by Dr Neelima Mantri | Mar 8, 2024 | Blog, Pregnancy Complications
Chorioamnionitis is a complicated technical term for intrauterine infection, which, as the name suggests, is an infection of the uterus that can occur during pregnancy. The reasons are versatile and can vary. Intrauterine infection during pregnancy can pose severe risks to the baby when left untreated. “Intrauterine infection during pregnancy can often lead to preterm birth, an increased risk of infection to the baby, and an increased risk of chronic health conditions in children later in their life,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri.
Intrauterine infection in pregnant women is more common than most women think. Approximately 1-4% of women suffer from the infection every year. Unfortunately, most women do not get treated and suffer the risk of complications. If you are a pregnant woman or planning for one in the near future, you must be aware of this infection as soon as possible, and we are here to help.
With inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we delve into this bacterial infection, its causes, risks, and preventive steps. Read on to know:
What is Intrauterine Infection (Chorioamnionitis)?
Intrauterine infection in pregnant women, also called Chorioamnionitis, is an infection of the outer membrane of the uterus that surrounds the foetus (called chorion) and the inner membrane that surrounds the foetus and contains amniotic fluid (called amnion). The infection in the chorion and amnion of the uterus is also called Chorioamnionitis, or intrauterine infection.
What causes Intrauterine Infection (Chorioamnionitis)?
Chorioamnionitis often occurs when bacteria from the vagina ascend to the uterus through the cervix. In most cases, the ascension doesn’t happen, but certain events can trigger this ascension. The bacteria can enter the uterus due to rupture of the membranes, invasive procedures, weakened immune system, and even genital tract infections, according to gynaecologist in Mumbai, Dr. Neelima Mantri.
Symptoms of Intrauterine Infection – How to detect it?
Fever is one of the primary symptoms of intrauterine infection in pregnant women. Abdominal pain, abnormal vaginal discharge, tenderness of the uterus, followed by an increased heart rate, fatal heart rate changes, nausea, vomiting, fatigue, and general malaise can also occur during a intrauterine infection. Given that most of these symptoms are common during pregnancy, it is always advisable to consult a qualified gynaecologist as soon as one of the symptoms, primarily fever, happens. Early detection and prompt treatment of uterine infections are crucial to ensure the health and well-being of both the mother and the baby.
So what is the treatment for intrauterine infection or Chorioamnionitis?
Intrauterine Infection Treatment in Mumbai:
“Isn’t it surprising that an infection with such complications can be swiftly managed and treated with simple antibiotics and monitoring? Such is the benefit of early diagnosis and treatment,” says gynaecologist in Mumbai, Dr. Neelima Mantri.
When asked about the prevention strategies to reduce the risk of intrauterine infections, she adds, “Taking antibiotics when the water breaks early, limiting the number of vaginal exams after the water breaks, and getting screened for Group B Streptococcus in the third trimester of pregnancy are some of the key tips we suggest to pregnant women to reduce the risk of intrauterine infection”.
If you are in Mumbai and are seeking information and assistance about intrauterine infection or Chorioamnionitis, Dr. Mantri is the best female gynaecologist in Mumbai who specializes in treating intrauterine infection cases. You can directly consult her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Feb 20, 2024 | Blog, Gynecologist
The field of family planning has been associated with an eternal quest for safe, effective, and convenient contraceptives. Long-acting reversible Contraception (LARC) is a revolutionary practice that allows people to have an easily available yet highly effective and convenient tool for controlling reproductive health.
LARC methods like IUDs and contraceptive implants offer extended protection from unwanted birth. This article shall talk about the advantages of LARC and how this method can revolutionize family planning.
Unparalleled Effectiveness –
The effectiveness of LARC methods is its greatest strength; as compared to short-term contraceptives such as birth control pills, long-acting reversible contraceptives (LARC) are more effective at preventing unwanted pregnancies.
For instance, IUDs have a failure rate of less than 1%, making them some of the most effective contraceptive methods. This high efficacy comes from the fact that they can provide uninterrupted protection without the need for compliance and hence low human pill intake risks.
Convenience and Low Maintenance –
As far as their convenience and lack of maintenance go, the LARC methods are ahead. Once inserted, IUDs and implants are long-acting contraceptives that can last from 3 to 10 years. This makes it unnecessary to adhere to daily or monthly compliance, thus lowering the risk of accidental slippage in contraceptive coverage.
This convenience is very important to people with a busy lifestyle, providing consistent and reliable protection over a long time. Gynecologists in Mumbai are highly skilled in dealing with such cases.
Reversible and Prompt Return to Fecundity –
Irrespective of the fact that LARC methods have a prolonged duration of action, they are reversible and people can regain their fertility within a very short time after cessation. This is particularly attractive to people who want a measure of control over their family life. Unlike permanent sterilization that includes tubal ligation, LARC options preserve the possibility of future pregnancies without affecting long-term contraceptive effectiveness.
