Everything from embarrassment to not knowing what’s normal can mean some women don’t seek help for gynaecological problems – potentially putting them at risk of their symptoms worsening or becoming much more serious.

Research by the Royal College of Obsetricians and Gynaecologists (rcog.org.uk) found a quarter (24%) of women feel unable to seek care because of embarrassment about their condition, and to make matters worse, many have been avoiding visiting their GP because of the pandemic.

ADVERTISEMENT

A recent study by gynaecological cancer research charity The Eve Appeal revealed 32% of women said they’d wait until after the pandemic to get advice about bleeding between periods, and 15% would wait if they noticed a lump on their vagina or vulva.

In a bid to help women understand what gynaecological symptoms may be need checking, The Eve Appeal and Dr Anita Mitra have launched the new Be Gynae Aware campaign, sponsored by GlaxoSmithKline (GSK), which includes a checklist of gynae issues it’s advisable to keep track of.

 

 

“There’s a huge lack of knowledge around gynaecological anatomy and symptoms – women are often woefully unaware of what’s going on inside their own pelvis and between their legs,” says The Eve Appeal chief executive, Athena Lamnisos. “If you don’t know your ‘normal’ in terms of bleeding, discharge, or what your vulva looks like, it’s really hard to spot when things aren’t normal and need to be checked by a medical professional.

“Worrying symptoms may not be cancer – but it’s always best to rule out the most concerning things as early as possible. Early diagnosis, and wherever possible, prevention, is so important.”

Dr Mitra adds: “We aren’t really taught a great deal about gynae health, so if something changes or doesn’t seem quite right, it can feel overwhelming. Thankfully in many cases the symptoms are nothing sinister, but it’s important for us to rule that out, and then address and alleviate them. Many patients say to me, ‘I wasn’t sure if I should bother someone about it’. As a general rule, I always say: ‘If it bothers you, bother someone about it’.”

9 gynaecological problems to check out

Here, Mitra talks us through what’s on the Be Gynae Aware checklist…

1. Abnormal bleeding

“There’s no such thing as a ‘period’ after the menopause, and this should always be investigated, as should bleeding after sex and between periods,” advises Mitra, who says less sinister causes of abnormal bleeding may be polyps, cervical ectropion (cells growing outside the cervix), or atrophic changes (thinning, drying and inflammation of the vagina related to lack of oestrogen). In the worst-case scenario, abnormal bleeding could be linked to cervical or endometrial cancer.

2. Pelvic/abdominal pain

This may need investigating if it’s different from your normal period pain. Mitra says: “Pelvic pain can be sporadic or associated with certain activities, such as sex or going to the toilet. It may happen at certain times in your menstrual cycle, so it’s worth keeping a note of this.”

 

 

Common causes could be ovulation, endometriosis, adenomyosis, fibroids, cysts, pelvic inflammatory disease, or infections. In the worst-case scenario it could be linked to cervical, endometrial and ovarian cancer.

3. Menstrual cycle changes

Changes in your menstrual cycle may relate to its length, the volume of blood, or cramps. Mitra says it’s worth consulting a doctor if your periods become much heavier or much more painful.

“Having to change your period product (eg. pad, tampon, cup, etc) every hour for several hours on end is a sign the bleeding’s very heavy, although there’s no real limit to what’s defined as ‘heavy’,” she explains. “Even if it’s not heavy enough that you need to change your pad that often but it’s affecting your life, I think it’s worth speaking to your doctor, and also if your periods are much shorter or much longer than normal, or become erratic.”

Common causes of menstrual changes may be polycystic ovarian syndrome, endometriosis, adenomyosis, polyps, or the menopause. In the worst-case scenario, it could be linked to cervical or endometrial cancer.

4. Pain during sex

Mitra explains that pain during sex may be superficial – for instance, on the outside, making penetration painful or impossible, or deep on the inside during or after penetration. But either way, it may need investigating. Common less sinister causes could be endometriosis, fibroids, cysts, vaginismus, vulval skin conditions, or even constipation. In worst case scenario, it could be linked to cervical or ovarian cancer.

5. Change in discharge

Mitra says this may be a change in colour, blood-staining, or itchiness, or the discharge may smell bad. “Again, it’s worth keeping a note if there are any connections to certain times in the menstrual cycle,” she advises. Changes in discharge are most commonly related to infections, but can also be linked to cervical cancer.

