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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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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