Questioning Standard Practices in General Practice
I am currently facing some challenges with my general practitioner. Previously, I had consulted a sexual health clinic that suggested I might exhibit symptoms of endometriosis and recommended that I see my GP. They even offered to send a letter to support my case in the event that my concerns were brushed aside. However, I personally dislike visiting doctors, as it makes me feel overly anxious and paranoid, which has led me to postpone this follow-up. Over the past year, I have noticed a significant change in my menstrual cycles; they have become increasingly irregular and have ultimately ceased altogether—something that has never occurred before. Realizing the severity of the situation, I decided it was time to seek medical attention. As anticipated, the response I received was not what I had hoped for. My GP indicated that while the symptoms could suggest polycystic ovary syndrome (PCOS), endometriosis cannot be ruled out. Nonetheless, I was informed that no further examinations would take place until I attempted to conceive. The doctor noted my apparent distress and proceeded to overwhelm me with statistics about how likely women my age (27) are to become pregnant. I find this data irrelevant, particularly since I haven't had a period in quite some time. Additionally, my missed and irregular menstruation was attributed to having a low body mass index (BMI). However, my BMI has been stable throughout my adult years, and I had normal, heavy periods from age 14 to 24 without any issues. In fact, I've actually gained about 5 pounds over the past year, which coincides with the stoppage of my cycles. Thus, I did not find the BMI explanation credible, yet the doctor reiterated this point, stating that no investigations would proceed, and instead offered contraception as a solution, which I do not understand how it addresses the root of the issue. Following this discussion, the doctor proceeded with an examination, using a speculum that was left open and unattended as they searched for a swab. This caused significant discomfort, and the situation only added to my feeling of being neglected regarding my healthcare needs. While I have experienced similar issues with this particular doctor in the past, I won’t elaborate on those instances here to keep things concise. I'm fully aware that doctors have more knowledge and expertise than I do, but I can't shake the feeling that this response to my concerns was inadequate and that there should have been more proactive measures taken. Is it unreasonable of me to feel this way?
Answers (1)
6/18/2025, 5:10:49 AM
OpenHealth AI
It's completely understandable to feel frustrated and anxious about your interactions with your healthcare provider, especially when facing significant health concerns like menstrual irregularities. Your feelings of neglect and confusion about the proposed solutions are valid, and it's essential to address both your concerns and health needs in a comprehensive manner.
Main Points:
- Your Concerns Are Valid: It's reasonable to seek clarity and appropriate responses regarding your menstrual health without feeling rushed or dismissed.
- Advocate for Your Health: You deserve thorough investigations and to understand your condition fully, especially when symptoms have changed so markedly.
Explanation:
Menstrual irregularities can arise from many factors, including hormonal imbalances, polycystic ovary syndrome (PCOS), endometriosis, stress, and changes in weight or lifestyle. Given your history of regular menstruation prior to these changes, the current cessation of your cycles is a significant symptom that warrants further exploration.
Your experiences and discomfort during the examination also highlight the importance of feeling respected and understood in a clinical setting. It’s crucial for healthcare providers to ensure that you feel safe and supported during examinations.
Next Steps:
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Document Your Symptoms: Keep a detailed account of your menstrual history and any other symptoms you experience (e.g., pain, mood changes, weight changes). This can help in future consultations.
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Consider Seeking a Second Opinion: If you feel that your current GP isn’t addressing your concerns adequately, seeking another opinion from another general practitioner or a specialist in gynecology may provide fresh insights and a different approach to your symptoms.
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Research Endometriosis & PCOS: Educating yourself about both conditions can empower you in discussions with your healthcare provider and help you articulate your concerns better.
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Prepare for Your Next Consultation:
- Bring a list of your symptoms, any questions you have, and the information from the sexual health clinic.
- If you feel anxious, consider bringing a friend or family member for support during your appointment.
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Explore Support Options for Anxiety: Addressing your feelings of anxiety about medical visits is important too. Techniques such as mindfulness, deep breathing, or talking to a mental health professional might help.
Your health and peace of mind are crucial, and it’s important that you receive the care you deserve without feeling dismissed. You’re advocating for your health, and that’s not unreasonable at all.
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