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Common Gynecologic Symptoms

Two of the most common gynecologic symptoms that women experience are pain and excessive or irregular menstrual bleeding.1 Before a medical appointment, it is helpful to track and document your symptoms - the location, frequency, intensity, etc. The more specific you can be in describing your symptoms, the more helpful this will be for your doctor in diagnosing your condition. Bring this information to your appointment. It will help your doctor diagnose your gynecologic condition and offer you the most appropriate treatment options for your condition.


Pain can be described in many ways. Intensity of pain is commonly measured with a simple 0-10 point scale where 0 equals no pain and 10 is the worst pain imaginable. Describing your pain can help your doctor pinpoint the condition. Each of the following descriptions of pain may indicate a different gynecologic condition:

  • Pelvic discomfort
  • Pelvic pressure
  • Abdominal tenderness
  • Abdominal cramps
  • Back ache
  • Back pain
  • Painful urination and/or bowel movements
  • Pain during intercourse 2,4


Monthly menstrual bleeding (your period) is different for each woman. It is important to describe what is normal for you, how often you have your period, how long it usually lasts, and how heavy it usually is. Remember that bleeding patterns can be different before and after childbirth, with age, and with any medications you regularly take. Abnormal bleeding must be compared to what is normal for you. The following are examples of bleeding patterns that may be patterns of specific gynecologic conditions:

  • Excessively heavy or abnormal bleeding
  • Bleeding longer than 7 days
  • Periods more frequent than 21 days
  • Periods more than 35 days apart
  • Spotting/bleeding between periods
  • Spotting/bleeding after menopause
  • Passing blood clots
  • Painful bleeding
  • Bleeding after intercourse
  • Vaginal bleeding (vs. uterine bleeding)
  • Vaginal discharge tinged with blood 4

Other Symptoms

There are other symptoms that can stand alone or accompany pain and bleeding. They also need to be described, in order for your doctor to accurately diagnose your condition:

  • Difficulty with urination or bowel movements
  • Improper bowel/bladder function
  • Infertility
  • Feeling of pressure on your bladder or rectum
  • Slipping or dropping of your vagina or uterus
  • Feeling heaviness or pressure in your pelvis
  • Constant abdominal pressure
  • Swelling or bloating
  • Urinary urgency (feeling the need to go)
  • Recurrent urinary tract infections
  • Pain while standing or walking 5

Talk to Your Doctor

If something doesn't seem right, see your doctor. The symptoms listed above can occur alone or in combination with each other. These symptoms may potentially indicate the presence of endometriosis / adenomyosis, uterine fibroids, uterine prolapse or, possibly, cancer.

You can learn more about each of those conditions here on this site. However, this information is not a substitute for your doctor's advice. Communicating your symptoms in detail with your doctor will help your doctor make an accurate diagnosis and provide you with the most appropriate treatment options for your condition.



All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to

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U 07/09/2012

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