Potential Harm of the Use of the Word “Benign” in Gynecologic Care

Abstract

“Benign gynecologic conditions” is an umbrella term widely used to describe prevalent conditions such as endometriosis, adenomyosis, uterine fibroids, and genitourinary syndrome of menopause in clinical guidelines, research, reviews, and health policy. However, this term is nonspecific, clinically misleading, and potentially harmful. Although these conditions are not cancerous, they can be chronic, painful, and life-disrupting, which renders the term inappropriate because it does not reflect women’s experiences. In this article, we trace the historical origins of the term “benign” and explore how its continued use may contribute to delays in diagnosis, minimization of symptoms, and disinvestment in women’s health research and education. Replacing the term benign with more precise and respectful phrases, such as “chronic gynecologic conditions,” is an essential part of efforts to improve patient-centered care, restore trust, and advance equity in women’s health.