This is The Manual
For the things you were too embarrassed to ask the group chat or too scared to have Google tell you you’re dying.
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!Search by Keyword:
Click by Category:
Common Conditions
Fibroids | Endometriosis | Adenomyosis | PCOS | Abnormal Uterine Bleeding (AUB) | Ovarian Cysts | Endometrial Polyps | Pelvic Pain
BV | Yeast Infection | HPV | Trichomonas | Herpes | Ureaplasma/Mycoplasma | Syphilis | Gonorrhea/Chlamydia | PID | HIV | Hepatitis B&C
UTI | Urinary Incontinence | Prolapse | Vulvodynia | Bartholin’s Cyst | Pelvic Floor Dysfunction
Your Cycle
Anatomy 101
Fertility
Tracking Ovulation | Infertility | Ovulation Induction | Hysterosalpingogram (HSG)
Procedures & Treatments
Hysterectomy | Myomectomy | Hysteroscopy | Endometriosis Surgery | Uterine Artery Embolization (UAE) | Endometrial Ablation | Prolapse Surgery | Post-Op Recovery | GnRH Meds
Endometrial Biopsy | IUD Insertion | Colposcopy | LEEP | Pelvic Ultrasound | MRI
Women’s Wellness
Birth Control | Pap Smear | Pelvic Exam | The Gyno Visit
.
Menopause & More
Menopause/Perimenopause | Hormone Replacement Therapy | Vaginal Atrophy
The Sex Files
Female Orgasm | Postcoital Bleeding | Painful Sex
Feminism & Feels
Explore the Blog:
Painful Sex: It’s Not Supposed to Hurt
Sex is supposed to feel good — not like a test of resilience. Not sharp, not burning, not something you brace yourself for. And yet, a lot of people quietly deal with pain during sex and assume it’s just how their body works. It’s not. Pain with sex is common, but it’s not something you’re supposed to push through or ignore.
This is also why so many people end up searching things like “why is sex painful?” — because it’s happening, and no one has clearly explained why.
Pain can show up in different ways. It can happen with penetration, with certain types of sexual activity, or even with orgasm. And it’s not limited to one type of partner or one kind of sex — no matter what gender of partner you're with, whether you're with a partner of any gender, using toys, or on your own, pain is still pain.
Let’s talk about why it happens — and what you can actually do about it.
Hysterosalpingogram (HSG): What the Dye Is Trying to Tell Us
If you’re going through a fertility evaluation, there’s a good chance someone has mentioned an HSG, short for hysterosalpingogram. The name sounds intimidating, but the idea behind the test is actually pretty simple: a provider pushes a small amount of dye inside the uterus and watches where it goes. If the dye flows freely through the fallopian tubes and spills into the pelvis, that’s usually a good sign. If it stops somewhere along the way, it may tell us something important about the tubes or the shape of the uterus. Think of it like pouring water through a set of pipes to see whether everything is open and flowing the way it should.
Ovulation Induction: Helping the Ovary Do Its Job
If you’re trying to get pregnant and nothing is happening month after month, one of the first questions we ask is simple: are you ovulating?
Because pregnancy requires an egg. And if the ovary isn’t releasing one, no amount of perfect timing can make up for that.
Ovulation induction is how we help when the ovary isn’t reliably doing its job. Sometimes that help is simple. Sometimes it requires closer monitoring. Let’s break it down.
Bleeding After Sex: The Unwanted Plot Twist
You have sex. Everything seems fine. Chill. Normal.
And then — bam. There’s blood.
Not period blood. Not a tiny pink smudge you have to squint at. Sometimes it’s bright red. Sometimes it’s enough to make you freeze mid-moment. Sometimes you see it during sex. Sometimes it shows up when you go to the bathroom after.
It feels like it came out of nowhere, and your brain goes from “huh?” to full spiral in about 14 seconds.
Bleeding after sex, called postcoital bleeding, is more common than you think — but it’s also jarring and incredibly annoying. It’s hard to bring up to friends, partners, and providers. And sometimes it’s even harder to get a straight answer about it.
The good news? Most of the time, there’s a very fixable explanation.
Let’s walk through it.