Reduced Side Effects and User-Dependent Factors –
One of the main advantages of LARC methods for many users is that they do not have a lot of side effects and there are no user-dependent factors. Different from hormonal contraceptives that might lead to mood swings, weight gain, or other unpleasant side effects, LARC options provide a localized and lower-dose hormonal delivery mechanism.
Moreover, nonhormonal IUDs are offered for those who prefer a hormone-free contraceptive. The best gynecologists in Mumbai are well efficient in treating such cases and providing patients with the best treatment.
Cost-Effectiveness –
The initial cost of LARC methods is higher than that of short-term contraceptives, however, their overall cost-effectiveness over time cannot be denied. Taking into account the extended period of protection and decreased burden associated with the required clinic visits or prescription refills, LARC options are usually more cost-effective in the long run.
Long-acting reversible Contraception is among the most progressive forms of family planning today, providing a whole range of benefits that appeal to different users.
From unrivaled efficiency and convenience to few side effects and cost-effectiveness, LARC methods can change how people view contraception. Dr Neelima Mantri is one of the best lady gynecologists in Mumbai offering superior treatment and expert guidance to her patients.
by Dr Neelima Mantri | Feb 19, 2024 | Blog, Women Health Issues
When confronted with concerns about cervical health, consulting a skilled gynecologist is crucial. In cases of abnormal Pap smears, the best gynecologist in Mumbai may recommend a colposcopy. This brief yet thorough examination ensures a proactive approach to women’s reproductive well-being.
Colposcopy is a medical procedure that plays a crucial role in women’s health, particularly in the detection and evaluation of abnormalities in the cervix. Whether it’s a follow-up to an abnormal Pap smear or a part of routine gynecological examinations, colposcopy provides valuable insights into cervical health.
In this blog, we will delve into the details of the colposcopy procedure, explore potential risks, and shed light on the significance of its results.
Understanding Colposcopy
Purpose:
Colposcopy is typically recommended when a Pap smear reveals abnormal cell changes in the cervix. It allows healthcare professionals to closely examine the cervix, vagina, and vulva using a colposcope – a specialized magnifying instrument with a light source. The primary goal is to identify any abnormal tissue that might require further investigation or treatment.
Preparation:
Before the procedure, patients are advised to abstain from sexual intercourse and avoid using vaginal medications or tampons for a few days. This ensures a clearer view during colposcopy. It is also essential to inform the healthcare provider about any allergies or pre-existing medical conditions.
Procedure:
During the colposcopy, the patient lies on a gynecological exam table, similar to a pelvic exam. The colposcope is positioned a few inches away, and a mild vinegar solution is applied to the cervix to make abnormal areas more visible. If any suspicious areas are identified, a small biopsy may be taken for further examination.
Potential Risks
Discomfort and Bleeding:
Some women may experience mild discomfort or a sensation of pressure during the procedure. Additionally, there might be slight bleeding if a biopsy is taken. However, these symptoms are usually temporary and resolve shortly after the colposcopy.
Infection:
While infection is rare, there is a minimal risk associated with any procedure that involves the introduction of instruments into the body. To mitigate this risk, it’s crucial to follow post-colposcopy care instructions provided by the healthcare provider.
Emotional Impact:
Given the potential association with cervical abnormalities or precancerous conditions, undergoing a colposcopy may evoke anxiety or emotional distress. Open communication with healthcare providers and seeking support from friends and family can help alleviate these concerns. You may consider visiting a female gynecologist in Mumbai for this.
Interpreting Colposcopy Results
Normal Results:
A normal colposcopy result indicates that the cervix appears healthy, and no abnormal areas were detected. In such cases, routine follow-up Pap smears may be recommended.
Abnormal Results:
If the colposcopy reveals abnormal tissue, further diagnostic tests or treatments may be necessary. These could include additional biopsies, a loop electrosurgical excision procedure (LEEP), or a cone biopsy, depending on the severity of the abnormalities.
Colposcopy is a significant procedure in women’s healthcare, providing a closer look at cervical health and aiding in the early detection of abnormalities. Understanding the colposcopy procedure, and potential risks, and interpreting its results empower women to actively participate in their healthcare journey and make informed decisions about their well-being.
Dr. Neelima Mantri, an esteemed laparoscopic surgeon and gynecologist in Mumbai, boasts a decade of experience, specializing in high-risk obstetrics. Trained in South Korea, she excels in both conventional gynecology and minimal access surgeries. Choose Dr. Neelima Mantri for expert, compassionate care – where experience meets excellence.
by Dr Neelima Mantri | Feb 16, 2024 | Blog, Women Health Issues
Primary Ovarian Insufficiency (POI), formerly referred to as premature ovarian failure is a disorder that results from the early depletion or dysfunction of the ovaries leading to malfunctioning of the reproductive system. Such a woman usually develops this condition by the age of 40 which causes various symptoms and affects fertility. In this article, we shall talk about the causes and symptoms of POI.
