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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.


  1. http://www.merck.com/mmhe/sec22/ch242/ch242b.html#sec22-ch242-ch242b-83 
  2. http://www.merck.com/mmhe/sec22/ch252/ch252f.html?qt=pain%20during%20intercourse&alt=sh
  3. http://www.merck.com/mmhe/sec22/ch249/ch249a.html?qt=vaginal%20vault%20prolapse&alt=sh
  4. http://www.merck.com/mmhe/sec22/ch242/ch242b.html?qt=Vaginal%20discharge%20tinged%20with%20blood&alt=sh
  5. http://www.merck.com/mmhe/sec22/ch249/ch249a.html?qt=vaginal%20vault%20prolapse&alt=sh

While clinical studies support the effectiveness of the da Vinci Surgical System when used in minimally invasive surgery, individual results may vary. There are no guarantees of outcome. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation. Surgery with the da Vinci Surgical System may not be appropriate for every individual; it may not be applicable to your condition. Always ask your doctor about all treatment options, as well as their risks and benefits. Only your doctor can determine whether da Vinci Surgery is appropriate for your situation. The clinical information and opinions, including any inaccuracies expressed in this material by patients or doctor about da Vinci Surgery are not necessarily those of Intuitive Surgical, Inc. and should not be considered as substitute for medical advice provided by your doctor. All people depicted unless otherwise noted are models. © 2012 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders.

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U 07/09/2012

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