Dr. Joshi provides comprehensive gynaecological care for women at every stage of life. Her practice addresses a wide range of common gynaecological conditions including Polycystic Ovary Syndrome (PCOS), difficulty conceiving and subfertility, ovarian cysts, irregular or problematic periods, and uterine fibroids — offering both medical and surgical management tailored to each patient's individual needs and goals.
Gynaecology encompasses the diagnosis and treatment of conditions affecting the female reproductive system. Dr. Vaishali Joshi provides comprehensive gynaecological care across the full range of benign gynaecological conditions — from common problems such as PCOS and fibroids to complex surgical conditions requiring advanced laparoscopic techniques.
Her particular expertise includes advanced laparoscopic and hysteroscopic surgery, management of pre-cancerous cervical lesions through BSCCP-accredited colposcopy, and the comprehensive management of menopause and women's health.
Polycystic ovary syndrome (PCOS) is one of the most common hormonal disorders affecting women of reproductive age. It is characterised by irregular periods, elevated androgen levels, and polycystic ovaries on ultrasound. PCOS has wide-ranging effects including fertility problems, metabolic complications, and psychological impact. Dr. Joshi's PCOS Clinic provides comprehensive personalised management.
PCOS affects approximately 1 in 10 women of reproductive age. Women with a family history of PCOS, irregular periods, or difficulty conceiving should seek specialist assessment.
Irregular or absent periods, excess facial or body hair (hirsutism), acne, weight gain, and difficulty conceiving. Diagnosis is confirmed by blood tests (LH, FSH, androgens, AMH) and pelvic ultrasound.
Management depends on presenting symptoms and whether fertility is desired. Options include oral contraceptive pill for cycle regulation, anti-androgen medication, insulin-sensitising medication (Metformin), and targeted lifestyle modification.
For women with PCOS who wish to conceive and have not responded to medical management, laparoscopic ovarian drilling (LOD) — a minimally invasive surgical procedure — can restore ovulation in many cases. Dr. Joshi will advise on the most appropriate option at consultation.
Uterine fibroids are benign (non-cancerous) growths of the muscle wall of the uterus. They are extremely common — affecting up to 70% of women by the age of 50 — though not all fibroids cause symptoms. When they do, fibroids can cause heavy periods, pelvic pain, pressure symptoms, and fertility problems.
Fibroids are classified by their position: submucosal (within the uterine cavity — most likely to cause heavy bleeding), intramural (within the uterine wall), and subserosal (on the outer surface of the uterus). The location and size determine the most appropriate treatment.
Heavy menstrual bleeding, prolonged periods, pelvic pressure or pain, urinary frequency, constipation, and — depending on location — difficulty conceiving or recurrent pregnancy loss.
Medical management options include tranexamic acid and NSAIDs for heavy bleeding, hormonal therapies, and GnRH analogues to temporarily shrink fibroids before surgery.
Hysteroscopic fibroid removal (TCRF) for submucosal fibroids. Laparoscopic myomectomy for intramural or subserosal fibroids in women wishing to preserve fertility. Hysterectomy for women who have completed their family and have troublesome symptoms. The most appropriate approach will be discussed at consultation.
Ovarian cysts are fluid-filled sacs that develop on or within the ovary. Most ovarian cysts are benign and resolve spontaneously, but some require surgical management. Dr. Joshi uses a systematic approach — including ultrasound assessment, tumour markers, and risk of malignancy scoring — to determine which cysts require intervention.
Functional cysts (most common, often resolve without treatment), endometriomas (chocolate cysts associated with endometriosis), dermoid cysts (teratomas), and simple serous cysts. The nature of the cyst guides management.
Treatment is recommended when a cyst is large (>5cm), causing symptoms (pain, bloating), persisting over multiple menstrual cycles, or has features on ultrasound that warrant further assessment or removal.
Laparoscopic ovarian cystectomy — keyhole removal of the cyst while preserving the ovary — is the preferred surgical approach. In most cases Dr. Joshi performs this procedure through small incisions, resulting in minimal scarring and fast recovery.
Most patients are discharged within 1 day and return to normal activities within 1–2 weeks. The ovary is preserved wherever clinically possible to protect fertility.
Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus — most commonly on the ovaries, fallopian tubes, and pelvic lining. It affects approximately 1 in 10 women and is one of the leading causes of chronic pelvic pain and subfertility.
Chronic pelvic pain (particularly around menstruation), painful intercourse (dyspareunia), painful periods (dysmenorrhoea), heavy bleeding, and difficulty conceiving.
Definitive diagnosis requires laparoscopy. Ultrasound can identify endometriomas but cannot detect all forms of endometriosis. Dr. Joshi will review your symptoms, examine you, and discuss whether diagnostic laparoscopy is appropriate.
Hormonal therapies (combined pill, progestogen-only, GnRH analogues) can suppress endometriosis and reduce pain. Medical management is appropriate for women not immediately planning pregnancy.
