Express Healthcare

Preventive healthcare should begin before diagnosis, not after complications arise

Kashika Malhotra, Founder and CEO, Yoginii, in an interaction with Kalyani Sharma, talks about the inspiration behind creating a women-focused wellness marketplace and the growing health challenges faced by Indian women today

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What inspired the creation of Yoginii?

Yoginii was born from a simple but powerful observation – women are constantly managing everyone else’s needs, yet when it comes to their own health and wellness, the ecosystem is fragmented and overwhelming. A woman looking to address hormonal health, nutrition, fitness, intimate care, mental wellbeing, or lifestyle needs often has to navigate multiple platforms, conflicting advice, and unverified solutions.

We built Yoginii as India’s first women-focused marketplace that brings together trusted, curated solutions across every stage of a woman’s health journey under one roof. The idea was to create a structured, credible ecosystem rather than another content-heavy platform.

For me personally, the mission goes beyond commerce — it is about shifting women’s healthcare from reactive to proactive. Instead of waiting for diagnosis, women should feel empowered to build preventive habits early. Selfcare should not be a luxury or an afterthought; it should be normalised, accessible, and supported by reliable systems.

What health patterns are you observing among Indian women today?

We are seeing a noticeable rise in hormonal and metabolic concerns — PCOS, thyroid imbalances, insulin resistance, fertility challenges, and earlyonset perimenopausal symptoms, even among women in their late twenties and early thirties.

Lifestyle-related factors such as chronic stress, poor sleep quality, sedentary routines, and nutritional imbalances are becoming common denominators. Urbanization and demanding professional roles have added layers of pressure, often pushing women’s health lower on the priority list.

At the same time, awareness has grown significantly. Women today are asking questions, seeking second opinions, and looking for preventive solutions. However, this awareness is often accompanied by confusion due to information overload. What they truly need is clearer guidance, structured pathways, and trusted platforms that simplify decision-making.

What systemic gaps still exist in preventive women’s healthcare?

The biggest gap is fragmentation. Diagnostics, nutrition, fitness, and emotional health operate separately, with no integrated pathway. Another major issue is normalisation of symptoms. Painful periods, chronic fatigue, mood swings, irregular cycles, and metabolic fluctuations are often dismissed as “normal,” delaying early intervention. Preventive healthcare should begin before diagnosis not after complications arise.

Additionally, preventive care is not yet embedded into mainstream healthcare conversations. There is more focus on treatment protocols than on sustained lifestyle correction, education, and long-term monitoring.

Why are hormonal and metabolic disorders increasing?

Modern lifestyles play a major role. Increased consumption of processed foods, high stress levels, sleep disruption due to digital exposure, lack of physical activity, and delayed pregnancies have collectively impacted hormonal balance.

Hormones are extremely sensitive to environmental and behavioral shifts. Even small but consistent lifestyle disruptions can compound over time, leading to metabolic dysfunctions.

There is also a need for healthcare systems to move beyond prescription-first models. Medication is important when required, but long-term sustainability demands integrated, lifestyleled approaches that combine nutrition, stress management, sleep regulation, and movement-based interventions.

How can technology enable lifecycle-based support?

Technology allows continuity. Digital ecosystems can provide stage-specific education, personalised tracking, and ongoing guidance rather than one-off consultations. Pattern tracking whether menstrual cycles, metabolic markers, or mood changes allows women to make informed decisions and seek timely interventions. When supported by curated marketplaces and credible experts, technology can transform women’s healthcare from episodic treatment to continuous care.

How can preventive care reduce long-term burden?

Preventive care significantly reduces long-term healthcare burden — both at an individual and systemic level. When women adopt early screening practices, balanced nutrition, stress regulation, and consistent movement routines, the risk of chronic complications such as diabetes, cardiovascular disease, severe hormonal disorders, and infertility reduces substantially.

The impact extends beyond personal wellbeing. Women often anchor families, their health influences child health, workforce productivity, and community stability. Investing in women’s preventive health is not just a healthcare priority; it is an economic and social imperative.

Preventive care empowers women to lead healthier, more productive lives and that ripple effect strengthens society as a whole.

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