by Dr Neelima Mantri | Nov 30, 2023 | Blog
Thrombophilia is the body’s increased tendency to form blood clots, meaning that individuals with thrombophilia are more likely to form blood clots without a clear reason, leading to serious complications. This heightened clotting tendency can be particularly dangerous during pregnancy, causing problems like gestational diabetes, preeclampsia, placental abruption, pregnancy loss, and stillbirth. While blood clot formation is essential for bodily functions, an increased tendency to form clots can result in significant issues.
The blood clot formation is vital for busy functions, but why does an increased tendency cause problem, you ask? The following will serve you the answer. With the inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we help you understand the dangerous nature of thrombophilia, particularly in pregnancy, its symptoms, and treatment options. Read on to know.
Why Thrombophilia is Dangerous?
Our body’s ability to form blood clots is vital for physiological processes. Blood clots act as natural bandages, stopping excessive bleeding when we’re injured. However, in conditions like thrombophilia, the propensity for blood clotting heightens even without injury, potentially causing serious problems. For instance, unwanted blood clots in blood vessels can travel to the lungs, leading to life-threatening conditions like pulmonary embolism.
Some blood clots may also reach the brain, increasing the risk of fatality. Understanding the dangers of thrombophilia is crucial, especially in the context of pregnancy, where the risks are heightened.
How Challenging is Thrombophilia in Pregnancy?
During pregnancy, a woman is in a state where the formation of blood clots is naturally heightened due to physiological needs. When thrombophilia is introduced into this pregnancy state, it amplifies the risk of complications. The increased blood clotting raises the risk of blood vessel blockage, potentially leading to various complications due to impaired blood flow. These blood flow issues may result in insufficient nourishing blood reaching the baby, causing growth complications for the foetus.
Additionally, blood flow problems can contribute to placental abruption, where the placenta separates from the baby, further complicating the pregnancy progression. The mother’s blood pressure gradually increases, leading to conditions like pre-eclampsia and gestational diabetes, creating new health challenges for both the mother and the baby. “Together, these problems can contribute to recurrent pregnancy loss or even stillbirth. In rare cases, blood clots may travel to the lungs, causing a life-threatening pulmonary embolism, as mentioned earlier.”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
In essence, the risk of pregnancy complications significantly amplifies in the case of thrombophilia during pregnancy.
Thrombophilia in Pregnancy – Treatment & Management
The aim of the treatment for thrombophilia is to reduce the risk of the condition and mitigate its potential complications.
The treatment for pregnant women with thrombophilia is individualized, considering the medical history, previous pregnancy outcomes, lifestyle factors, and specific risk factors, according to gynaecologists in Mumbai, Dr. Neelima Mantri.
“A pregnant woman suffering from thrombophilia is continuously monitored with regular imaging studies and medical tests to assess the health of the foetus and mother. Anticoagulant medication is prescribed to reduce the risk of clotting, stockings are recommended to increase blood circulation, and lifestyle modifications are implemented to improve treatment outcomes and prevent the risk of thrombophilia,” states Dr. Mantri.
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, 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 | Mar 25, 2021 | Blog, PCOS
Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that is commonly experienced by women of reproductive age. It is estimated that 1 in every 10 women are diagnosed it PCOS during their childbearing years, according to the leading gynaecologist in Mumbai, Dr Neelima Mantri.
This hormonal imbalance that causes PCOS can lead to prolonged, irregular or missed periods which may result in infertility, create metabolic problems that can impact the overall health and appearance of the woman. Though it is a common and treatable condition, there is no proper information on PCOS and this blog here we give you a proper round-up on the PCOS – its causes, symptoms and guide you towards the best PCOS treatment in Mumbai, read on:
PCOS – Symptoms & Causes:
At its core, PCOS is a hormonal imbalance that can trigger an abnormal chain of events in a female body.
Ovaries that are designated to release an egg every month are often affected by the hormonal imbalance. Small fluid sacs may develop near the ovaries which may obstruct the release of the egg leasing to missed or skipped periods. Since ovaries also produce a small amount of androgen’s (male hormones), the imbalance may exaggerate their production leading to hair loss, unwanted hair growth, severe acne and more.
To summarize the symptoms of PCOS include: irregular or missed menstrual periods. Infertility, excessive body hair, acne, hair loss, heavy bleeding, weight gain and even headaches. Not every woman will have the same symptoms – each woman has her own individualized experience and sometimes the symptoms can vary and change over a lifetime.
