# Janhavi Nilekani’s Substack A personal Substack on evidence-based medicine, Indian maternity care, and gender-identity theory. Page: Feed: --- ## [Hum do, humare teen: A case for bringing back larger families](https://janhavinilekani.substack.com/p/hum-do-humare-teen-a-case-for-bringing) _2026-06-14 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/detransition-awareness-day-2026) _2026-03-12 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/the-seen-and-the-unseen-janhavi-nilekani) _2026-03-11 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/sugar-and-spice-and-everything-nice) _2026-02-11 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/the-lived-realities-of-those-who) _2026-01-30 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/too-many-indian-trans-activists-are) _2026-01-28 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/india-should-restrict-paediatric) _2026-01-18 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/informed-consent-is-meaningless-if) _2025-08-12 · Janhavi Nilekani_ 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](https://janhavinilekani.substack.com/p/inclusivity-in-healthcare-should) _2025-07-23 · Janhavi Nilekani_ 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.