines.
- Proctography investigates with the help of X-rays how well the rectum functions while bowel movements take place
- A pudendal nerve terminal motor latency test can be performed to check the pudendal nerves; which are responsible for the bowel movements in the human body.
Rectal prolapse surgery
There can be two kinds of rectal prolapse surgery. These are:
- Abdominal; which can be done using the conventional large incision or by using the method of laparoscopy. In laparoscopy, the doctor makes a small cut in the abdominal region to insert an instrument to which a camera is attached.
- Perineal; which involves the lining of the rectum or the portion of the anus that is hanging out of the anus. This kind of surgery is usually done on older people who have other medical complications.
Your options in Mumbai
If you suspect that you have rectal prolapse by going through the symptoms in the article, you must immediately consult a doctor. And if you are looking for the best laparoscopic surgeon in India, you must immediately go to Dr Neelima Mantri. Dr Neelima Mantri is considered to be the best gynaecologist and laparoscopic surgeon in Mumbai. So, without any doubt in mind, you must go get yourself checked to get a quick and careful diagnosis from the best gynaecologist and best laparoscopic surgeon in India!
by Dr Neelima Mantri | Oct 26, 2021 | Blog, Female Gynaecologist
The uterine septum is a frequent but undetected cause for female infertility and recurrent miscarriages; this is a condition where the uterus is divided in half and acts as an obstacle in successfully conceiving a baby.
Why is uterine septum surgery advised?
During the initial stages of growth, two separate uteri come together and this leads to the formation of a female triangular-shaped uterus, but in the case of the uterine septum, the tissue between them also known as Mullerian tissue, is unable to reabsorb, so the rest of the tissue has to be removed. Along with this, any other tissue that acts as a hindrance has to be removed in uterine septum surgery.
What is the goal of the surgery?
Uterine septum problems can cause issues related to menstruation, so doctors recommend surgery to correct symptoms of this abnormality. Uses of sanitary pads and tampons become easier after surgery and provide relief in menstrual pain.
They don’t lead to any sort of health issues in women and some cases there might be no requirement for treatment but they can lead to future problems related to infertility in a few women. Other issues could be premature labour, recurrent pregnancy loss and miscarriages.
In which cases is uterine septum surgery effective?
Septate uterus– this is a septum that leads to two halves of the uterus. Surgery is performed to increase the space inside which makes it possible to implant a fertilized egg and conceive a child. This increases the chance of fertility for many patients.
Vaginal septum– this problem can be solved because surgery helps in easy delivery of children and convenience in using tampons during menstrual periods.
Another uterine septum- there is an option to conduct surgery in case of the bicornuate or unicornuate uterus but this is usually not recommended. It is a very harsh form and could lead to a scar in the uterine tissue and might lead to an increase in fertility issues instead of acting as a solution.
Recovery after completion of uterine septum surgery
Surgery in different cases depends upon each patient’s symptoms and severity of pain. So based on that, you will be able to return to normal life and routine within 1-2 days following the surgery and a full recovery is possible within the span of 2 to 4 weeks.
You might have to face certain problems regarding abdominal pain after completion of uterine surgery and in case of vagina surgery, you could face vaginal pain. It is difficult to sit down comfortably and conveniently for a few days, but it does get normal with time. If that is not happening, do not avoid it and consider it to be mild.
In some cases, there might be visibility of spots in the area of surgery. You can use a cotton pad to absorb any discharge or blood. Try to avoid the usage of tampons and start using them only once the doctor recommends. If you are facing symptoms such as nausea, tiredness, vomiting and infections in the area of surgery, consult your doctor without any further delay.
Dr Neelima Mantri is the best doctor for uterine septum surgery in Mumbai who has been trained in high risk obstetrics, normal gynaecology and laparoscopy. She can help you with all stages before and after pregnancy and any further issues related to fertility. She offers uterine septum treatment in Mumbai and has been trusted for the same by many patients.
by Dr Neelima Mantri | Oct 26, 2021 | Blog, Gynecologist
The vulvar disease is any sort of abnormality or pathological condition that has impacts on a certain part of the entire section of the vulva. Various disorders can occur and some of them can be treated through vulvovaginal health maintenance.
It may be infections such as contact dermatitis, vulvodynia and folliculitis and other conditions such as vulvar cancer, blemishes, inflammatory diseases, pain and ulcers.
The vulva is the outer area of the female genital and it is sensitive. Any abnormalities such as burning sensation or pain should be considered as a symptom and you should consider talking to a specialist gynaecologist regarding the same. It could be a basic skin infection or a severe form of disorder such as cancer. Physical tests are performed to identify the level of severity of symptoms and then treatment is recommended.
What is vulvar cancer?
It is a type of cancer that affects the flesh on the outer area of the female genital. In most cases, vulvar cancer leads to the formation of a red colour lump in the area. The cause of such a type of cancer is still unknown but is often observed and diagnosed in older females.