What causes PCOS?
There is no one discernible cause of PCOS but heredity, excessive androgen in the body, low-grade inflammation, excessive insulin, unhealthy lifestyle and environment are commonly correlated with the onset of PCOS in women.
Heredity & family – There is no one specific gene that is found to cause PCOS, but 50% of women with PCOS are found to have an immediate female relative with PCOS.
Insulin resistance – Women with insulin resistance produce more androgens that create hormonal imbalance leading to symptoms of PCOS. And this is why more than 85% of women with PCOS show insulin resistance – unhealthy weight gain, physical inactivity, and genetically factor are causes of insulin resistance in women.
Excessive Androgens – Excessive androgens as discussed above can cause ovarian problems leading to the symptoms of PCOS.
Excess weight gain: Excessive weight gain & physical inactivity can trigger insulin resistance and hormonal imbalance both of which are common causes of PCOS.
PCOS treatment in Mumbai – Who to consult?
Given the complex hormonal changes and imbalance associated with PCOS, this hormonal disorder is best treated by an endocrinologist for PCOS, specifically reproductive endocrinologists who are experts in treating reproductive hormone disorders. It is even better to find a Gynaecologists who are also credentialed as a reproductive endocrinologist and is widely experienced in the treatment of PCOS. If you are experiencing the symptoms above and are looking for PCOS treatment in Mumbai, Dr Neelima Mantri is the best gynaecologist in Mumbai specializing in PCOS treatment. You can contact her here: +91 7045115577
by Dr Neelima Mantri | Mar 18, 2021 | Blog, Pregnancy Tips
Morning sickness is quite common during pregnancy, especially during the first 4 months. It is one of the first signs that indicate that a woman is pregnant. If you are suffering from bouts of morning sickness then this article is meant just for you. The first thing to keep in mind is that it is not at all serious and does not harm your fetus in any way. Nevertheless, it causes discomfort and in extreme cases, dehydration and weakness. It is necessary, therefore, to combat it. This article is your complete guide to morning sickness during pregnancy and will give you pregnancy vomiting home remedies.
Characteristics of Morning Sickness
To know what nausea and vomiting home remedies are, we need to first know the characteristics of morning sickness.
- > Feeling of Nausea
- > Occasional or constant vomiting
- > Usually happens in the morning but can happen at any time of the day
Morning Sickness: Possible Causes
Several causes lead to vomiting during pregnancy. Some of them include:
- > Increase in the hormonal levels
- > The decrease in the blood sugar levels
- > Morning sickness can increase if someone’s pregnant with twins or triplets
- > Stress and fatigue
- > Constant traveling
The levels of morning sickness can vary in the same person in subsequent pregnancies.
Home Remedies to Deal with Morning Sickness
Morning sickness can be largely dealt with at home, with a few simple remedies. To avoid Nausea, avoid foods that are too spicy and oily and are difficult to digest. Also, avoid foods with strong and pungent smells that might irritate.
To combat smells, you could eat food that’s cold or at room temperature. To combat dehydration due to vomiting, make sure to keep sipping fluids throughout the day. Avoid drinking too much water or juice at a time as that might cause vomiting.
Your eating habits should also be modified and broken down into several small meals or snacks throughout the day instead of one large meal at a time. Just after waking up, before getting out of bed, eat dry food items such as cereals or crackers. You should also consume high-protein snacks before going to bed. You could inhale lemon to combat nausea. Other relaxation techniques include acupressure points that seek to lessen nausea. Deep breathing and other common muscle relaxation techniques also help.
When to Visit the Doctor
If your symptoms are too severe and if you are experiencing other complications due to morning sicknesses such as increased dehydration, fatigue, weight loss, or a loss in appetite then you should consult your doctor. You should also consult your doctor if morning sickness persists after the first 4 months. Do not take any medication unless prescribed.
Conclusion
If you are searching for a lady gynecologist in Mumbai, You need to look no further. Dr. Neelima Mantri is a well-known, experienced gynaecologist who helps women live their best lives. With over a decade of practical medical experience, she has several specializations in her skill set such as laparoscopy, routine and high-risk obstetric surgeries, and minimal access surgery. She provides a comprehensive set of gynaecological services and helps women lead healthy and better lives.
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