# there is shame around women's health > A 2014 survey by British charity The Eve Appeal found that one-third of young women avoided going to the doctor for gynecological health issues, and 65 percent struggled to say the words vagina or vulva. That same year, American public health researchers found that up to half of those with vulva pain never raised their concerns with their doctor, at least partly because of stigma.[[(Rachel Gross, 2021)#^tuiyq]]