Dr. Trupti Lande

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder common among adolescent girls and young women. It can affect menstrual cycles, appearance, fertility, and overall health. Early diagnosis and management are key to long-term well-being.

Pre-marital counselling is a professional, structured conversation between a couple and a counsellor/doctor that helps them prepare for a healthy, happy, and well-informed marriage — especially in terms of health, communication, family planning, and expectations.

A prenatal checkup is a regular medical visit during pregnancy to monitor the health of the mother and baby, detect potential complications early, and provide essential guidance for a smooth pregnancy and safe delivery.

VBAC (Vaginal Birth After Caesarean) refers to giving birth vaginally after having had a previous C-section. For many women, VBAC is a safe and successful way to deliver, provided certain conditions are met.

A Pap smear is a simple, quick, and essential test used to detect precancerous or cancerous changes in the cervix (the lower part of the uterus). It's a key tool in early detection and prevention of cervical cancer.

Gynaecological problems affect the female reproductive system, including the uterus, ovaries, fallopian tubes, cervix, and vagina. Many women experience these conditions at some stage of life — from puberty through menopause.

Family planning empowers individuals and couples to decide if, when, and how many children they want to have. It includes a range of contraceptive options, fertility awareness, and reproductive health services that support both prevention and healthy pregnancies.

Contraception is the intentional prevention of pregnancy through various methods. The right method depends on your health, age, reproductive goals, relationship status, and lifestyle. Below is a comprehensive guide to help individuals or couples make informed decisions.

Artificial Insemination (AI) is a fertility treatment where sperm is placed into the woman’s reproductive tract by medical means, not through sexual intercourse. It is used to help people who are having trouble getting pregnant naturally.

IUI (Intra-Uterine Insemination) is a fertility procedure where washed and concentrated sperm are placed directly into a woman’s uterus during ovulation. It is often used as a first-line treatment for various fertility issues before moving on to more advanced options like IVF.

Infertility is defined as inability to conceive after 12 months of regular, unprotected intercourse (or after 6 months if the woman is over 35 years of age). It affects both men and women equally and requires a systematic evaluation of both partners.

Infertility is defined as the inability to conceive after 12 months of regular, unprotected intercourse (or 6 months if the woman is over 35). Female infertility can result from problems with ovulation, fallopian tubes, uterus, or hormonal imbalance.

PCOD (Polycystic Ovarian Disease) or PCOS (Polycystic Ovary Syndrome) is a common hormonal condition affecting women of reproductive age. It can lead to irregular periods, infertility, acne, weight gain, and other metabolic issues. There is no permanent cure, but PCOD/PCOS can be effectively managed with lifestyle changes, medications, and support.

Ovary removal surgery, medically known as oophorectomy, is a procedure in which one (unilateral) or both (bilateral) ovaries are surgically removed. It may be done alone or as part of a larger surgery such as hysterectomy.

Fertility-conserving procedures are medical or surgical interventions designed to preserve a woman's ability to conceive and carry a pregnancy in the future, especially in the context of gynecologic conditions, cancer, or reproductive health challenges.

Reproduction is the process by which living things produce offspring (babies), ensuring the survival and continuation of their species.

Obstetric care refers to the medical management of pregnancy, childbirth, and the postpartum period. Antenatal care (ANC) is the component of obstetric care focused on ensuring the health and well-being of both mother and baby during pregnancy.

Maternal care refers to the medical attention and support given to a woman during pregnancy (antenatal care) to ensure the health and safety of both the mother and the baby.

Proper nutrition during pregnancy is vital for the health of both mother and baby. A balanced diet supports fetal growth, maternal strength, and reduces the risk of complications.

Polycystic Ovarian Disease (PCOD), also known as Polycystic Ovary Syndrome (PCOS), is a common hormonal disorder that can affect fertility and pregnancy. However, with proper care, women with PCOD can have a healthy pregnancy and baby.

Regular exercise during pregnancy provides numerous health benefits for both mother and baby — but it must be done safely, under proper guidance.

A high-risk pregnancy is one where the mother, fetus, or both have an increased chance of complications during pregnancy or delivery. Early identification and specialized care are essential for optimal outcomes.

Pregnancy can increase the risk or alter the course of various diseases, and some pre-existing conditions can significantly impact both maternal and fetal health.

Pregnancy-induced hypertension (PIH) includes a spectrum of conditions characterized by high blood pressure during pregnancy. Two major forms are Preeclampsia and Eclampsia.

Normal Vaginal Delivery (NVD) is the natural method of childbirth in which a baby is born through the birth canal without surgical intervention. It is often the safest and most preferred mode of delivery for both the mother and baby, when no complications are present.

A Caesarean section (C-section) is a surgical procedure used to deliver a baby through incisions made in the mother’s abdomen and uterus. It can be planned (elective) or unplanned (emergency), depending on the circumstances during pregnancy or labor.

Childbirth education refers to structured classes and counselling sessions that help prepare pregnant women and their partners for labor, delivery, and early parenthood. These classes are usually led by midwives, childbirth educators, or obstetricians, and aim to build confidence, reduce anxiety, and empower informed decisions during childbirth.

