Dr. Mahantesh Karoshi - Gynaecologist

23/11/2025

HRT and confusion….

22/11/2025

Why Some Enid Lesions Are Hard to Detect….? ✨

Many women ask: “How can my pain be so severe, yet my scans are normal?”
Let’s explore this together.

🔹 Tiny lesions (

21/11/2025

Hormonal aftershocks that follow after egg freezing

“You might notice:
emotional ups and downs, mood swings or feeling tearful.

cramping or mild abdominal discomfort.

mild spotting or light bleeding.

fatigue or bloating for a few days.

and some women report feeling a kind of ‘hormonally flat’ sensation for a week or two.”

20/11/2025

20/11/2025

What keeps me going…..

20/11/2025

What keeps me going…..

17/11/2025

Ever wonder why some women feel like they’ve got food poisoning on day one of their period?

It’s not a stomach bug — it’s their hormones.

Just before and during menstruation, the uterus releases high levels of prostaglandins (especially PGF2α). These hormone-like chemicals help the uterus contract to shed its lining — which causes cramps.

But here’s the catch: they don’t stay in the uterus.

Once they enter the bloodstream, prostaglandins affect other smooth muscles — especially the gut.

🔁 What can happen?
– Increased bowel movement → diarrhoea
– Stomach lining irritation → nausea
– Strong gut contractions + uterine cramps → vomiting (in more sensitive individuals)

Studies show that 30–50% of women experience looser stools or diarrhoea on day one of their cycle — and it often eases by day three, as prostaglandin levels drop.

But there’s more at play:

🩸 A sudden drop in progesterone removes its calming effect on the gut.
📈 A relative rise in estrogen can heighten gut sensitivity.
🧠 Hormonal shifts also impact serotonin and endocannabinoid systems — both linked to nausea.
💢 Pain-induced vasopressin release may reduce gut blood flow, worsening nausea.

Women with endometriosis, adenomyosis, or IBS often feel these symptoms more severely due to heightened prostaglandin sensitivity or gut reactivity.

Why only some women?
Because of genetic differences in prostaglandin production, breakdown, and gut sensitivity — and yes, the microbiome plays a role too.

What helps?

✅ NSAIDs like ibuprofen, naproxen, or mefenamic acid → block prostaglandin production.
✅ Hormonal contraceptives → reduce uterine lining buildup and lower prostaglandin release womenshealth

15/11/2025

You know that moment when a painful lump appears “down there” and you instantly worry it’s the Bartholin gland misbehaving again? It’s such a common situation, and I see it all the time.

But here’s the twist most people don’t realise — the problem usually isn’t the gland itself. It’s the duct.
When that tiny duct gets blocked, the gland keeps producing fluid with nowhere for it to go. And then the swelling begins.
Ever wondered why it can grow from the size of a pea… to a plum… and sometimes even bigger? That’s the reason.

Let’s explore this together.

You might think removing the gland will fix everything, right?
But here’s where things get tricky. Taking the gland out often creates more issues — discomfort during intimacy, changes in how the vaginal opening looks, and even difficulty with confidence or relationships. Why go through that when the gland was never the real culprit?

I’ll show you: the key is treating the blocked duct, not removing what isn’t broken.

If you’re dealing with recurrent Bartholin swelling, you’re not alone — and there are safer, smarter solutions that actually address the root cause.

12/11/2025

One of the hardest things as a doctor is helping patients truly understand what’s happening to their bodies.

I often come across women who exercise intensely, and over time their ovulation completely stops. They’re usually fit, healthy, and disciplined — so it feels confusing and unfair.

Here’s how I explain it: exercise, while good for us, is still a form of stress. When the body senses ongoing stress, it shifts into survival mode. Breathing and heart function come first. Reproductive function comes last — it’s considered non-essential for survival.

The same thing happens during famine — the body conserves energy, and fertility is temporarily switched off.

Once ovulation stops, restarting it can be challenging. It takes time, nourishment, rest, and patience for the body to trust that it’s safe again.

Because ultimately, the body isn’t broken — it’s simply trying to protect you.

12/11/2025

One miscarriage - what’s my next thought? In my thirties my husband is also in his thirties and what I’m really serious of thinking about is whether I should attempt another natural pregnancy with the risk of another miscarriage at 20% or spend 10-15k IVF-PGTA where the risk of miscarriage is substantially reduced life is all about taking calculated chances.

12/11/2025

Myth Buster for BV don’t just focus on women also focus on men involved in the relationship.
Men are the problem!(most of the time)

if you want to read more about new evidence, the link is below :
https://www.bbc.co.uk/news/articles/c2lj7e0519xo.amp