by Dr Neelima Mantri | Apr 10, 2020 | Blog, Women Health Issues
Menopause is the natural end of the menstrual cycle for women. An end that is the final release from years of the menstrual problems like PMS, hormonal surges, headaches, mood swings cramps and pregnancy risks. However, this is no sudden and abrupt end, entire process is set in motion years before the end and women finally are relieved from the monthly chores.
Menopause:
As women age, the production of hormones, estrogen, and progesterone which are responsible for menstruation slowly decreases accounting for skipped or late periods over time. As this process of the irregular period continues for a few years (3-5), the hormones completely fall off the cliff stopping the periods altogether marking the end to your reproductive period: Menopause.
Perimenopause:
The gradual reduction of hormonal production slowly manifests in the form of biological and physical changes as the body slowly gears towards menopause. This time period where the symptoms and changes in women’s body begin to occur is called Perimenopause.
Symptoms of Perimenopause:
As Perimenopause is the stage where symptoms begin to appear, this is the stage where women generally become anxious and bothered as they experience changes in their body which they haven’t been accustomed to before. At our clinic in Mumbai, gynaecologist Dr. Neelima Mantri frequently sees women with these perimenopause problems which are only normal for the aging process. So here we have decided to clear up the symptoms and problems associated with perimenopause.
Here are the common symptoms of perimenopause that women can experience in here journey towards menopause:
Vaginal drying: As estrogen levels reduce, the vaginal lining becomes thinner and rigid decreasing the natural lubricant. These changes dry-up the vagina and can make intercourse painful and also vulnerable to yeast infections.
Irregular or missed periods: As hormone production reduces over time ovulation becomes unpredictable resulting in irregular periods. If you experience a change of 7 days, then you are likely to be in early perimenopause and anything more than 40 days indicates late perimenopause.
Hot flashes: A sudden wave of warmth can engulf you with a rapid heartbeat and sweating followed by a body chill for 1 to 5 minutes. Hot flashes are the signature symptom of perimenopause.
Mood swings: The hormonal changes associated with the perimenopause phase are also responsible for mood swings, irritability and occasional lows in perimenopause.
Sleep disruptions: Around 50% of the women report sleep disturbances during the perimenopause. While hot flashes and night sweats account for sleep disruption, change in the sleep cycle due to aging is also one of the factors.
Lower sex drive and decreased fertility: Hormone changes also can result in diminished sex drive in women and as the periods are irregular, the chances of pregnancy naturally decrease during the perimenopause.
In addition to the above symptoms, perimenopause heavy periods, hair thinning, dry skin, weight gain, nausea, bloating, tender breast are some of the problems associated with perimenopause. While 51 is the average age in India for women to experience Menopause, few women experience them in their early 40s or late 50s too. So the onset of symptoms can vary from women to women.
If you have been observing any of these problems mildly, then don’t worry it’s completely normal to experience them to the hormonal change you are going through in the perimenopause. But if the problems are seriously interfering with your day to day life it is advised to consult a gynaecologist as soon as possible. If you live and around Mumbai and are looking for the best female gynaecologist in Mumbai to help you cope up with these premenopausal symptoms then you can contact Dr. Neelima Mantri here Call@ +91 7045115577
by Dr Neelima Mantri | Dec 24, 2019 | Blog, Women Health Issues
One out of every six women experience infertility problems and find it difficult to conceive. Infertility need not always be about physical problems either, 1 out of every 5 couples we treat at our infertility centre suffer infertility due to emotional problems like extreme stress, nervousness, and anxiety.
According to researchers, stress and anxiety may not lead to a successful conception and around 20% of the women face these emotional issues, on an average. It’s completely natural for women to feel stressed and nervous about the biggest change that is going to come into her life. While the thoughts of pregnancy running in the mind of the first-timer make her nervous and anxious, the same thoughts can increase the stress for the women who had been trying for so long.
This stress experienced by the woman automatically signals her body that it is not the right time for pregnancy thereby decreasing your chances of conception. Then how should a woman keep herself in proper emotional health while trying for conception?
Here are four best ways to de-stress and boost your conception chances:
Take a Break:
It is only natural to feel trapped inside and stopping you to go outside. But make an effort if not force yourself to go out. Break your daily routine and go someplace special to bring out the positive vibes you have been missing out for long.