6. Skin changes/lumps on the vulva

The vulval skin can become very pale, pigmented (coloured) areas may arise, or it can become red or flaky, says Mitra, who warns women not to ignore such changes or any lumps in the area. “Lumps or bumps may be felt, and these can bleed or have discharge coming from them,” she explains. Most commonly, such changes are linked to thrush, dermatitis, folliculitis, lichen sclerosus or atrophic changes. Rarely, they can be a sign of vulval cancer.

7. Itching pain/swelling of the vulva or vagina

Young black woman speaking with female GP
It’s always best to get these symptoms checked (Alamy/GP)

Vulval itching can occur alongside or independent of skin changes, says Mitra, and may also be associated with a change in discharge. Common causes are thrush, infections or lichen sclerosis. More rarely, these symptoms may also be linked to vulval cancer.

8. Persistent bloating

This is when your abdomen is constantly bloated and doesn’t seem to change according to the time of day, or have any relation to food. Mitra warns: “This can arise from big masses such as huge fibroids, cysts or tumours, but also if you have ovarian cancer because your abdomen can become full of fluid.”

9. Change in bowel/urine habits

Symptoms linked to the bowel and bladder aren’t always immediately thought to be connected to gynae health. However, Mitra explains: “Our bowel and bladder lie right next to the uterus and ovaries, so if there’s pressure from these things they can cause changes in the bladder or bowels, such as needing to pass urine more often than normal, incomplete emptying of your bladder so you feel like you need to go again right after you’ve already been, constipation or even diarrhoea.”

Common reasons for such changes may include urine infections, IBS, large fibroids or endometriosis, and in the worst-case scenario they could be linked to ovarian cancer.

If you have concerns about seeing a doctor about a gynaecological problem, contact The Eve Appeal’s free information service Ask Eve on 0808 802 0019, or email [email protected]  

You may be interested in…

Best-selling menstrual cups

Stuck for inspiration? Check out our list of best-selling Amazon products!

SaleBestseller No. 1
AllMatters Menstrual Cup (Formerly OrganiCup) Size A, for Those Who Haven’t Given Birth Vaginally....
  • ALLERGY CERTIFIED – AllMatters menstrual cups (formerly OrganiCup) are Allergy Certified and do not contain any known allergens. Carefully examined by a Toxicologist our period cups comply to all...
  • AWARD-WINNING – Our period cups have been awarded product of the year twice and received the Excellence Award from BuyMeOnce in the sustainability category
  • POPULAR – 2 million + have already chosen to improve their periods by changing to our award-winning menstrual cup
Bestseller No. 2
SHORDY Menstrual Cup and Steam Sterilizer for Beginners Kit, Set of 2 Period Cups (Small & Large),...
80 Reviews
SHORDY Menstrual Cup and Steam Sterilizer for Beginners Kit, Set of 2 Period Cups (Small & Large),...
  • 3-in-1 Super Set - This period kit takes care of all your menstrual hygiene needs as you get our small & large cups, our electric menstrual cup sterilizer, and our beloved mini box to store your cups.
  • A Healthier Alternative - Shordy cup is reusable and a healthier alternative to traditional sanitary pads & tampons. It fits easily without the health dangers caused by traditional period products.
  • Quick Sterilization - The SHORDY Electric Steam Sterilizer ensures thorough cleaning of menstrual cups & discs in a few minutes. You can fit various cup & disc sizes.
SaleBestseller No. 3
SHORDY Menstrual Cup Beginners Kit, Menstrual Cup PH Balanced Gel Cleaner Wash, Collapsible...
  • 3-in-1 Super Set - This period kit takes care of all your menstrual hygiene needs as you get our small & large cups, our menstrual cup sterilizer container, and our cup wash.
  • A Healthier Alternative - SHORDY cup is reusable and a healthier alternative to traditional sanitary pads & tampons. It fits easily without the health dangers caused by disposable period products.
  • A Smart Choice: With this kit you also get our menstrual cup holder made of high-quality silicone which lets you sterilize your menstrual cups or discs in just a few minutes in a microwave!

Last update on 2024-01-20 / Affiliate links / Images from Amazon Product Advertising API

This article may include affiliate links to products and services where we may receive a small fee to support the running of this site if you make a purchase or is a sponsored article from one of our select editorial partners providing valuable advice and information to our readers.

ADVERTISEMENT

LEAVE A REPLY

Please enter your comment!
Please enter your name here

This site uses Akismet to reduce spam. Learn how your comment data is processed.