Lactation counselling is professional guidance offered to new or expecting mothers to help them initiate, establish, and maintain breastfeeding. It's provided by certified lactation consultants or trained healthcare providers to ensure successful breastfeeding and address any challenges faced by the mother or baby.

Post pregnancy classes, also called postnatal classes, are designed to support new mothers physically, emotionally, and mentally after childbirth. These classes provide practical guidance, expert tips, and a safe space for recovery, learning, and bonding with the baby.

Pregnancy counselling is essential for ensuring the physical and emotional well-being of both the mother and the baby. It involves regular sessions with a healthcare provider to educate, support, and guide a woman throughout her pregnancy journey—from early signs to postnatal care.

Laparoscopic gynaecology refers to a range of minimally invasive surgical procedures performed on a woman’s reproductive organs using a laparoscope — a small, lighted camera inserted through tiny incisions in the abdomen. It allows gynaecologists to diagnose and treat conditions without large surgical cuts, resulting in faster recovery, less pain, and minimal scarring.

Gynaec laparoscopy (also called diagnostic or operative laparoscopy) is a minimally invasive surgical procedure used to examine and treat conditions affecting the female reproductive organs — including the uterus, fallopian tubes, ovaries, and pelvic cavity. It involves inserting a thin camera (laparoscope) through a small incision in the abdomen, usually near the belly button.

Gynaecological endoscopy is a minimally invasive surgical technique used to diagnose and treat conditions affecting a woman’s reproductive organs (uterus, ovaries, fallopian tubes). It involves the use of small cameras and instruments to perform surgery with minimal cuts, less pain, and faster recovery than traditional open procedures.

Uterine fibroids (also called leiomyomas or myomas) are non-cancerous growths of the uterus that can vary in size and number. Many fibroids cause no symptoms, but others can lead to: Heavy menstrual bleeding Pelvic pain or pressure Frequent urination or constipation Infertility or pregnancy complications

Fibroid removal surgery is medically called a myomectomy. It involves surgically removing uterine fibroids while preserving the uterus. It’s the preferred option for women who experience fibroid-related symptoms but wish to retain fertility or avoid hysterectomy.

Fibroidectomy, also called myomectomy, is a surgical procedure to remove uterine fibroids while preserving the uterus. It is the preferred treatment for women who: Have fibroid-related symptoms (heavy bleeding, pelvic pain, pressure) Want to retain fertility Wish to avoid a hysterectomy

Myomectomy is a surgical procedure to remove uterine fibroids (also known as leiomyomas or myomas) while preserving the uterus. It is the preferred option for women who have fibroid-related symptoms and wish to retain fertility or keep their uterus.

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids (myomas) through small abdominal incisions. It is ideal for women who want to relieve symptoms (such as heavy bleeding or pelvic pain) while preserving the uterus—especially those wishing to maintain fertility.

Abdominal myomectomy (also known as open myomectomy) is a surgical procedure to remove uterine fibroids through a larger incision in the lower abdomen. It is particularly recommended for women with large, numerous, or deeply embedded fibroids who wish to preserve their uterus for fertility or personal reasons.

Adenomyosis is a condition where the inner lining of the uterus (endometrium) grows into the muscle wall of the uterus (myometrium). It can cause heavy menstrual bleeding, severe cramping, pelvic pain, and enlargement of the uterus. Treatment depends on the severity of symptoms, age, desire to preserve fertility, and response to previous therapies.

Endometriosis is a chronic condition where tissue similar to the uterine lining (endometrium) grows outside the uterus, causing pain, inflammation, and sometimes infertility. Treatment depends on the severity of symptoms, the extent of disease, and whether fertility is a concern.

Cervical cerclage is a surgical procedure in which the cervix is stitched closed during pregnancy to help prevent preterm birth or pregnancy loss. It is typically used in women who have a weak or incompetent cervix, where the cervix starts to open too early during pregnancy without contractions or labor.

Hysteroscopic myomectomy is a minimally invasive surgical procedure to remove submucosal fibroids (those that grow into the uterine cavity) using a hysteroscope, without any abdominal incisions. It is one of the most effective and fertility-preserving treatments for women with fibroid-related symptoms, especially abnormal uterine bleeding or infertility.

Hysteroscopy is a minimally invasive diagnostic and/or surgical procedure used to examine the inside of the uterus using a thin, lighted tube called a hysteroscope, which is inserted through the vagina and cervix.

A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus using small incisions and a laparoscope (a thin tube with a camera). It is a common alternative to open abdominal surgery and is often chosen for its faster recovery and reduced postoperative pain.

Dysmenorrhea refers to painful menstrual cramps, typically in the lower abdomen or pelvis, that occur before or during menstruation. Treatment depends on whether it is: Primary dysmenorrhea (not caused by another condition), or Secondary dysmenorrhea (caused by conditions like endometriosis, fibroids, or pelvic inflammatory disease).

