Endometriosis in India Survey: Help Shape the First Comprehensive Treatment Report
Endometriosis affects nearly 1 in 10 women in India—that’s over 25 million women living with chronic pain, infertility struggles, and delayed diagnosis. And yet, comprehensive data on how endometriosis is being diagnosed and treated across India is woefully lacking. Not only among patients but also among doctors. The diagnostic delay averages 7-10 years. Treatment approaches […]
How Minimally Invasive Fibroid Treatments Are Reshaping Women’s Healthcare in 2025
If someone had told you a decade ago that uterine fibroids—a condition affecting nearly 80% of women by age 50—could be treated without a single incision, no hospital stay, and barely a day off work, you’d probably raise a skeptical brow. But here we are, in the age of medical innovation, where minimally invasive fibroid […]
The Power of Emotional Intelligence in Women’s Healthcare: A Gynecologist’s Essential Skill
In the heart of Ahmedabad, Dr. Ravina Patel’s OPD at Mayflower Women’s Hospital buzzed with the usual activity. Amid the routine, a new patient, Ayesha Khan, 29, (name changed) presented with chronic pelvic pain. As Ayesha entered, her posture was guarded, eyes avoiding contact, hands clenched tightly. She murmured, “I’m fine,” settling into the chair. […]
Hormones, Heartbreak, and PMDD: The Women’s Health Condition Doctors Keep Missing
I am sure you’ve often counselled patients who tell you they become “a different person” before their period every month. She describes extreme mood swings, depression, rage, even suicidal thoughts—and yet, her cycle returns to normal after a few days. If you’ve dismissed this as severe PMS, you’re not alone. This is PMDD (Premenstrual Dysphoric […]
When to Avoid Endometriosis Surgery: Why the Best Surgeries Are the Ones We Don’t Do
A lot of the work that happens on this newsletter every week is focused on the act of doing. What surgery will we perform to remove endometriosis? What techniques can we use to restore anatomy? How do we approach deep infiltrating disease? And important as it might be to know what to do, it’s sometimes […]
Sleep and Women’s Health: The Missing Prescription Your Gynecologist Should Discuss
Ask a gynecologist about the key pillars of reproductive health, and you’ll hear the usual suspects: hormones, diet, exercise, and stress management. But there’s one critical factor we almost never bring up in consultations—sleep. Poor sleep doesn’t just make you tired; it disrupts your menstrual cycle, worsens PCOS symptoms, triggers hormonal imbalances, and can even […]
The SAD Triangle of Endometriosis: Why There’s Always More to Say After 1 Year
Do you think there’s even enough material to write about endometriosis? You’re just gonna run out of content after 10 editions.” This is verbatim what the marketing head of a very reputed surgical devices company once said to us when we were about to launch this newsletter. One year and 52 editions later, we’re still […]
“India’s Women’s Health Registry: A New Hope for Forgotten Patients”
For centuries, women’s health in India has been a footnote in medical discourse—an afterthought, a whisper in crowded hospital corridors, a matter too “domestic” to warrant systemic attention. Endometriosis goes undiagnosed for years. PCOS is dismissed as “just irregular periods.” Adenomyosis is labeled “normal pain.” All a little too hush hush. But something is changing. […]
The Mathematics of Endometriosis Surgery: Mastering Vascular Web Dissection (Ep 5)
The pelvis is a Pandora’s box. Every time you open it for endometriosis excision surgery, you unleash what was otherwise only symptomatic—and now you must deal with it surgically. Deep infiltrating endometriosis often involves complex pelvic vascular anatomy, making vascular web dissection one of the most critical yet underappreciated skills in advanced endometriosis surgery. This […]
How PMS Makes Your Life Harder: “A Gynecologist’s Guide to Managing Symptoms”
Let’s talk about premenstrual syndrome (PMS)—that monthly visitor that brings bloating, mood swings, breast tenderness, and fatigue. For nearly half of women of reproductive age, PMS symptoms disrupt work, relationships, and daily functioning. The week before your period shouldn’t feel like an obstacle course, yet for millions of women, that’s exactly what it becomes. As […]