Eat Right:
Your diet plays one of the most crucial roles in helping you come out of the hole you find yourself in. It is easy to load up yourself with sugary and processed foods, especially when you are in stress. Eating a Mediterranean diet with lots of fish, nuts, veggies, and fruits not only boosts your physical health but also keeps you in the right headspace.
Practice Yoga:
Yoga is one of the most effective ways to de-stress yourself during tumultuous times. The mindful breathing techniques relax you and the simple yoga poses give you a proper stretch energizing and releasing the stress you have built for long. If you cannot adhere to yoga, simple meditation with deep breathing also can help you reap benefits in a short time.
Stretch and Exercise:
Exercise not only boosts your physical health but also increases the production of the domain which helps you reduce your stress and boost your mental health. Adding a stretch program to your daily workout regimen can relax your muscles, improve blood circulation and de-stress your body most simply and effectively possible. But make sure you do not go overboard, aim for a simple low impact exercise for not more than 2 hours.
Talk to your Gynaecologist:
Talking one-to-one with your Gynaecologist and making her known about your doubts, apprehensions, and fear is a great way to bust the tension and nervousness that will pent up during the conception period. Dr. Neelima Mantri is one of the Best Gynaecologists in Mumbai with a remarkable record of helping thousands of women complete their pregnancy journey. If you are looking for a Best Gynecologist and obstretician Doctor in Mumbai, you can find her here: Dr Neelima Mantri
by Dr Neelima Mantri | Jul 26, 2019 | Blog, Women Health Issues
Termed as silent killer by medical professionals, Hypertension is one of the most common medical conditions experienced by people around the world. And being pregnant puts women at a higher risk of hypertension. According to statistics, number of pregnant women who have developed hypertension tripled in last 5 years in India.
Though hypertension and pregnancy is not generally a dangerous combination, hypertension sometimes can result in fatal complications for both mother and baby when left untreated. As most of the women are unaware of the impact of hypertension, here’s a brief guide about Hypertension during pregnancy, its complications, treatment and preventive measures:
What is hypertension?
Heart pumps the blood into the arteries which carry blood to the other parts of the body. The pressure exerted by the pumped blood on the walls of arteries is called as blood pressure. When this pressure exceeds the normal range, it exerts an undue stress on the heart, kidneys causing health problems, this condition is called as hypertension.
A reading of 120/80 is considered normal and anything above 140 in the numerator is termed as high blood pressure or hypertension. In general during the first and second trimester the blood pressure in pregnant women lowers and it stabilising gradually. Though it is perfectly normal for early pregnancy blood pressure to fluctuate, high blood pressure has become alarmingly common these days in pregnant women and it is important to identify the type of hypertension that is being experienced by the women before it is treated.
Type of Hypertension during Pregnancy:
High blood pressure experienced by the patient during the pregnancy can have different names based on the stage of pregnancy:
Chronic Hypertension:
High blood pressure during early pregnancy i.e. before 20 weeks of pregnancy is called as chronic blood pressure which means that the patient has had the high blood pressure even before she became pregnant. If the condition is Chronic, the patient will experience higher blood pressure levels after the pregnancy as well.
Gestational Hypertension:
If the patients starts experiencing high blood pressure after 20 weeks of pregnancy, it is called as Gestational hypertension, which is quite common in pregnant women and usually is not a problem. This type of high blood pressure is temporary and goes away after the pregnancy but in rarest of cases it can develop into chronic hypertension.
Preeclampsia:
Preeclampsia is high blood pressure condition that occur in women during pregnancy or after child birth. It is a serious medical condition to have and can result in fatal consequences if left untreated. This condition may develop gradually or present itself during the pregnancy period. Symptoms of Preeclampsia include abdominal pain, nausea or shortness of breath, vomiting, decrease in urine output, impaired function of liver, vision problems and more.
Uncontrolled and severe hypertension can cause serious complications for both women and the baby. As the high blood pressure affects the blood vessels of the mother it can impact the flow of nutrients to the baby through placenta resulting in low weight birth .Hypertension may also result in premature delivery to avoid complications which in turn can cause health complications for the child.
Preventive measures for high blood pressure:
Following a healthy lifestyle, limiting the salt intake, exercise always helps in keeping the blood pressure in check. But the most important measure to be taken by the women is to adequately prepare for pregnancy .Consult a health care professional and evaluate your medical condition before planning for a pregnancy. Regular check-ups must be performed also during the pregnancy to make sure you are on the right track. So, in short:
- Plan your way to pregnancy.