This condition starts to form when there is the development of mutations in the DNA. This leads to the growth and division of cells and a large number of healthy cells die that can be Melanoma or cell carcinoma. Early diagnosis is very beneficial as it helps in early treatment and reduces the risk of surgery.
Symptoms include a
- cut or soreness
- development of lump or mass
- pain in the area
- irritation and itching
- bleeding which is not similar to the usual menstrual cycle bleeding
- burning sensation even after treatment
- certain changes in the colour, size, appearance or texture of a birthmark or a mole present in the area
A major factor contributing to the occurrence of this condition is the age of women and is mostly diagnosed in women between ages between 65 to 75 years; it can also occur in women who are 40 or younger as well.
Treatment for vulvar disorders
Usual forms of treatment for vulvar cancer include-
- Radiation therapy
- chemotherapy
- surgery or a mixture of different approaches.
This depends upon the nature and level of disease, the depth, severity and extent of spread of cancer. Doctors review all approaches of surgery and try to measure the pros and cons of all options to finalize one method for treatment. In some cases, even after surgery, people might require more treatment due to increased problems. Then doctors move on to Radiation therapy.
If cancer is detected and treated early, the guarantee for cure and improvement is more than 90%. You just need to keep an eye on any symptoms and inform your doctor about any signs that you notice to carry out the tests as early as possible and during and after treatment you can go to your doctors again for follow-ups and regular checkups.
Dr Neelima Mantri is the best female gynaecologist in Mumbai who specialises in obstetrics, general gynaecology and laparoscopy. She has dealt with thousands of challenging cases and has emerged successful in outcomes. She received her training from South Korea and has been trusted by many people for treatment.
by Dr Neelima Mantri | Sep 28, 2021 | Blog, Breastfeeding
Breastfeeding makes the most critical and fundamental part of nutrition for the baby. It’s the nature design to ensure the offspring receives all the vital nutrients for the other which is why it is an essential practice among all the mammals on planet earth.
But why exactly is it is beneficial for the nurturing of the baby? What makes breastmilk a superfood for babies and does breastfeeding benefit the mother too? We often get plenty of questions at our gynaecology clinic in Mumbai, in today’s blog we have decided to answer them.
What is breastfeeding? How often should the baby be fed?
Feeding the breastmilk to the baby to ensure survival and optimal health to the baby is breastfeeding. Gynaecologists strongly recommend mandatory breastfeeding until 6 months and as soon as the food habits slowly pick up, breastfeeding is recommended to continue throughout the year.
Frequency of the breastfeeding depends upon the baby’ choice of feeding – short or long feeding habits. Usually new-born are to be fed every 2-3 hours, 2-months babies are to be fed every 3-4 hours and 6-month nannies are to be fed every 4-5 hours on average.
So now how exactly breastfeeding is beneficial to mother and baby? Coming up, right away:
Benefits of Breastfeeding to Mother and Baby:
Breastmilk is the super-food for babies: Breastmilk provides all the essential nutrients in the most bio-absorbable form in the right proportions. Also, the composition adapts to the baby’s changing needs making it a wholesome food for the little one.
Breastmilk is an immunity booster: The new baby who is just into this world will be vulnerable to health risks and guess who provides the cover – mother’s breast milk.
Through breastmilk, the antibodies of the other are directly transferred to the baby providing an immunity shot against all the diseases the mother is immune against. Case in point – Recent research also suggests that mothers vaccinated with the covid vaccine also pass their antibodies through their breast making babies naturally immune to the COVID-19 virus, according to the best female gynaecologist in Mumbai. Dr Neelima Mantri.
Breastmilk makes a child smart: Breast milk provides the right nutrients in the right quantities, guards against diseases by improving immunity and also plays a crucial role in increasing the cognitive ability of the baby. Breastfeeding helps in optimal brain development and a breastfed baby is less likely to face learning difficulties compared to their counterparts.
Helps lower the risk of diseases for mom: Not just the baby, breastfeeding also helps moms by reducing the risk of certain medical conditions and diseases. Breastfeeding moms reportedly reduce their risk of osteoporosis, postpartum depression, breast and ovarian cancers.
Breastfeeding helps in a smooth transition for mom: The act of breastfeeding also bring-in a series of anatomical changes in women which serves as a bridge for a smoother transition for mothers. Breastfeeding triggers the shrinkage of the uterus to normal size, burns more calories to helps you lose weight, can keep away from ovulation for a smoother transition to regular life.
“But hands down the most important and enriching benefit of breastfeeding is it lays pillars and fosters an unbreakable bond between the mom and baby. ”, says leading lady gynaecologist in Mumbai Dr Neelima Mantri. So breastfeeding is a natural plan of laying a strong foundation physically, mentally and emotionally helping us humans survive and leading a healthy life. If you are a mom who needs more information about breastfeeding, then you can contact female gynaecologist, Dr Neelima Mantri here: +91 7045115577
