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Janhavi Nilekani’s Substack

A personal Substack on evidence-based medicine, Indian maternity care, and gender-identity theory.

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Hum do, humare teen: A case for bringing back larger families

I had the opportunity to write for Times of India on India’s collapsing fertility rates - a policy issue I am very concerned about!

Detransition Awareness Day 2026

I wanted to write something profound for Detransition Awareness Day, which is today, March 12th. Unfortunately, my day job and personal life got in the way, and thus this is a brief post.

The Seen and The Unseen: Janhavi Nilekani Threw the Other Shoe

I had the honour of being a guest on Amit Varma’s fantastic podcast, The Seen and The Unseen.

Sugar, and Spice, and Everything Nice, and Snips, and Snails, and Puppy-dog Tails

As many readers know, I am deeply uncomfortable with gender-affirming care (GAC), particularly when it involves children.

The Lived Realities of Those Who Detransition

One thoughtful critique of my Times of India column, which argued that India should restrict paediatric gender medicine (PGM), stood out.

Too Many Indian Trans Activists Are Avoiding Evidence

India’s trans activist community has been sharply critical of me ever since I argued in the Times of India that India should restrict paediatric gender-affirming care (GAC).

India should Restrict Paediatric Gender-Affirming Care - My Op-ed in the Times of India

A few days ago, the Times of India gave me the opportunity to publish an op-ed, making the case for why India should follow the emerging international consensus, and restrict paediatric gender affirming care (GAC).

Informed Consent is Meaningless if the Information is False and the Consent is Coerced

Overall, I was delighted by the response to my introductory essay. I had not expected such a warm welcome from the gender-critical movement, and I am very grateful.

Inclusivity In Healthcare Should Not Be Valued Above Our Paramount Mandate: First, Do No Harm

In the spring of 2022, a 50-year-old grandfather in North Carolina decided that he wanted his daughter’s newborn to suckle at his nipple.