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Women's Health

A gynecologist asked women how visits could be improved. Thousands responded, in detail.

"How would you design/optimize a visit to the gynecologist’s office? No detail is too small.”

Many would agree that gynecology visits could be improved upon.

When picturing a doctor’s office, you might imagine a less than warm atmosphere. Those oh-so-lovely fluorescent lights instantly come to my mind. Imagine if a doctor told you, “I want to design our visit in a way that makes you feel most comfortable.” Suddenly that annual check-up doesn’t sound so dreadful after all.

Dr. Ryan Stewart, a urogynecologist at the Midwest Center for Pelvic Health, recently asked women to weigh in on the redesign of his office. Posting the question to X, he wrote: “I have the opportunity to design my office from scratch. I’m asking women. How would you design/optimize a visit to the gynecologist’s office? No detail is too small.”

gynecology, gynecologist, women's health, medicine, OBGYNThe gynecologist's office is a vulnerable place.Photo credit: Canva

His tweet ended with “If I’ve ever had a tweet worthy of virality, it’s this one.”

And boy was he right. His tweet nearly instantly received thousands of replies. Turns out, there are a lot of ways to improve a visit to the gyno.

Including:

Empathy toward sexual trauma

This includes starting the exam off asking if a patient has any trauma, and not dismissing feelings of discomfort, according to commenters.

Improved intimacy

As part of improved privacy, many advocated to not be asked if an intern can observe while the intern is still in the room.

"It's hard to say no to them," one person wrote.

Another added "I'm sitting on the table in the gown and [the gyno] brings in this young guy and says 'you don't mind him observing this do you?' I consented but have been pissed off ever since and never went back to her."

One person mentioned that their current doctor recently swapped the thin, exposing paper gown for spa style robes, adding both privacy and a dash of luxury.

Diverse posters

This suggestion comes aptly timed, as the diagram (above) of a black fetus recently inspired a viral conversation. Many were noting that they had never seen one in medical imagery before.

One person remarked, "I am 53 years old and have never seen myself represented in anything in a doctor's office, even pamphlets. Change that!"

Mental health screenings

Waiting until the clothes are ON to disclose important info

"Don’t discuss care or diagnoses when people are naked," pleaded a commenter in a now-deleted tweet. "I remember how much more respected and comfortable I felt when a new gynaecologist introduced himself to me while I was clothed, did the exam, then had me get dressed and meet him in his office to discuss care! Much better!"

Bottom line: It's already a vulnerable time. Let people have a moment to get comfortable.

One person added "I have always had to specifically ask to be able to talk to my doctor clothed first. Even when I hadn't met that doctor yet. I feel like that should be default, not up to me to ask for. It's such a power imbalance already, don't add unnecessary vulnerability."

Ditching the pink

To some, it's mildly annoying. To others, it's even triggering.

One person tweeted, "I went through a breast cancer scare, & EVERY women's medical office I went to–pink EVERYWHERE. I was at a really terrified moment in my life, & pink, pink, pink. I 100% can't stand it anymore."

Offering pain meds

Potentially painful procedures like IUD insertions or cervical biopsies typically only offer medication upon request. This Twitter user suggested offering them, making it clear that the patient has the option.

More accessibility in the exam and waiting rooms

Tables that lower for those with mobility issues as well as higher waiting room chairs were among the most frequently suggested items.

And lastly … a variety of speculum sizes

gynecology, gynecologist, speculum, OBGYN, women's health, pap smearSpeculums may be metal or plastic, but they're always cold.Photo credit: Canva

""A wide variety of speculum sizes, and introduction to the exam room including a play by play of how the visit will go," wrote one person in a now-deleted tweet. "Most people never get this and the office staff never ask if it’s their first exam and most people wouldn’t disclose fear or stress if they have it."

The general consensus: and while you're at it, warm them up too.

Dr. Stewart’s tweet did receive constructive criticism asking for more inclusion

Dr. Stewart welcomed the insight, sending a follow-up tweet that read:“Folks have [correctly] pointed out that I [incorrectly] said “women” when what I should have said was “folks who may need gynecologic care.” I named the practice with this in mind @midwestpelvis, but I find that I still have a lot of internalized/implicit bias.”

