Gynaecology Glossary
Understanding Your Health and Medical Reports
Navigating women’s health often feels like learning a new language. When you receive a pathology report or a summary from a specialist, the clinical terms used—like "endometrium," "dysplasia," or "benign"—can feel overwhelming. As a gynaecologist, I believe that clear communication is the foundation of good care. This glossary is designed to empower you with the knowledge to understand your body and your medical results.
A to Z of Common Gynaecological Terms
Adenomyosis
A condition where the tissue that normally lines the uterus grows into the muscular wall of the uterus. It often causes heavy, painful periods and a "heavy" sensation in the pelvis. Learn more on our Adenomyosis page.
Adhesions
Bands of scar tissue that can cause internal organs (like the ovaries, uterus, or bowel) to stick together. These are often caused by previous surgery, Endometriosis, or infections.
Atrophy (Vaginal)
The thinning, drying, and inflammation of the vaginal walls due to a decline in oestrogen, most commonly occurring during Menopause.
Benign
A term used to describe a growth or tumour that is not cancerous. While benign growths (like Uterine Polyps) aren't life-threatening, they can still cause symptoms like bleeding or pain.
Biopsy
The removal of a small sample of tissue for examination under a microscope. This is the only definitive way to confirm if cell changes are precancerous or cancerous.
Cervical Intraepithelial Neoplasia (CIN)
A grading system used to describe abnormal (precancerous) cells on the surface of the cervix.
CIN 1: Mild changes, often clear on their own.
CIN 2: Moderate changes, usually require treatment.
CIN 3: Severe changes, requiring a LLETZ procedure to prevent progression to cancer.
Colposcopy
A procedure where a gynaecologist uses a specialized magnifying instrument (a colposcope) to look closely at the cervix, usually following an abnormal Cervical Screening Test.
Cyst
A fluid-filled sac. In gynaecology, these are most commonly found on the ovaries. Most are "functional" (part of the normal cycle), but some may require surgical monitoring.
Dysmenorrhea
The medical term for painful menstrual periods. "Primary" dysmenorrhea is common cramping, while "Secondary" dysmenorrhea is caused by an underlying issue like Endometriosis.
Endometrium
The lining of the uterus that thickens every month in preparation for a possible pregnancy and sheds during your period if pregnancy does not occur.
Hysterectomy
The surgical removal of the uterus. A "Total" hysterectomy removes the uterus and cervix. A "Subtotal" hysterectomy leaves the cervix intact.
Laparoscopy
Also known as "keyhole surgery." A minimally invasive surgical technique where a camera and instruments are inserted through tiny incisions in the abdomen.
Menorrhagia
The medical term for excessively heavy or prolonged menstrual bleeding. If you are soaking through a pad every hour, you may be experiencing menorrhagia.
Nulliparous
A medical term used to describe a woman who has never given birth to a viable infant. This is often noted in obstetric and gynaecological histories.
Oophorectomy
The surgical removal of one or both ovaries.
Pap Smear / Cervical Screening Test (CST)
A screening test used to detect high-risk HPV (Human Papillomavirus) and abnormal cell changes on the cervix before they become cancerous.
Pessary
A removable device (usually made of silicone) inserted into the vagina to support pelvic organs in cases of Pelvic Organ Prolapse.
Salpingectomy
The surgical removal of the fallopian tubes. This is now the standard for permanent contraception and also helps reduce the risk of ovarian cancer.
Understanding Medical Terminology
Q: If my report says "benign," does that mean I don't need treatment?
A: Not necessarily. "Benign" simply means the growth is not cancerous. However, benign conditions like large fibroids or polyps can still cause significant pain or heavy bleeding and may require surgical or medical intervention to improve your quality of life.
Q: What is the difference between an ultrasound and a colposcopy?
A: An ultrasound uses sound waves to create an image of your internal organs (like the uterus and ovaries). A colposcopy is a visual examination of the surface of the cervix using a magnifying lens; it does not "see" inside the uterus.
Q: Does a hysterectomy always include removing the ovaries?
A: No. A hysterectomy is the removal of the uterus. Removing the ovaries (oophorectomy) is a separate decision based on your age, family history, and the reason for your surgery. If the ovaries are left, you will not enter immediate surgical menopause.
Personalised Care Built on Understanding
Medicine is most effective when the patient and the doctor speak the same language. I make it my priority to ensure you never leave my rooms feeling confused or unheard. Whether we are discussing a complex surgical plan for endometriosis or explaining the results of a routine screening, I offer an individualized approach that puts your education and comfort first.
I listen to your concerns, offer both medical and surgical alternatives, and ensure you are an active participant in your health journey. My goal is to provide expert, evidence-based care in an environment where you feel supported, respected, and fully informed.