Listed below are a number of common gynecologic symptoms and likely differential diagnoses. Definitions and additional information about these and many other gynecologic conditions can be found at the American College of Obstetrics and Gynecology (ACOG) website.
Genital itching (Pruritis) -- Vaginal and Vulvar yeast infections (Candidiasis), Lichen Sclerosis and other vulvar skin conditions, Vaginal and vulvar infections and Sexually transmitted diseases, Vulvar Cancer
Vaginal discharge (Leukorrhea) -- Bacterial Vaginosis, Sexually transmitted disease, Normal Discharge, Foreign body (Pessary, Vaginal NuvaRing)
Skipped or Absent periods (Oligomenorrhea or Amenorrhea) -- Pregnancy, Polycycstic Ovarian Syndrome (PCOS), Stress, Weight gain/loss, Thyroid disease, Prolactin disorders
Excessive Hair Growth (Hirsutism) —Polycystic Ovarian Syndrome, Medications, Ovarian Tumor, Menopause
Pelvic pain or painful menses (Dysmenorrhea) – Endometriosis, Uterine Fibroids, Ovarian Cysts, Adenomyosis, Irritable Bowel Syndrome, Interstitial Cystitis, Urinary infection
Heavy menses (Menorrhagia) – Dysfuctional Uterine Bleeding, Polyps, Uterine Fibroids, Hereditary Bleeding Disorders, Medications, Pregnancy
Sexual Pain (Dyspareunia) – Vaginal dryness (Urogenital atrophy), Vulvar vestibulitis, Lichen Sclerosis, Sexually Transmitted Disease, Bartholin’s Cyst
Ovarian Cyst – Functional Cyst, Dermoid Cyst, Ovarian Neoplasm, Peduculated Fibroid, Paratubal cyst
Breast Pain (Mastalgia) – Fibrocystic Disease, Fibroadenoma, Breast Cyst, Breast Neoplasm, Ligament pain
Vaginal Mass -- Bartholin’s Cyst, Prolapsed Uterus, Prolpased Bladder (Cystocele), Prolapsed Rectum (Rectocele), Hemorrhoid, Cervical polyp, Vulvar neoplasm
Menstrual Migrains
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)
Sexually Transmitted Disease Screening
Decreased sexual desires (Decreased Libido)