Causes of Primary Ovarian Insufficiency
● Genetic Factors – Primary Ovarian Insufficiency can stem from genetic abnormalities. Premature depletion of ovarian follicles can be caused by conditions such as Turner syndrome, Fragile X syndrome, and other chromosomal abnormalities.
●Autoimmune Disorders – Sometimes the immune system mistakes ovarian tissues and starts attacking them, and this results in a disorder called ovarian insufficiency. POI can result as a consequence of autoimmune disorders that include thyroiditis and Addison’s disease.
●Infections – The infections of the ovaries that cause inflammation and damage are mumps, which contribute to Primary Ovarian Insufficiency.
●Idiopathic Causes – In a large percentage of POI cases, the etiology remains undetermined, so this condition is called idiopathic. This requires further investigations into other possible contributors to ovarian insufficiency. Gynecologists in Mumbai are skilled enough to resolve such issues.
Symptoms of Primary Ovarian Insufficiency
●Irregular Menstrual Cycles – Irregular or no menstrual cycles are one of the main symptoms of Primary Ovarian Insufficiency. Women suffering from POI may have menstrual irregularities that include primary amenorrhea and secondary amenorrhea, among others.
●Hot Flashes and Night Sweats – Situational symptoms associated with ovarian insufficiency can include hot flashes and night sweats commonly seen in the menopausal state.
●Difficulty Conceiving – Reduced ovarian function leads to infertility in most cases of Primary Ovarian Insufficiency. Women with POI often have difficulty conceiving naturally.
●Bone Health Concerns – Estrogen has an important function in the maintenance of bone density. Low estrogen levels that occur in cases of POI may predispose women to osteoporosis and bone fractures.
Management and Treatment
While Primary Ovarian Insufficiency cannot be reversed, its symptoms can be managed with appropriate medical interventions and under the supervision of the best gynecologists in Mumbai.
●Hormone Replacement Therapy (HRT) – HRT including estrogen and progesterone has a role in the control of symptoms like hot flushes, vaginal dryness, and mood changes. Nevertheless, HRT does not bring back fertility.
●Fertility Treatments – The use of assisted reproductive technologies like IVF with donated eggs may be an option for women who want to have a child.
●Bone Health Measures – To reduce the likelihood of osteoporosis, women with POI are recommended lifestyle interventions including regular weight-bearing exercises, calcium adequate intake, and vitamin D supplementation.
Reproductive health and women’s overall well-being are significantly disturbed by Primary Ovarian Insufficiency, thus, the condition comes with various complexities. With the understanding of the etiologies and identification of symptoms, it can help healthcare providers in diagnosing PIO early which will further lead to better management that helps improve the living quality for women suffering from PIO.
Dr. Neelima Mantri is one of Mumbai’s best gynecologists, who has successfully treated POI patients. Get in touch with her for the best remedies.
by Dr Neelima Mantri | Jan 31, 2024 | Pregnancy Complications
Pregnancy is one of the most blessed and memorable journeys a woman takes. However, many medical conditions can pose problems in this beautiful journey, and a few, like Antiphospholipid Syndrome, can even cut short the journey by causing miscarriage, stillbirths, and other obstetric complications.
What is Antiphospholipid Syndrome, how does it impact pregnancy, and how is it treated to make the pregnancy journey more safe and secure? We posed these common questions about Antiphospholipid Syndrome (APS) to the best gynaecologist in Mumbai, Dr. Neelima Mantri. Read on to know her answers.
What is Antiphospholipid Syndrome?
Hughes syndrome, also known as Antiphospholipid Syndrome (APS), is an autoimmune disorder that triggers abnormal blood clotting in the body. An APS patient’s immune system mistakenly produces a specific antibody that attacks phospholipids, which play a crucial role in blood clotting and cell function.
These antibodies ultimately increase the risk of blood clots forming in our veins and arteries. This increased tendency of blood clotting can have implications throughout the body, causing severe problems like deep vein thrombosis (DVT), strokes, and pulmonary embolism.
Antiphospholipid Syndrome & Pregnancy:
This Antiphospholipid Syndrome (APS), which can have severe implications in an average person, can have even worse consequences for pregnant women:
Increased Risk of Blood Clots: APS, as said above, increases the chance of blood clots, which amplifies the risk of thrombosis, where the blood clot inside the vessel blocks the blood flow, leading to potentially serious complications. “This increased clotting is especially problematic during pregnancy as it can block the blood flow to the placenta, endangering the life of the foetus,” says the top gynaecologist in Mumbai, Dr. Neelima Mantri.
