Candace Cooley, MD
The uterus, uterine tube, ovary and broad ligament seen from behind, a plate from Gray's A, a Wikimedia Commons photograph in the encyclopedia of Candace Cooley
Photo: Henry Vandyke Carter, public domain, file page on Wikimedia Commons
Subject index, seven entries

Gynecologic Conditions

Seven conditions behind painful, heavy or irregular periods and pelvic symptoms, each in its own entry.

Candace Cooley has treated menstrual disorders and concerns about pelvic health, and the entries in this index cover the conditions behind many of those complaints. The starting point is often the period itself. Guidance from the American College of Obstetricians and Gynecologists counts a typical period as 2 to 7 days and treats bleeding as heavy when a pad or tampon has to be changed more often than every 1 to 2 hours or a period lasts beyond 7 days; among the causes of abnormal periods it lists polycystic ovary syndrome, bleeding disorders, thyroid and ovulation problems and growths such as polyps.1

Fibroids are among the most common of those growths. The National Institute of Child Health and Human Development defines them as growths of smooth muscle cells and other material in or on the wall of the uterus, sorted by where they lie: submucosal fibroids under the lining, intramural fibroids within the muscle and subserosal fibroids on the outer surface.2 Adenomyosis is related but distinct. The NHS describes it as the lining of the womb growing into the muscle of its wall, more often diagnosed after the age of 30 and marked by painful, heavy periods, although some people have no symptoms at all.3

The seven entries are Heavy Menstrual Bleeding, Uterine Fibroids, Adenomyosis, Endometriosis and the Long Wait for Diagnosis, Polycystic Ovary Syndrome, Premenstrual Dysphoric Disorder and Bacterial Vaginosis.

  1. American College of Obstetricians and Gynecologists, Heavy and Abnormal Periods
  2. Eunice Kennedy Shriver National Institute of Child Health and Human Development, About Uterine Fibroids
  3. NHS, Adenomyosis