This viral thread might have started a trend. Soon after another medical practitioner tweeted:

“Love urogynecologist Dr. Stewart asking for input on ideal office design and wanted to ask the oncology community something similar: given that no one wants to come to a cancer doctor…what makes the experience MOST comfortable?”

Though Dr. Stewart describes his philosophy online as “I want you to leave every appointment feeling as though you’ve learned more about yourself,” it’s lovely to see that he is equally invested in learning about his patients as well.

This article originally appeared three years ago.

Women's Health

Woman has cyst removed and is stunned to learn it had teeth, hair, and maybe even an eyeball

They're called teratomas, and they are the stuff of nightmares. They're also really misunderstood.

Canva Photos & E.dronism - Own work, CC BY-SA 4.0

Woman lying in hospital bed.

The human body is fascinating and, to this day even, full of mysteries. Did you know there's a condition called Stoneman Syndrome where a person's ligaments slowly transform into bones? Or how about Persistent Sexual Arousal Syndrome where a person lives their entire life on the brink of orgasm? Or how about Auto-brewery Syndrome, where a person's gut biome naturally creates alcohol out of normal foods and beverages, thereby making them intoxicated without drinking a drop of booze?

The body is capable of extraordinary and extremely bizarre things, that's for sure.

That was certainly the case when 20-year-old Savannah Stuthers went in for a relatively routine cyst removal that turned out to be anything but.

Stuthers dealt with months of cramps, pain, and even bleeding—which doctors told her was normal after having an IUD inserted—before she couldn't take it anymore and took herself to the emergency room.

There, ER docs discovered a sizable cyst on one of her ovaries. Because the cyst was so large, the OBGYN at the hospital wanted to have it removed as soon as possible. Within a few days, Stuthers went under the knife.

When she woke up from the anesthesia, the doctors had news. Her mom was there to capture the moment Stuthers heard that what was removed from her body was no normal ovarian cyst. It was a teratoma—a unique kind of tumor that grows from germ cells (cells that eventually become sperm or, in Stuthers' case, eggs). Because of their origin, teratomas frequently grow hair and even teeth, along with various kinds of tissue. The teratoma inside Stuthers' ovary had all that, and more... The surgeons even thought Stuther's teratoma may have had an eyeball! (Later testing ruled this out... close call!)

Here's the exact moment Savannah Stuthers learned what had been growing inside of her:

teratoma, tumor, cancer, women's health, women, health, hospital, doctor, OBGYN, reproductive health, ovarian cystSavannah Struthers was horrified to learn that her cyst was actually not a cyst at all.www.tiktok.com

Stuthers posted the photo on TikTok where it went mega-viral to the tune of 34 million views. The morbid curiosity in the comment thread was absolutely off the charts. Many people had never heard of teratomas before, and most of them wish they still hadn't.

"Girl I could have went my entire life without looking up what a teratoma is," one wrote.

"I just looked at photos of teratomas and it made my arm get chills," a user added.

"it's crazy the body can actually create new eyes and teeth and THIS is what it chooses to use that ability for," said another.

Other commenters were just here to applaud the teratoma representation:

"this happened to me, they removed my ovary with the teratoma and my surgeous said it burst on her 😩 I was the first surgery of the day"

"this happened to my sister but there were brain cells in hers, causing her anti bodies to fight off both the teratoma braincells as well as her actual braincells putting her in a coma for 4 months. it was awful."

Of course, there were plenty of jokes, too:

"Why am I picturing Mike Wazoski from Monsters Inc???" one user said.

"Can we see it? ❌ Can it see us? ✅" joked another.

Mostly, people just wanted to know if they could see a picture of the actual teratoma. Stuthers did eventually show a photo briefly in a follow up video, but luckily for us, we can get a better look at these things through a plethora of high-res online images.

Ready? If you're squeamish, you might want to look away now.

teratoma, tumor, cancer, women's health, women, health, hospital, doctor, OBGYN, reproductive health, ovarian cystA teratoma with lots and lots of hair growth.Ed Uthman, MD. - Public Domain

Stuthers was not about to let her newfound virality go to waste: She set right to work busting myths and misconceptions about teratomas.

Obviously, with 34 million viewers and many who had never heard of teratomas, she was going to get a lot of questions. She also got a lot of opinions that needed correcting.