Laparoscopic surgical treatment — excision or ablation of endometriotic deposits — can significantly reduce pain and improve fertility. Dr. Joshi's advanced laparoscopic skills and European Diploma in Gynaecological Endoscopy make her particularly experienced in surgical management of endometriosis.
Dr. Joshi holds BSCCP accreditation — the British Society for Colposcopy and Cervical Pathology standard — for the diagnosis and treatment of pre-cancerous conditions of the cervix, vagina, and vulva. Colposcopy is a detailed examination of the cervix performed after an abnormal smear test result. It is not painful and is performed as an outpatient procedure.
Colposcopy uses a colposcope — a magnifying instrument — to examine the cervix in detail. A mild solution is applied to highlight abnormal cells. The procedure takes approximately 15–20 minutes and is performed without general anaesthesia.
A speculum is inserted, the colposcope is positioned outside the body to examine the cervix, and acetic acid or iodine solution is applied. If abnormal areas are identified, a small biopsy may be taken for histological analysis.
CIN (cervical intraepithelial neoplasia) grades I–III, VAIN (vaginal intraepithelial neoplasia), VIN (vulval intraepithelial neoplasia), and HPV-related abnormalities. Treatment is tailored to the grade and extent of abnormality found.
LLETZ (large loop excision of the transformation zone) is the most common treatment for CIN II and III — a brief outpatient procedure performed under local anaesthetic that removes the abnormal tissue and provides a specimen for histology. Dr. Joshi will discuss all options with you.
Menopause marks the end of menstrual cycles and typically occurs between the ages of 45 and 55. The transition — perimenopause — can begin several years before the final period and is associated with a range of symptoms that significantly affect quality of life. Dr. Joshi's Menopause Clinic offers comprehensive management tailored to each patient's symptoms and medical history.
Hot flushes, night sweats, mood changes, sleep disturbance, vaginal dryness, reduced libido, joint pain, and cognitive changes. Not all women experience all symptoms — individual assessment is essential.
Hormone replacement therapy (HRT) is the most effective treatment for menopausal symptoms. Modern HRT preparations are safe for most women and carry benefits beyond symptom control including bone protection. Dr. Joshi will review your personal and family history to advise on the most appropriate preparation.
For women who cannot or prefer not to take HRT, non-hormonal options including SSRIs, clonidine, and vaginal oestrogen preparations may be appropriate. Lifestyle modifications including exercise, diet, and stress management also play an important role.
Menopause is associated with increased risk of osteoporosis and cardiovascular disease. Dr. Joshi addresses these long-term health risks as part of her comprehensive menopause management approach.
Pelvic floor disorders — including urinary incontinence, pelvic organ prolapse, and related symptoms — are extremely common, affecting up to one third of women at some point in their lives. Despite being common, many women suffer in silence due to embarrassment. Dr. Joshi provides compassionate, specialist assessment and treatment in a confidential setting.
Stress urinary incontinence (leaking with cough, sneeze or exercise), urgency incontinence, pelvic organ prolapse (bladder, uterine, or bowel prolapse), and post-childbirth pelvic floor dysfunction.
A thorough history and pelvic examination, urodynamic studies where indicated, and discussion of severity and impact on daily life will guide the management plan.
Pelvic floor physiotherapy is the first-line treatment for most pelvic floor disorders. Bladder retraining and lifestyle modifications (fluid management, weight loss) are also important. Pessary fitting may be appropriate for prolapse.
When conservative management has failed or the degree of prolapse warrants surgical correction, Dr. Joshi performs pelvic floor repair surgery (anterior colporrhaphy, posterior colporrhaphy, vaginal vault repair) to restore normal anatomy and function.
Dr. Joshi performs the full range of gynaecological surgical procedures, with particular expertise in minimally invasive (laparoscopic and hysteroscopic) approaches. Her European Diploma in Gynaecological Operative Endoscopy and training in da Vinci Robotic Surgery place her among the most technically advanced gynaecological surgeons in India.
Total Laparoscopic Hysterectomy (TLH) · Laparoscopic Ovarian Cystectomy · Laparoscopic Myomectomy · Laparoscopic Treatment of Ectopic Pregnancy · Laparoscopic Treatment of Endometriosis · Laparoscopic Ovarian Drilling (PCOS) · Fertility-enhancing Laparoscopy & Hysteroscopy · Laparoscopic Uterine Septum Resection
Vaginal Hysterectomy · Abdominal Hysterectomy · Hysteroscopy with D&C and MIRENA intrauterine system insertion · Hysteroscopic Polypectomy · Removal of lost or retained IUD · Hysteroscopic Resection of Uterine Fibroid (TCRF) · Hysteroscopic Resection of Uterine Septum · Hysteroscopic Treatment of Intrauterine Synechiae (Asherman's Syndrome) · Colposcopy (Diagnostic & Treatment) · LLETZ · Pelvic Floor Repair Surgery · Anterior & Posterior Colporrhaphy
Every patient is different. Dr. Joshi will assess your specific circumstances and create a personalised management plan at your first consultation.