Pelvic Pain: The Search for a Source
Pelvic pain is one of the most common — and most frustrating — reasons people seek gynecologic care. It can be disruptive, exhausting, and deeply confusing, especially when tests come back “normal” and no one can quite explain what’s happening.
If you’ve ever felt pain in your pelvis and wondered why it’s so hard to get a straight answer, you’re not alone. Pelvic pain is real, it’s common, and it deserves more than quick reassurance or dismissal.
This article isn’t about jumping to a single diagnosis. It’s about understanding pelvic pain as a signal — and learning how to start tracing it back to its source.
Pelvic Floor Dysfunction: The Overlooked Cause of Pelvic Pain
If you’ve ever been told your exam, labs, or imaging are “normal” — but your body is very much not — pelvic floor dysfunction might be the missing piece.
Pelvic floor dysfunction is one of the most common, underdiagnosed causes of pelvic pain, painful sex, bladder issues, and bowel problems. It doesn’t show up on ultrasounds. It doesn’t get fixed with antibiotics. And it’s often misunderstood as weakness, anxiety, or something you’re supposed to “push through.”
It’s none of those things.
Post-Op Recovery: What to Expect After Gynecologic Surgery
You’ve had surgery, the hard part is technically “over,” and suddenly you’re home — sore, tired, bloated, emotional, and hyper-aware of every new sensation in your body. Even with good discharge instructions, it’s normal to wonder whether what you’re feeling is expected or something you should worry about.
Healing after gynecologic surgery isn’t linear, identical, or predictable. Having more information — especially about the day-to-day realities of recovery — can go a long way toward settling anxiety and helping you feel more in control. This guide walks through what recovery commonly looks like, what’s normal, what’s not, and how to support your body along the way.
GnRH Medications: Pressing Pause on Your Hormones
Being told you might need a medication that “shuts down your hormones” can sound… intense.
Cold. Permanent. Like something you didn’t sign up for.
But GnRH medications aren’t about taking something away from you. They’re about temporarily pressing pause — often to give your body relief, clarity, or a reset.
Used thoughtfully, these meds can be incredibly effective. Used without explanation, they can feel terrifying. Let’s talk about what they actually do — and when they make sense.
MRI in Gynecology: Taking a Deeper Dive
If you’ve been told you need an MRI, you might be wondering what the point is.
Is something serious going on? Did something get missed?
An MRI doesn’t mean your situation is worse. It usually means your provider wants more detail. MRI is one of the most powerful tools we have in gynecology, especially when ultrasound doesn’t give the full picture.
Think of ultrasound as a real-estate listing — it shows the basics. MRI is the full house tour.
Pelvic Organ Prolapse: When Your Support System Fails
If you’ve ever stood up at the end of the day and thought, “Why does it feel like everything is… lower?” - you’re not alone.
Pelvic organ prolapse is one of those conditions people whisper about, Google late at night, and feel deeply awkward bringing up at a doctor’s visit. Some people worry that something is going to completely fall out, or that they’ve done something wrong to cause it. Many are afraid to bring it up to friends, partners, or even their doctor - even though it’s very likely they know someone else going through the same thing. That silence can make prolapse feel isolating.
The truth is much calmer than that. Pelvic organ prolapse is common, manageable, and rarely dangerous. It’s a structural issue - not a personal failure - and there are multiple ways to approach it, including doing nothing at all.
Prolapse Surgery: Fixing the Support System
Hearing the word surgery can make prolapse suddenly feel much scarier than it actually is.
For many people, prolapse never requires surgery at all. But when symptoms are severe, persistent, or interfering with daily life, surgery can be a very effective option. The confusing part is that there isn’t just one prolapse surgery — there are many, and they’re designed to do different things.
This article walks through what prolapse surgery is actually doing, the main surgical options, and to help you decide which approach makes sense for you.
Endometriosis Surgery: Weeding the Garden
Endometriosis surgery can be life-changing - but it’s also complex, nuanced, and often misunderstood. For some people, surgery brings dramatic relief. For others, it’s one step in a longer journey of managing a chronic condition. Understanding what surgery can (and can’t) do, how it’s performed, and how surgeon experience matters can help you decide whether it’s the right option for you.