"Those things form from sperm so tell your man to get a better pull out game or use protection," one commenter said. In a response video, Stuthers simply wags her finger: Uh, no. Teratomas form from germ cells, which can turn into sperm, but they have nothing at all to do with sexual activity.

Another asked if the teratoma formed from a pregnancy gone wrong in the early stages. "So you would've maybe had a viable pregnancy but it didn't make it down into the uterus." Stuthers responded by citing that teratomas are actually congenital tumors, meaning they are present or begin forming prior to birth. So this was lurking in her body for a long time before it reached critical mass and had to be removed, and again, has nothing to do with her sexual activity whatsoever.

(Sorry, one more photo incoming.)

teratoma, tumor, cancer, women's health, women, health, hospital, doctor, OBGYN, reproductive health, ovarian cystAn ovarian teratoma with a long strand of visible hair.E.dronism - Own work, CC BY-SA 4.0

In an interview with Newsweek, Stuthers said that discovering the teratoma inside of her made her feel "gross."

"It messed me up for a while thinking about how I never knew that it was there. In a way, it made me feel gross. The photo of the tumor truly altered my brain chemistry," she said. But that couldn't be further from the truth. Teratomas, while admittedly a little freaky and frightening, are really no different than any other kind of tumor. It's their origin from germ cells which makes them capable of growing human tissue, teeth, hair, and eyeball-like structures.

But they're understandably hard to talk about. And so as a result, the general public doesn't understand teratomas very well. But Stuthers is working to change that with her follow-up videos on TikTok.

She also wants to encourage young women to advocate for themselves medically. Doctors dismissed her pain and discomfort for months before she finally went to the ER, and she's urging women to trust their gut and fight for their own bodies:

"I got lucky as we found it in time so nothing too extreme happened. But I can't help but think that if my doctors in Illinois would've listened, I would still have both ovaries. It is so important for women to express our pain and not allow doctors to invalidate us."

It's possible to be "pro-life" and pro-choice.

The legality of abortion is one of the most polarized debates in America. We've seen reproductive rights swing back and forth between the Roe vs. Wade decision in 1973 and the Dobbs vs. Jackson decision in 2022, with passionate people on both sides either lauding or lamenting the U.S. Supreme Court.

People have big feelings about abortion, which is understandable. On the one hand, some people feel that abortion is a fundamental women's rights issue, that our bodily autonomy is not up for debate, and that those who oppose abortion rights are trying to control women through oppressive legislation. On the other hand, some folks believe that a fetus is a human individual first and foremost, that no one has the right to terminate a human life, and that those who support abortion rights are heartless murderers.

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rightsYou don't have to choose between the extremes of the abortion debate.Photo credit: Canva

Then there are those of us in the messy middle. Those who believe that life starts at conception, that abortion isn't something we'd choose—and we hope others wouldn't choose—under most circumstances, yet who choose to vote to keep abortion legal with few restrictions.

Some people don't understand being personally anti-abortion but still wanting abortion to be legal, citing the moral conflict seemingly inherent in that equation. But I don't feel conflicted about it at all. Here's why:

There's far too much gray area to legislate abortion.

No matter what you personally believe, when exactly life begins and when “a clump of cells" should be considered an individual, autonomous human being with the same rights as a person not dependent on a woman's body for life is a completely debatable question with no clear scientific answers.

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rightsWhen life and personhood begin aren't easily answerable questions.Photo credit: Canva

I believe life begins at conception, but that's my own religious belief about when the soul becomes associated with the body, not a proven scientific fact. As Arthur Caplan, award-winning professor of bioethics at New York University, told Slate, “Many scientists would say they don't know when life begins. There are a series of landmark moments. The first is conception, the second is the development of the spine, the third the development of the brain, consciousness, and so on."

But let's say, for the sake of argument, that a human life unquestionably begins at conception. Even with that point of view, there are too many issues that make a black-and-white approach to abortion too problematic to ban it. Medicine is complex, and obstetrical medicine particularly so. It's simply not as simple as "abortion is wrong." Every pregnancy is personally and medically unique throughout—how can we effectively legislate something with so many ever-changing variables?

Abortion bans hurt some mothers who desperately want their babies to live, and I'm not okay with that.

