Fertility conversations happen before treatment begins — never after.
Ovarian, uterine, cervical and vulvar cancers, operated together with gynae-oncology colleagues. Staging completed properly the first time, dignity protected throughout, and the life after surgery planned as carefully as the operation itself.
Gynaecologic cancer care is a team effort.
These cancers are operated by Dr. Patel together with dedicated gynae-oncology colleagues — because the best outcomes come from a surgeon's oncological training working alongside specialists who manage these diseases every day.
The single most important technical fact: in ovarian and uterine cancer, staging done properly at the first operation shapes everything that follows. A complete assessment — including lymph nodes where indicated — means treatment after surgery is built on truth, not on missing information.
And for younger women with early disease, fertility-preserving options genuinely exist in selected situations. They are only available if they are discussed before the first incision. Here, that conversation happens early, in your language, without being rushed.
Eight changes worth showing a specialist
None of these automatically means cancer. All of them deserve to be checked properly — most turn out harmless.
- ①Bleeding after menopause — any bleeding, once periods have stopped, needs evaluation.
- ②Bleeding between periods, or periods suddenly much heavier than usual.
- ③Bloating lasting more than two weeks — especially new, persistent and unexplained.
- ④Pelvic pain or pressure that does not settle with the cycle.
- ⑤Unusual vaginal discharge — new colour, smell or blood-staining.
- ⑥Pain during intercourse, newly developed and persisting.
- ⑦Feeling full very quickly when eating, a classic early ovarian sign.
- ⑧Unexplained weight loss alongside any of the above.
What this practice covers
◆Staging Surgery
Laparoscopic or open staging completed properly at the first operation.
◆Ovarian Cytoreduction
Optimal debulking for ovarian cancer — the operation the disease is judged by.
◆Radical Hysterectomy
Wertheim's procedure for cervical cancer, done to standard oncological planes.
◆Lymphadenectomy
Pelvic and para-aortic node dissection where staging or spread requires it.
◆Fertility-Preserving Options
In selected early cancers, surgery designed to keep future pregnancy possible.
◆Sentinel Node Technique
For endometrial and vulvar cancer — accurate answers with less removal.
How surgery works here
- ◆Staging laparotomy / laparoscopyFull assessment performed systematically so no information is left behind inside.
- ◆Optimal cytoreduction for ovarian cancerRemoving all visible disease wherever safely achievable — it directly changes survival.
- ◆Radical hysterectomy (Wertheim's)For cervical cancer, with tissue removed to proven oncological margins.
- ◆Pelvic & para-aortic lymphadenectomyNode sampling done to the right levels, not just the easy ones.
- ◆Fertility-preserving options in early diseaseDiscussed before treatment starts — eligibility explained honestly, including limits.
- ◆Sentinel node in endometrial & vulvar cancerThe first draining node mapped precisely, sparing larger dissections when clear.
From first visit to full recovery
Listen & examine
Your story heard fully; examination and scans arranged promptly.
Markers & imaging
Tumour markers plus CT or MRI to map the disease honestly.
Honest plan
Surgery scope explained — including what fertility options exist for you.
Surgery
Staging completed properly the first time, with the gynae-oncology team.
Pathology & adjuvant plan
Reports decide whether chemotherapy or radiation adds benefit.
Life after
Follow-up, menopause management and return to normal life — planned too.
Families usually ask…
Overwhelmingly not — most cysts are functional and resolve on their own. Features on ultrasound like complexity, solid areas, size and tumour markers decide concern. Simple cysts in young women are watched; suspicious ones are operated. The scan usually tells us which category you are in.
In selected early-stage cancers, yes — fertility-preserving surgery removes the tumour while keeping the uterus or part of an ovary. It depends on type, stage and biology, and the criteria are strict because safety comes first. This is exactly why the conversation happens before the first surgery, not after.
Periods stop and pregnancy is no longer possible; if ovaries are removed, menopause begins. What does not change: being yourself, intimacy and normal life for most women. Where menopause follows surgery, we manage symptoms actively rather than leaving you to endure them.
Nearly all cervical cancers follow HPV infection, which makes this one of the most preventable cancers there is: vaccination in younger years plus regular screening catch changes long before cancer. Even after diagnosis, treating early-stage disease is highly successful — prevention simply spares you the journey.
If ovaries are removed or affected by treatment, yes — sometimes abruptly, which can feel harder than natural menopause. Hot flushes, sleep and bone health are all treatable, and hormone therapy is discussed openly where appropriate for you. Menopause care is part of the plan here, not an afterthought.