Fierce about cure, gentle about dignity — with fertility talked about early.
Cancers of the ovary, uterus and cervix touch identity, motherhood and intimacy — subjects many women are taught to endure quietly. Here, questions are invited early and answered without embarrassment, and surgery is planned around your whole future.
What is gynaecologic oncology?
It covers cancers of the ovary, uterus (endometrium), cervix, vulva and gestational trophoblastic disease. Surgery here is performed by Dr. Patel together with experienced gynae-oncology colleagues — a combined team approach that keeps both oncological depth and women’s-health expertise in the room.
The operations include staging laparoscopy or laparotomy, optimal cytoreduction for ovarian cancer, radical hysterectomy (Wertheim’s), pelvic and para-aortic lymphadenectomy, and sentinel node techniques for endometrial and vulvar cancers.
Two conversations happen before any operation: what this means for fertility, where early disease sometimes allows preserving it; and what life looks like afterwards, including menopause management when ovaries must be removed. Neither conversation is an afterthought.
“માસિક ધોરણમાં ફેરફાર હલવા ન જોઈએ.” — Changes in your cycle should never be brushed aside.
Warning signs worth investigating
Most of these have benign explanations — but they are also how these cancers announce themselves, so each deserves a proper look rather than quiet endurance.
- ①Bleeding after menopause — always investigated, never dismissed as normal.
- ②Bleeding between periods or unusually heavy bleeding.
- ③Bloating lasting more than two weeks, new and unexplained.
- ④Persistent pelvic pain.
- ⑤Unusual vaginal discharge.
- ⑥Pain during intercourse.
- ⑦Feeling full unusually quickly alongside tummy change.
- ⑧Unexplained weight loss or deep fatigue alongside any of the above.
Cancers treated here
〜Ovarian Cancer
Staging and optimal cytoreduction — the completeness of which shapes outcomes most.
〜Uterine / Endometrial
Staging surgery with sentinel node technique where appropriate.
〜Cervical Cancer
Radical hysterectomy (Wertheim’s) within combined chemoradiation pathways.
〜Vulvar Cancer
Tissue-conserving excision with sentinel node assessment where suitable.
〜Gestational Trophoblastic Disease
Molar pregnancy and related disease managed within dedicated protocols.
〜Team-Based Care
Operated alongside gynae-oncology colleagues — two specialties, one plan.
Operations performed here
- ◆Staging laparotomy / laparoscopyEstablishing exactly how far disease has travelled before treatment decisions.
- ◆Optimal cytoreduction — ovarianRemoving all visible disease wherever safely achievable; it matters.
- ◆Radical hysterectomy (Wertheim’s)Cervical cancer surgery with careful protection of neighbouring structures.
- ◆Pelvic & para-aortic lymphadenectomyNodal staging performed thoroughly but only when indicated.
- ◆Fertility-preserving optionsIn selected early disease, discussed before surgery begins — not after.
- ◆Sentinel node techniquesFor endometrial and vulvar cancer — fewer nodes removed, same information.
From first visit to full recovery
Listen first
Your symptoms believed and examined without embarrassment.
Diagnose & stage
Scans and biopsy completed so decisions rest on facts.
Fertility conversation
Held early — before the operation date, never the day before.
Joint plan
Built with gynae-oncology, radiation and medical oncology together.
Surgery & recovery
Precise operation, then daily rounds and steady family updates.
Life after
Menopause management if needed, surveillance scheduled, return to self.
Questions families usually ask
The great majority of cysts are benign, especially in younger women. Scan features and blood markers help sort them calmly — and if observation is the right answer, you will be told so plainly rather than rushed to theatre.
In some early cancers, fertility-preserving surgery is genuinely possible — but it depends on type and stage, and the window for discussing it is before treatment starts. That conversation happens here at the first consultation, not after decisions are made.
Physically, most women recover well and return fully to daily life. If the ovaries are removed too, menopause arrives earlier — and managing that well is part of the plan, not something left for you to figure out alone.
Most cervical cancers follow persistent HPV infection — which makes screening and vaccination powerful prevention tools. Ask during consultation; family members are welcome to hear this guidance too.
Completely — female staff are present for examinations, explanations come before procedures, and no question about intimacy or body image is treated as awkward. This is care delivered to a person, not a diagnosis.