One reason I don't support banning abortion is because I've seen too many families deeply harmed by restrictive abortion laws.

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rightsFamilies who wanted their babies have been hurt by anti-abortion laws. Photo credit: Canva

I've heard too many stories of families who desperately wanted a baby, who ended up having to make the rock-and-a-hard-place choice to abort because the alternative would have been a short, pain-filled life for their child.

I've heard too many stories of mothers having to endure long, drawn out, potentially dangerous miscarriages and being forced to carry a dead baby inside of them because abortion restrictions gave them no other choice.

I've heard too many stories of abortion laws doing real harm to mothers and babies, and too many stories of families who were staunchly anti-abortion until they found themselves in circumstances they never could have imagined, to believe that abortion is always wrong and should be banned at any particular stage.

I am not willing to serve as judge and jury on a woman's medical decisions, and I don't think the government should either.

Most people's anti-abortion views—mine included—are based on their religious beliefs, and I don't believe that anyone's religion should be the basis for the laws in our country. (For the record, any Christian who wants biblical teachings to influence U.S. law, yet cries “Shariah is coming!" when they see a Muslim legislator, is a hypocrite.)

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rightsThe government doesn't need to be involved in personal medical choices.Photo credit: Canva

I also don't want politicians sticking their noses into my very personal medical choices. There are just too many circumstances (seriously, please read the stories linked in the previous section) that make abortion a choice I hope I'd never have to make, but wouldn't want banned. I don't understand why the same people who decry government overreach think the government should be involved in these extremely personal medical decisions.

And yes, ultimately, abortion is a personal medical decision. Even if I believe that a fetus is a human being at every stage, that human being's creation is inextricably linked to and dependent upon its mother's body. And while I don't think that means women should abort inconvenient pregnancies, I also acknowledge that trying to force a woman to grow and deliver a baby that she may not have chosen to conceive isn't something the government should be in the business of doing. As a person of faith, my role is not to judge or vilify, but to love and support women who are facing difficult choices. The rest of it—the hard questions, the unclear rights and wrongs, the spiritual lives of those babies,—I comfortably leave in God's hands, not the government's.

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rightsAbortion is inextricable from healthcare.Photo credit: Canva

Most importantly, if the goal is to prevent abortion, research shows that outlawing it isn't the way to go.

The biggest reason I vote the way I do is because based on my research pro-choice platforms provide the best chance of reducing abortion rates.

Just after Roe vs. Wade was passed, abortion rates skyrocketed, peaked in 1990, and then plummeted steadily for nearly two decades. Abortion was legal during that time, so clearly, keeping abortion legal and available did not result in increased abortion rates in the long run. Switzerland has one of the lowest abortion rates on earth and their rate has fallen and largely stabilized since 2002, when abortion became largely unrestricted.

Outlawing abortion doesn't stop it, it just pushes it underground and makes it more dangerous. And if a woman dies in a botched abortion, so does her baby. Banning abortion is a recipe for more lives being lost, not fewer.

abortion, abortion debate, prolife, prochoice, roe v. wade, dobbs decision, reproductive rights, sex edComprehensive sex education and birth control are the proven ways to prevent abortion.Photo credit: Canva

At this point, the only things consistently proven to reduce abortion rates on a societal scale are comprehensive sex education and easy, affordable access to birth control. If we want to reduce abortions, that's where we should be putting our energy. The problem is, anti-abortion activists also tend to be the same people pushing for abstinence-only education and making birth control harder to obtain. But those goals can't co-exist with lowering abortion rates in the real world.

Our laws should be based on reality and on the best data we have available. Since comprehensive sex education and easy, affordable access to birth control—the most proven methods of reducing abortion rates—are the domain of the pro-choice crowd, that's where I place my vote, and why I do so with a clear conscience.

The polarization of politics has made it seem like the only choices are on the extreme ends of the spectrum, but it doesn't have to be that way. We can separate our own personal beliefs and convictions from what we believe the role of government should be. We can look at the data and recognize when bans may not actually be the most effective means of reducing something we want to see less of. We can listen to people's stories and acknowledge that things are not as black-and-white as they're made out to be.

An we can want to see fewer abortions and still vote to keep abortion legal without feeling morally conflicted about it.