Vaginal infections are common and can be caused by bacteria, yeast, parasites, or viruses. Proper diagnosis is essential for effective treatment.

Preimplantation Genetic Diagnosis (PGD) is an advanced technique used during in vitro fertilization (IVF) to test embryos for specific genetic or chromosomal disorders before they are implanted in the uterus. It is particularly useful for couples who are at high risk of passing on inherited diseases.

The Endometrial Receptivity Assay (ERA) is a genetic test used to determine the best time for embryo transfer in women undergoing in vitro fertilization (IVF). It helps identify the “window of implantation”—the exact time when the endometrium (uterine lining) is most receptive to an embryo.

Here is a concise and clear overview comparing Hysterectomy (Abdominal vs. Vaginal) to help you understand both procedures and their differences: 🌸 Hysterectomy (Abdominal vs. Vaginal) A hysterectomy is the surgical removal of the uterus, which may also involve removal of the cervix, ovaries, or fallopian tubes depending on the condition. It ends menstrual periods and the ability to become pregnant.

An abdominal hysterectomy is a surgical procedure where the uterus is removed through an incision in the lower abdomen. It is one of the most common types of hysterectomy, often chosen when other methods (like vaginal or laparoscopic) are not suitable.

A vaginal hysterectomy is a surgical procedure in which the uterus is removed through the vagina. It is a common method used to treat a variety of gynecological conditions and is generally less invasive than abdominal hysterectomy.

Uterine prolapse occurs when the uterus descends from its normal position into the vaginal canal due to weakened pelvic floor muscles and ligaments. It ranges from mild to severe and is more common in postmenopausal women, especially those who’ve had multiple vaginal births.

Uterus removal surgery is called a hysterectomy. It's one of the most common gynecological surgeries and may be performed for various medical reasons including

Vaginal prolapse (also called pelvic organ prolapse) occurs when the muscles and ligaments supporting the vagina and surrounding organs (bladder, uterus, or rectum) weaken, causing one or more of these structures to bulge into or out of the vaginal canal.

Amenorrhoea refers to the absence of menstruation—either when a girl hasn’t had her first period by age 15 (primary amenorrhoea) or when a woman who previously had normal periods stops menstruating for 3+ months (secondary amenorrhoea).

Osteoporosis is a condition where bones become weak and brittle, increasing the risk of fractures—especially in the hips, spine, and wrists. It often affects women after menopause due to the sharp drop in estrogen levels, which plays a key role in bone density maintenance.

Menopause is a natural phase in a woman's life, typically occurring between ages 45 and 55, when menstrual periods permanently stop due to a decline in estrogen and progesterone. The transition can bring a variety of physical and emotional changes. Here’s a well-rounded overview and advice to manage this stage effectively:

A Well Woman Healthcheck is a comprehensive health assessment tailored specifically for women. It focuses on preventative care, early detection of diseases, and overall wellness. These checkups are typically recommended annually, especially for women over 21 or those who are sexually active.

A colposcopy is a medical diagnostic procedure used to closely examine the cervix, vagina, and vulva for signs of disease, typically after an abnormal Pap smear. It involves the use of a colposcope, a special magnifying instrument that provides a well-lit, enlarged view of the tissues.

A Pap smear, also called a Pap test, is a medical procedure used to screen for cervical cancer in women. It involves collecting cells from the cervix, which is the lower part of the uterus that opens into the vagina.

Infertility management involves a range of approaches, from lifestyle adjustments and medications to surgical interventions and assisted reproductive technologies, depending on the cause and severity of infertility. Treatment aims to restore fertility or help couples conceive through various methods.

Gynecological diseases encompass a wide range of conditions affecting the female reproductive system, from common issues like menstrual irregularities and infections to more serious conditions like uterine fibroids and cancers. These conditions can cause a variety of symptoms, including pelvic pain, abnormal bleeding, and fertility issues.

High-risk obstetrics refers to pregnancies that involve increased risks for the mother, the fetus, or both. These risks can stem from pre-existing health conditions, complications during pregnancy, or factors like advanced maternal age or multiple pregnancies. It's important to understand these risks and manage them with specialized care to ensure the best possible outcome for both mother and baby.

Laparoscopy and vaginal surgeries are two approaches to gynecological procedures, each with its own set of advantages and disadvantages. Laparoscopy involves using a laparoscope, a thin, lighted tube with a camera, inserted through small incisions in the abdomen to view and operate on pelvic organs. Vaginal surgery, on the other hand, involves accessing the uterus and other pelvic organs through the vagina. Both methods can be used for various procedures, including hysterectomy, removal of fibroids or ovarian cysts, and treatment of conditions like endometriosis.

Antenatal management, also known as prenatal care, refers to the healthcare provided to pregnant women from the beginning of pregnancy until delivery.

Adolescent health issues encompass a wide range of physical, mental, and social well-being concerns. Key areas include mental health conditions, substance use, injuries, sexual and reproductive health, and nutrition-related issues. Furthermore, socio-economic factors like poverty and gender discrimination can significantly impact adolescent health and well-being.