This article walks through how endometriosis surgery works, the difference between excision and ablation, fertility-sparing and non-fertility-sparing approaches, and what recovery and long-term outcomes realistically look like.
Myomectomy: Removing Fibroids While Preserving the Uterus
A myomectomy is a surgical option for removing uterine fibroids when there is a strong desire to preserve the uterus — whether for fertility, personal identity, or other individual reasons. Instead of removing the uterus itself, the procedure focuses on removing the individual fibroids and leaving the uterus in place.
This article walks through what a myomectomy actually is, when it makes sense, the different ways it can be done, and what recovery and outcomes realistically look like.
Infertility: When the Stork Isn’t Delivering
For many people, the idea of fertility starts out as an exciting chapter. You imagine it as hopeful, intimate, maybe even fun. But when things don’t work out the way you hoped, that excitement can quickly turn into disappointment - or even despair.
What began as optimism can start to feel like a referendum on your body, your relationship, and your future. Add in well-meaning questions from family members, friends’ pregnancy announcements, and a medical system that often places most of the burden on one partner, and it can quickly become a deeply isolating experience.
If you’re here, we’re here for you. This is not something you’re overreacting to - it’s something that is genuinely hard emotionally, physically, and socially. Let’s talk about what infertility actually means, when it makes sense to start testing, and how the workup works, step by step.
Hepatitis B & C: Similar Names, Different Stories
Hepatitis B and Hepatitis C often get linked together, which adds to the confusion. Both are viruses that affect the liver. Both can be acute or chronic, and both are manageable and monitored — but how they behave, how they’re treated, and what happens long term are very different.
This article breaks down what Hepatitis B and Hepatitis C actually are, how people get them, what immunity means, and why these two infections differ so much in comparison.
HIV: Not the Scary Monster It Used to Be
If you grew up learning about HIV in health class, the messaging probably sounded terrifying: incurable, deadly, inevitable.
The truth in 2025 looks very different - and a lot less scary.
HIV is now considered a chronic, highly treatable medical condition. With proper care, people living with HIV can expect normal life expectancy, normal relationships, and normal pregnancies. That doesn’t mean HIV isn’t serious - it just means it’s manageable, and knowledge is power.
This article breaks down what HIV actually is, how testing works, what prevention looks like today, and what all the acronyms (PrEP, U=U) really mean - without panic or judgment.
Syphilis: The STI That Doesn’t Play by the Rules
Syphilis is one of those infections everyone’s heard of - but few people actually understand. It doesn’t behave like most STIs, it doesn’t show up the same way for everyone, and its testing can feel unnecessarily confusing.
That’s not your fault. Syphilis is genuinely different.
Let’s break it down clearly, without panic or medical jargon overload.
Gonorrhea & Chlamydia: The Pair Everyone Gets Tested For
Gonorrhea and chlamydia are two of the most common sexually transmitted infections — and they’re often talked about in the same breath for a reason. They spread in similar ways, are tested for using the same types of samples, and come up in many of the same conversations around screening and treatment.
That doesn’t mean they’re identical. Think of them more like evil stepsisters: related, frequently confused for one another, and often mentioned together — but very much their own characters.
Let’s break them down without overcomplicating things.
Trichomoniasis: The STI No One Warned You About
If you’ve never heard of trichomoniasis, you’re not alone. It’s one of the most common sexually transmitted infections — and somehow one of the least talked about. That combination can make a diagnosis feel confusing, embarrassing, or like you missed a memo everyone else got.
You didn’t. Trich is common, treatable, and very manageable once you know what you’re dealing with.
IUD Insertion: Tiny Device, Big Feelings
If you’re thinking about getting an intrauterine device (IUD), it’s normal to feel a mix of curiosity and nerves. This is one of the most common procedures in gynecologic care — but “common” doesn’t always mean well explained. Let’s walk through what an IUD is, how insertion works, what’s typical afterward, and what options exist to improve the experience.
Sign Up for our Newsletter so you don’t miss out when new articles drop!
Can’t find an article about a topic you’re curious about?
Join the Femanual Community!
Join our email list and become part of the Femanual community — people who are getting to know their bodies, and learning to love them.
We’ll send you a heads-up when new articles drop or questions get answered, so you can stay informed, stay curious, and stay connected.