- Get all the prenatal check-ups done.
- Stay active and exercise.
- Follow a well-balanced diet.
- Stay on point with your prescribed blood pressure medications.
While high blood pressure in already a potentially a dangerous condition for normal folks, it is even more risky for the pregnant women. As it outs both health of women and her bay to be born at risk, proper care must be taken and help must sought from an experienced medical professional.
Dr.Neelima Mantri has an extraordinary track record of successfully treating helped thousands of women in their pregnancy journey and can help you too. If you are in and around Mumbai, you can schedule her appointments here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | May 21, 2019 | Blog, Women Health Issues
Do you change your tampon for every few hours or so, because it is soaked in blood during menstruation? The clots and spotting between periods been bothering you? Is your bleeding’s still going strong for more than 7 days?
Then, it is highly possible that you are suffering from Menorrhagia which can be treated successfully.
Heavy Menstrual Bleeding:
Abnormally heavy and prolonged bleeding during the menstruation is one of the most common gynaec problems encountered by women worldwide. When the bleeding becomes unnaturally severe, it may negatively impact the quality of life by significantly affecting social, work and personal life of women. Medically, this condition is called Menorrhagia.
What is Menorrhagia?
On average, the menstruation lasts for 4-7 days during which a woman loses around 30-40 ml of blood. Menorrhagia is a condition where the regular menstruation bleeding is abnormally long for more than 7 days or heavy, passing out copious amounts of blood (80 ml) in each cycle.
Women diagnosed with Menorrhagia find it very difficult to keep up with their normal activities because of severe blood loss and cramping.
Symptoms of Menorrhagia:
- Menstrual bleedingthat lasts for more than 7 days.
- Bleeding that frequently soaks through your pads forcing you to change your pads often.
- Constant pain in the lower stomach during the menstruation period.
- Heavy menstrual flows and blood clots (quarter size).
- Frequent tiredness and lack of energy.
Causes of Menorrhagia:
The heavy bleeding that is associated with the unfertilized egg and shedding of the uterus lining tissue which is controlled by the hormones. In the event of hormonal imbalance, the endometrium tissue may grow in excess, resulting in heavy bleeding. There are many causes of hormonal imbalance like thyroid, insulin resistance, PCOS, Obesity i.e. all these conditions can potentially cause the Menorrhagia. Ovarian dysfunction, uterine fibroids, bleeding disorders, uterine Polyps, pelvic inflammatory disease, Adenomyosis are some of the other conditions that can cause excessive bleeding problems.
How is Menorrhagia diagnosed?
Diagnosing Menorrhagia is not as straightforward as it seems, because the ides of heavy bleeding is different for different women. After thoroughly examining the medical history and menstrual cycles, a physical exam is conducted and the specialist may recommend one or more among blood test, endometrial biopsy, Pap test or ultrasound to diagnose the condition.
What are the treatment options for Menorrhagia?
Treatment for Menorrhagia is tailored to the patient depending upon the cause of the Menorrhagia, severity of the bleeding, her age, medical and family history and also your future child plans.
Nonsteroidal anti-inflammatory drugs (NSAIDs), Oral contraceptives, Tranexamic acid, oral progesterone, Hormonal IUD are some of the medications that can be used to treat the heavy bleeding during menstruation. There are also surgical procedures that can help you get rid of the Menorrhagia. But the first step you need to take is to consult a medical specialist as soon as possible. In case you are in Mumbai, you can contact Dr.Neelima Mantri to avail treatment.
You can schedule the appointment here: https://www.drneelimamantri.com/contact/
by Dr Neelima Mantri | Jan 27, 2019 | Blog, Women Health Issues
You are a healthy woman who is not looking forward to have kids soon. Your reproductive health seems to be fine as you undergo annual complete health checkups with general physician. But there are certain tests like Pap smear, treating infections etc. which is limited and only specialized by a gynecologist.
Being woman’s health specialists, gynecologists can tackle more complicated issues related to woman’s health. Obstetrics is a branch of medicine where medical and surgical care is provided to a woman before, during and after giving birth.
Are you looking for the Best Gynecologist in Mumbai?
Your search ends here as Dr Neelima Mantri is one of the Top Gynecologist Obstetricians In Navi Mumbai. Most women would be more comfortable to discuss their issues with a Female Gynecologist rather than a male gynecologist.