Stillbirths and Preterm Births: The risk posed by APS increases the chance of stillbirths, especially in the second and third trimesters. This condition also increases the risk of preterm birth, which increases complications for the baby.
Recurrent Pregnancy Loss: APS antibodies regularly may interfere with the normal development of the placenta. So, women with undiagnosed and unmanaged APS will suffer recurrent pregnancy loss in the early stages of pregnancy.
Antiphospholipid Syndrome – Diagnosis and Treatment during Pregnancy:
Diagnosis of APS usually involves blood tests to detect the presence of antiphospholipid antibodies and tests to evaluate the impact of blood clotting. Once considered, the gynaecologist, by considering other vital factors, devise a tailored treatment approach to prevent the risk of blood clots and adequately manage the associated complications.
The treatment for Antiphospholipid Syndrome involves a combination of various medications that prevent blood clotting, combined with close and careful monitoring. The primary goal of the treatment is to prevent blood clots, improve blood flow to the placenta, and reduce the risk of other pregnancy complications. “Blood thinner medications and close ultrasound monitoring are the two pillars of APS treatment,” says leading gynaecologist and obstetrician in Mumbai, Dr. Neelima Mantri.
“For women with APS who are looking to get pregnant, we conduct a thorough medical examination and evaluation and optimize the medication regimen according to the outlook of the condition. Obstetricians, rheumatologists, and haematologists work together to manage the APS syndrome. By taking risk factors and previous pregnancy outcomes into account, we tailor and individualize treatment plans for patients with APS to ensure a safe and successful pregnancy,” says Dr. Neelima Mantri, who specializes in treating APS in pregnant women. For more information about treatment for Antiphospholipid Syndrome in Mumbai, you can contact her here.
by Dr Neelima Mantri | Jan 30, 2024 | Blog, Women Health Issues
Pain and discomfort, fatigue, mood swings, stress, sleep disturbances, and interpersonal challenges – PMS can trouble women a lot with its combinations of physical and emotional symptoms.
Premenstrual Dysphoric Disorder is a severe form of PMS that can cause more intense and extreme forms of physical and emotional symptoms triggered by PMS. It is estimated that 8-10% of women of reproductive age can succumb to this painful transition that can impair their quality of life and wreak havoc in the days that lead up to menstruation.
But what is Premenstrual Dysphoric Disorder, what causes it, and how is this condition treated in women? With inputs from a leading gynaecologist in Mumbai, Dr. Neelima Mantri, let us find answers to these questions in this blog today.
What is Premenstrual Dysphoric Disorder?
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS), characterized by intense physical and emotional symptoms that significantly interfere with the daily life of women. Unlike PMS, it is a chronic condition that manifests in the week or two before menstruation.
Unfortunately PMDD is becoming increasingly common, affecting as much as 10% of women of reproductive age. It is a severe condition that requires immediate attention from medical professionals specializing in treating Premenstrual Disorders.
Premenstrual Dysphoric Disorder – Causes and Symptoms:
Unfortunately, the exact cause of PMDD is not known. It is still considered an anomaly and an abnormal reaction of the body to the hormonal changes that happen during menstruation. However, certain risk factors have been identified to increase the risk of PMDD, including:
- History of PMS
- Underlying anxiety or depression.
- Family history of mood disorders or PMDD
- Personal history of abuse, trauma, or other highly stressful events.
PMDD can trigger a whole host of physical and emotional symptoms that are best described as a severe version of PMS. The symptoms can be versatile and vary from case to case; in general, the symptoms of PMDD include the following:
Psychological Symptoms: Severe fatigue, anxiety, agitation, forgetfulness, insomnia, paranoia, moodiness, concentration problems, confusion, lack of control, nervousness, crying spells, anger, irritability, and depression.
Neurological and Vascular Problems: Muscle spasms, dizziness, numbness, prickling, tingling, or heightened sensitivity of arms and legs, easy bruising, fainting, headache, and heart palpitations.
Skin Problems: Acne, skin inflammation, and other skin disorders.
Other Problems: Decreased sex drive, painful menstruation, food cravings, hot flashes, tender breasts, allergies, and appetite changes.
Premenstrual Dysphoric Disorder – Treatment
All the above symptoms hitting women in their most severe form can cause extreme emotional and physical distress to women. Fortunately, PMDD can be managed and treated by qualified gynaecologists, and the risk of occurrence can be drastically cut down with the proper measures.
“The treatment for PMDD usually involves Antidepressants, Hormonal birth control pills, Dietary changes, OTC medications, regular exercise, stress management, and lifestyle changes. When perfectly tailored for a specific case, these options together can help manage and treat PMDD successfully,” says leading lady gynaecologist in Mumbai specializing in PMDD treatment, Dr. Neelima Mantri. For more information on the treatment of Premenstrual Dysphoric Disorder, you can directly consult her here.
