Hysteroscopy
A slender camera passes through the cervix to examine the uterine cavity. It may diagnose or treat selected polyps, submucosal fibroids, adhesions or abnormal bleeding without an abdominal incision.
Gynaecological surgery
Operate for a clear reason—with the least intervention that safely works.
Understand the diagnosis, non-surgical alternatives, surgical route, fertility implications and recovery before consenting to a gynaecological procedure.
Planned hospital care Assessment at Virar West OPD
When surgery is considered
A scan finding alone is not an operation plan.
Surgery may be discussed when symptoms are severe, medicine has not helped, a structural problem requires correction, fertility or pregnancy is affected, an emergency is present, or cancer or precancer is suspected.
The decision combines symptoms, examination, imaging, age, future pregnancy goals and the likely benefit of alternatives. Fibroids, ovarian cysts and endometriosis do not automatically require an operation.
Common surgical approaches
The route follows the diagnosis—not fashion.
Some procedures are performed through the vagina or cervix, some by laparoscopy and some through an abdominal incision. Cancer suspicion or complexity can change the safest setting and specialist team.
Laparoscopy
Keyhole surgery may be used for selected ovarian cysts, endometriosis, ectopic pregnancy, sterilisation and other pelvic conditions. Suitability depends on diagnosis, surgical history and complexity.
Uterus-preserving surgery
Myomectomy removes selected fibroids while retaining the uterus. Other procedures may treat a focal problem without hysterectomy, but recurrence and future pregnancy implications require discussion.
Hysterectomy
Removal of the uterus may be appropriate for cancer, precancer or severe benign disease after reasonable alternatives are considered. The cervix, tubes and ovaries are separate decisions—not automatically removed together.
Shared decision-making
Six questions worth asking before an irreversible procedure.
A good consent conversation includes expected benefit, meaningful alternatives, material risks, the exact organs involved and what recovery may require.
- 01
What diagnosis is the operation intended to treat?
- 02
What happens if we monitor or use medicine first?
- 03
Is a less invasive or uterus-preserving option reasonable?
- 04
Will the cervix, tubes or ovaries be removed—and why?
- 05
How could this affect fertility, menopause, intercourse, bladder or recovery?
- 06
Where will surgery occur and who manages urgent postoperative concerns?
JEWCC care pathway
Discuss an operation plan Consultation at Virar West, hospital care when needed.
Dr. Shilpa Jaypuriya evaluates the concern at the JEWCC Women’s Care OPD. When an operation is indicated, investigations, consent, hospital admission and postoperative follow-up are coordinated at an associated hospital with suitable facilities.
Surgery FAQs
Clarify the decision before the admission date.
01Are Women’s Care operations performed at the Virar West clinic?
JEWCC Virar West functions as the Women’s Care OPD. When surgery or admission is required, Dr. Shilpa Jaypuriya coordinates care at an associated hospital with appropriate inpatient, anaesthesia and operative facilities.
02Does hysterectomy always mean the ovaries are removed?
No. Hysterectomy removes the uterus. Removing tubes or ovaries are separate decisions based on age, diagnosis, cancer risk and preference.
03Is keyhole surgery always possible?
No. The safest route depends on the condition, uterine or mass size, previous surgery, suspected cancer, surgeon assessment and available facilities.
04Can surgery affect fertility?
Some operations preserve fertility while others permanently prevent pregnancy. Discuss future pregnancy goals before consent, including whether fertility-preservation advice is appropriate.
05Is gynaecological surgery covered by insurance?
Medically indicated surgery may be eligible subject to diagnosis, waiting periods, exclusions, network rules and pre-authorisation. Fertility-related procedures and sterilisation may be handled differently.