This is The Manual

For the things you were too embarrassed to ask the group chat, too tired to explain to another doctor, or too scared to have Google tell you you’re dying.

We will continue to upload articles on new topics to keep the wisdom flowing. 

Heads Up: This info is here to educate, not diagnose. Talk to a real-life doctor for medical advice - and read our medical disclaimer before diving in!

Hysterectomy: What It Really Means to “Take Out the Uterus”
Common Conditions Nathan King Common Conditions Nathan King

Hysterectomy: What It Really Means to “Take Out the Uterus”

Few words in gynecology carry as much weight as hysterectomy. Whether it’s said casually (“they just took everything out”) or whispered in fear, it tends to make people pause. But a hysterectomy isn’t one single procedure—it’s a spectrum of options that look a little different for everyone. Here’s what it really means, what’s actually removed, and what to expect along the way.

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Fibroids: What They Are and What to Do About Them
Common Conditions Nathan King Common Conditions Nathan King

Fibroids: What They Are and What to Do About Them

The uterus is a remarkable organ. It’s built to go from the size of a tennis ball to the size of a basketball in just nine months, growing and housing an entirely new human being along the way. That’s miraculous. No other organ in the body can expand, contract, and regenerate quite like it.

But with that much power comes a lot of responsibility, and a few design flaws. Complex systems are prone to glitches, and fibroids are one of them. Think of them as a glitch in the uterine code: a spot where the muscle tissue gets a little too enthusiastic and starts multiplying in one area, forming a firm, rubbery ball inside or on the uterus. They’re extremely common, usually benign (non-cancerous), and vary widely in size and effect. Let’s break down what they are, why they show up, and what to do about them.

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Endometrial Biopsy: Why It’s Done and What to Expect
Procedures & Treatments Nathan King Procedures & Treatments Nathan King

Endometrial Biopsy: Why It’s Done and What to Expect

If you’ve just been told you need an endometrial biopsy, you might be feeling a mix of confusion, anxiety, and curiosity. That’s completely normal. This procedure can sound intimidating, and for some people it’s genuinely uncomfortable. Understanding what’s happening, why it’s being done, and what to expect can help you feel a little more in control when it’s time for your appointment.

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Vaginal Atrophy: The Dry Truth
Common Conditions Nathan King Common Conditions Nathan King

Vaginal Atrophy: The Dry Truth

Let’s talk dryness down there. Vaginal atrophy, or genitourinary syndrome of menopause (GSM), happens when declining estrogen levels lead to changes in the vaginal and urinary tissues. Think of estrogen like nutrients for those tissues—when levels drop, it’s like a garden not getting watered. The skin might even become thinner, less elastic, and less able to produce natural moisture. This can make the skin itchy, irritated, and dry, making things like sex, pelvic exams, or even sitting too long uncomfortable. The pH level shifts too, allowing fewer “good” bacteria (like lactobacilli) and more irritation-causing microbes to move in, sometimes leading to infections or recurrent BV-like symptoms.

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Herpes Happens: What to Know and How to Deal
Common Conditions Nathan King Common Conditions Nathan King

Herpes Happens: What to Know and How to Deal

If you’ve just been told you have herpes, take a breath. You’re not broken or gross, and you’re definitely not alone. Herpes is one of the most common infections on the planet, and most people who have it don’t even realize it. It’s a virus, not a verdict, and the more we talk about it, the less scary it gets.

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Adenomyosis: The Angry Uterus
Common Conditions Nathan King Common Conditions Nathan King

Adenomyosis: The Angry Uterus

Ever feel like your uterus is trying to kill you every month?

Like the cramps are intense, the bloating is relentless, and the bleeding looks like a crime scene?

This could be adenomyosis - the angry uterus. It’s surprisingly common, but way less talked about than conditions like endometriosis or fibroids. If you're dealing with pain and bleeding and no one has given you a name for it, this might be it.

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Tracking Ovulation: How to Know When That Egg’s Dropping
Fertility Nathan King Fertility Nathan King

Tracking Ovulation: How to Know When That Egg’s Dropping

So, you want to figure out when your ovary is ovulating. Whether you're trying to get pregnant, avoid it, or just want to know what your hormones are up to, tracking ovulation is one of the most powerful things you can do for your health.

But let’s be real — it can feel like trying to crack a secret code written in discharge and mood swings. Here’s how to make sense of it all.

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LEEP: What Is It, and Why Do I Need One?
The Gyno Visit Nathan King The Gyno Visit Nathan King

LEEP: What Is It, and Why Do I Need One?

So what exactly is a LEEP? And why might you need one?

If your doctor mentioned a LEEP after your Pap smear or colposcopy, you're not alone — and you're not in danger. A LEEP is a simple outpatient procedure that removes abnormal cervical cells before they turn into cancer. That’s right: this little procedure is done to prevent cancer, not treat it.

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Colposcopy: What to Expect and How to Prepare
The Gyno Visit Nathan King The Gyno Visit Nathan King

Colposcopy: What to Expect and How to Prepare

So you’ve been told you need a colposcopy. Now what?

We get it — hearing that can feel overwhelming. You might be panicking, Googling, or just quietly freaking out. But here’s the thing: colposcopies are incredibly common, and you’re not alone. Even though it might feel like you’re suffering in silence, thousands of people have this exact procedure every day — and we’re here to walk you through it, demystify the experience, and help you feel more in control.

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Crossing the Finish Line: A Guide to Getting There (Together)
The Sex Files Nathan King The Sex Files Nathan King

Crossing the Finish Line: A Guide to Getting There (Together)

He came. You cuddled. The end?

If that sounds familiar, you’re not alone. There’s a well-documented “orgasm gap” between cisgender men and women during partnered sex — meaning people with penises tend tofinish far more often than those with vulvas. That’s not because one body is better designed for pleasure — it’s because the game is often rigged.

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Pap Smears: Don’t Brush It Off
The Gyno Visit Nathan King The Gyno Visit Nathan King

Pap Smears: Don’t Brush It Off

Let’s talk about that appointment you keep rescheduling. You know the one — awkward, uncomfortable, and battling the dentist for your least favorite appointment. The Pap smear may not be anyone’s idea of a good time, but it’s one of the simplest ways to protect your health. And once you know what it’s actually doing (and what to expect), it gets a whole lot less scary. Let’s break it down.

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Down There, Up Close: A Guide to the Bits Below
Anatomy 101 Nathan King Anatomy 101 Nathan King

Down There, Up Close: A Guide to the Bits Below

So, you’ve got a vulva. Or you’re just vulva-curious. Either way, welcome to the tour. No shame, no weird old textbook diagrams, no confusing terms like “vestibule” without an explanation. Just a little anatomy 101 for the parts most of us weren’t properly introduced to — even though we live with them every single day.

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Pelvic Exams: Let’s Get This Over With
The Gyno Visit Nathan King The Gyno Visit Nathan King

Pelvic Exams: Let’s Get This Over With

No one’s ever said, “You know what I’m excited for? Getting a speculum inserted by a stranger.” And honestly? Fair. Pelvic exams can be awkward, uncomfortable, or just deeply not on your to-do list — especially if it’s your first time or you’ve had a bad one before. But here’s the truth: it doesn’t have to be awful. With the right provider, a little prep, and a few good tricks, it can be quick, manageable, and actually empowering. Let’s break down what’s happening, what’s normal, and how to make it way less sucky.

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