This article originally appeared six years ago and has been updated.

Not every woman can wait a half hour to handle a period issue.

There are a lot of men out there who shy away from discussing menstruation with women. But any man who's ever taken a class in basic human biology or had a mother, sister, wife, girlfriend or any other woman in their life should know the basics of how it works.

That's why a mother on the Mumsnet message board was completely "shocked" that her daughter's teacher told her to "hold in" her period. Does he think a woman can hold in her period like it's pee? (Spoiler: She can't. Different point of origin, different muscles, different biological process.)

Mumsnet is a UK website where parents come together to discuss anything from adoption to women's rights. This post appeared under the "Am I Being Unreasonable" thread.

periods, teachers, men not understanding how periods work"Hold it" is not an appropriate response to a teen getting her period.Screenshot via Mumsnet

According to the post, the 15-year-old's teacher prevented her from using the bathroom because he legitimately thinks women can hold back period blood. Or he knows a bit about biology but still decided to put her in the position to be mortally embarrassed.

The mother later said that the lessons last two hours so the girl had a long time to wait before being able to change her pad.

A few parents said that the teacher was correct to say no because students often lie about their periods to get out of class.

"It’s true - girls do use 'it’s my period' to get out. I’ve never had a period myself that would cause instant drowning in a half hour, I must admit," wrote one commenter.

period, menstruation, getting your periodWe Tried To Not Leak On Our Period For A Week GIF by BuzzFeedGiphy

"Unless she is new to starting her periods then I would expect students to make use of time to change sanitary products," shared another. "Eg. Women know if we are a new pad every 2 hours or every 4 etc. Sadly, some girls do use having their period as some sort of get out of jail free card. I agree with him saying just wait half an hour. I think his phrasing was clumsy though."

Some women, however, shared that the nature of their periods would make waiting a half an hour potentially disastrous. Everyone's periods are different, and while some wouldn't have a problem even if it started out of the blue, some would.

"I used to have very sudden gushes and used to have to carry a change of clothes with me as no pad , no matter how super absorbent,would stop me flooding. Ever so embarrassing and very uncomfortable to have to sit and wait before going to clean yourself up. I'm very envious of the women on here who have never experienced it."

"This is ridiculous, I had undiagnosed endometriosis in high school and would have random clotting that meant I would immediately need to use the bathroom Blush. If a male teacher said this I would be absolutely mortified, you should definitely complain!"

"Reminds me of when I was in Venice, I was on my period but use tampons. DH and I are walking down a canal and all of a sudden I look down and realise my crotch is bright red. Absolutely mortified. I must have flooded without realising and there was no hiding it. This was only 2 years ago so I still want to crawl into a hole when I think about it. Women can and do flood unexpectedly!!!"

period, menstrual cramps, menstruation, period leaksCramps and other discomfort are already hard enough to deal with when you have your period.Photo credit: Canva

Most parents thought the teacher did the wrong thing and needs a lesson in basic biology.

"I would be complaining, and I am not a complainer. There is so much wrong with that it's hard to know where to begin."

One poster was irate but completely right about the issue.

"Complain to high heaven! What if she'd leaked everywhere? I bet he'd have let her go to the toilet pretty sharpish. Hold it in? What a jerk!"

Another believes the daughter should have disobeyed the teacher and gone to the bathroom.

"In these situations (where teachers are being idiotic about the toilet rules) I would always tell my dd to just leave and go to the toilet, if she gets into trouble then so be it - I would back her up.

"Trying to deal with a period leak or a dodgy tummy it would be worse to not go to the loo and spend the rest of your school life remembered as 'that girl who leaked everywhere or shat herself' then nipping out of the classroom for 5 mins and maybe getting a detention."

One poster did a great job at re-framing the situation so that the teacher's actions seem even more ridiculous.

"Would it be ok to tell adults when they could or could not take action to stop themselves leaking blood?"

But the $50,000 question is: What subject does the instructor teach?

teacher, period, teacher telling student to hold in her periodHopefully it wasn't a biology teacher.Screenshot via Mumsnet

Bottom line: If a woman says she needs to use the bathroom for "girl reasons"—or any reason, for that matter—best to let her go and save you both some potential problems.

This story originally appeared five years ago and has been updated.