Doctors, especially gynecologists, mainly concentrate on four areas when it comes to female reproductive issues
- Diagnosis
- Treatment
- Management
- Prevention
Gynecologists can help you in treating many conditions such as endometriosis, urinary incontinence, breast disorders, hormonal disorders, infertility and pelvic pain to mention a few. Even Though you feel healthy and is not experiencing any reproductive issue, it is better to always have an annual preventive check up once in a year. The doctor may conduct tests, evaluations, pelvic examinations and additional tests or screenings depending on your age and health condition.
Also, it’s best to visit a gynecologist when there are changes in your reproductive cycle such as your first period, pregnancy, perimenopause and menopause. You can also visit a gynecologist if you need safe sex tips, discuss regarding birth control, contraception or sterilization, abnormal vaginal discharge, treating and preventing pain during intercourse and for many other related issues.
Dr Neelima Mantri can clarify all your doubts regarding these issues, guide you during treatment and recovery process and can help you in getting your annual checkups done with accuracy and ease. She can also guide you if you wish to conceive or in preparing your body to conceive. She can guide you in
- Planning for pregnancy
- Prenatal care
- Treating infertility
- Advice on diet
- Labour and Birthing options
- Genetic screenings and tests
- Advice on breastfeeding
- Tackling postpartum depression
Dr Neelima Mantri can also help women handle issues like tips to ease cramps during periods, abnormal or irregular bleeding, mood swings, fibroids and cysts, problems related to pelvic support and advice regarding premenstrual syndrome. She can also address to issues faced by women who go through menopause such as vaginal dryness, hot flashes, urinary incontinence, bone loss, low libido and hormone replacement therapy.
Book an appointment with Dr Neelima Mantri!
by Dr Neelima Mantri | Jan 17, 2019 | Blog, Women Health Issues
5 Important Things You Need to Know About Female Infertility:
If you are in your 30s and are trying to get pregnant, you sure would have been familiar with the word ‘Fertility’ or the lack of it: ‘Infertility’. Your Fertility status and reproductive health directly impact your ability to conceive and raise a healthy child. But most of the women don’t seem to know about Fertility until they chance into a reproductive problem in their later 20s or early 30s.
So, what is Fertility?
Fertility is the ability to reproduce. A fertile men fathers the children and as for women, it is her ability to get pregnant and carry the pregnancy to a full term. There are many factors that can deter this ability in both men and women, causing Infertility. Fertility is a raising problem which sometimes cannot be naturally treated if the couple is not proactive about their reproductive health.
If you are that couple who would like to educate yourself about the Fertility problem, then here are the 5 important things you should know:
Being healthy doesn’t mean you are Fertile:
You lead an active life, exercise every day, eat right and lead a healthy life. That doesn’t mean you are free from the fertility problems. Infertility is not like your general health problems; three in every twenty healthy couple face these problems. So, consult a doctor if you are finding it difficult to conceive after persistent efforts after a year at the least.
It’s not always the ‘She’ problem:
The word Infertility is usually attributed to female, which is not at all true. Healthy men can be infertile too. In fact, Male infertility is responsible for 30% of the Infertility cases which is the same as female infertility and the remaining 30% are a combination of both.
Yes, your weight of female does affect Fertility:
It was found that almost 12% of the infertility cases were caused by weight problems. It’s not just about being overweight about being malnourished and underweight can burden your chances. Given that a minimum of 22% of body fat is required for normal menstruation and reproductive cycle, maintaining a healthy weight is paramount for women.
Age is the most important factor. Both for men and women:
Fertility hits the peak in the 20s for both men and women. And then slowly rolls off after the early 30s in women. While the window period is slightly large for men (50), it was found that the kids of older fathers are at an increased risk of health problems. So, age remains an inevitable factor impacting your fertility status.
Your lifestyle can impact your fertility:
Being in perfect health doesn’t mean you are fertile. But your ill-health does impact your fertility. Unhealthy lifestyle choices do affect your general health which directly impacts your reproductive health.
- Drinking alcohol
- Smoking Cigarette (even second-hand smoke)
- Chronic Stress
- Poor Diet.
So, if you are a couple planning to start a family in the near future, we request you to make amends to your lifestyle choices. If you are finding it difficult to get pregnant or sustain a pregnancy, we advise you to consult a qualified doctor to seek help. Most of the Fertility problems are treatable and can be easily solved with the right help.
For more information or consultation on your fertility problems, you can contact Dr. Neelima Mantri here: https://www.drneelimamantri.com/
