this post was submitted on 30 Mar 2024
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To borrow a line from Letterkenny, it's like getting fingered with salad tongs. (lemmy.world)
submitted 7 months ago by [email protected] to c/[email protected]
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[–] [email protected] 42 points 7 months ago (3 children)

My girlfriend was looking to get a new IUD after her last one was expiring. For some reason the normal approach is completely without anaesthesia. There are so many horror stories of women being in awful pain during and up to weeks after the procedure. She looked around for a gynecologist with a focus on contraception (most focus on conception which is kind of annoying if you're not at that stage in life yet) and we were able to find one. He said there's no reason to not be using local anaesthesia. The procedure was very simple. Unbelievable how many women are going through pain that would be entirely preventable.

[–] [email protected] 18 points 7 months ago (1 children)

It's true. People are telling me in the comments that it's painless, but having a device shoved into your cervix without anesthesia is terrible.

[–] [email protected] 6 points 7 months ago (1 children)

There's probably some theory like "you can't get proper patient feedback with anesthesia" or some such bullshit.

[–] [email protected] 8 points 7 months ago

No medical consensus just decided based on a bunk study by Alfred Kinsey that, because only 5% of women could feel a "gentle stroke" to the cervix by a small probe, the cervix must be "the most completely insensitive part of the female anatomy" and not possess any nerve endings and therefore it must be fake when women complain about having any sensation there. Nevermind that the data in the study itself disproved its own conclusion and the 3 major nerve groups that are stimulated by the cervix.

[–] [email protected] 8 points 7 months ago (1 children)

Wait so if its local anesthesia does that men your girlfriend had an injection into her cervix directly?? Because the idea of that makes me want to scream.

[–] [email protected] 14 points 7 months ago

Yes. But the alternative is to feel the IUD penetrate the cervix and then hook into the uterus. And if youre getting a replacement, like was the case for her, you get to go through all of that backwards beforehand as well. It makes a prick from a syringe (although painful) seem pretty good by comparison.

[–] [email protected] 1 points 7 months ago

The place that put in my IUD wouldn't even give me ibuprofen; I had to use my own. I went back the next day to take the horrid thing out.

[–] [email protected] 41 points 7 months ago (1 children)

I was amazed the first time I went to a gynecologist outside of planned parenthood. It didn’t hurt at all. I don’t blame them, they’re often brand new doctors under incredible time and budget constraints, but it does make a difference. I didn’t even go to an expensive gynecologist’s office, I went to the income-scaled local general clinic, but they get a lot more support from insurance and the state than PP.

[–] [email protected] 15 points 7 months ago

I worked for the greatest gynecologist on the planet and supervised his pelvic exams. Never seen someone do such a good job.

[–] [email protected] 22 points 7 months ago (3 children)

Are there no female gynecologists?

[–] [email protected] 21 points 7 months ago

You’d kinda need to be a female gynecological researcher w clout, and then maybe like 40 years after you demonstrate a need for a new technique, it might start to catch on.

[–] [email protected] 4 points 7 months ago (2 children)

I would imagine that tolerating the pain was beaten into women for so long that at this point it would be futile to try to change it because they would be shamed and seen as weak.

[–] [email protected] 21 points 7 months ago

I mean we're talking about humans, not Klingons

[–] [email protected] 8 points 7 months ago (2 children)

There was a documented case of a nurse stealing pain medication and injecting women with saline to cover for it and it took years for her to be caught because no one believed the women who said they were in pain. https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.nytimes.com/2023/06/22/podcasts/serial-the-retrievals-yale-fertility-clinic.html&ved=2ahUKEwi1n93Yip2FAxWONlkFHStzA7wQFnoECAUQAQ&usg=AOvVaw23_e6wsBLQ7jybQBvuJOvI

[–] [email protected] 8 points 7 months ago (1 children)

Personally I've had numerous cervical biopsies (as in they cut chunks out of you with the devil's scissors) and the standard of care is no numbing agent or pain medication of any kind. The dr said to give a yell if I was going to faint bc that happens a lot. I asked why I couldn't have something and they were like, 'dunno. We just don't do that'

[–] [email protected] 5 points 7 months ago (2 children)

I’m a guy, so forgive my ignorance for this question: could you not have requested it? And by request, I mean push until they agreed?

[–] [email protected] 10 points 7 months ago

I did try, they were like 'we don't have anything here' and then it was down to 'soo do you want to keep this appointment or try again next month?' And I had a sitter with the kid and had taken off work so I sucked it up. Like they always expect you to. The next time I went so far as to talk to another Dr in the practice but I kept being told over and over it wasn't done and isn't necessary. Definitely check out the podcast 'the retrievals' to learn more about how women's pain is treated in ob/gyn

[–] [email protected] 1 points 7 months ago

They won't agree no matter how hard you push.

[–] [email protected] -2 points 7 months ago (1 children)

So b your logic, do you believe some minority cops means no institutionalised racism in policing?

[–] [email protected] 3 points 7 months ago (1 children)

I asked a question

[–] [email protected] 2 points 7 months ago (1 children)

I don't believe for a second that you didn't know there were female gynecologists. You were attempting to shift blame, not ask questions and engage in meaningful discourse.

[–] [email protected] 1 points 7 months ago* (last edited 7 months ago) (1 children)

I was making people question the original premise that a. No gynecological procedures involve sedation b. That this still occurs universally and contemporaneously and c. That male doctors somehow have exclusive and universal control over procedures and have denied sedation out of deliberate malfeasance.

You then tried to apply a false reading to an unrelated situation to create a false equivalency.

Your comment was as ludicrous as saying, "You don't like chocolate ice cream? So what you're saying is that you support the bombing of Palestine!!!!"

[–] [email protected] 0 points 7 months ago (1 children)

If perhaps you explained yourself in the original comment, I would not have assumed incorrectly.

Your question doesn't even fully cover point c, let alone a and b. I'm not psychic 🤷‍♀️

[–] [email protected] 1 points 7 months ago (1 children)

I didn't have to, because it was a question. Your ridiculous response is on you, buddy 🤷‍♂️

[–] [email protected] 0 points 7 months ago (1 children)

You absolutely didn't have to. And my response is absolutely on me. If your goal was to be ambiguous with your question, you achieved it. If your goal was to outline points a, b and c above, you did not succeed.

[–] [email protected] 0 points 7 months ago

You're trying to impose a goal then claiming that I failed? You're really telling on yourself here bud

[–] [email protected] 13 points 7 months ago (6 children)

err, not trying to be that guy, my girlfriend said that gynecology didn't hurt, and she went to public health care here in brasil, so i think is just lack of competency, and USA health system?

[–] [email protected] 28 points 7 months ago (2 children)

I think you need to talk to more than one girl about that.. really depends on the procedure, your sensitivity down there and the competence of the gynaecologist. I've been to appointments that were fine and I've been there near crying from pain..

[–] [email protected] 5 points 7 months ago

true true didn't think about that, the system need a way to report these cases where a painless procedure become pantiful because of incompetence, so the shit doctor learn how todo it properly or people start to avoid him/she

[–] [email protected] 4 points 7 months ago

Mostly every experience I've heard has been a good one. This is from Finland.

[–] [email protected] 11 points 7 months ago (1 children)

Endometriosis is more common than people without vaginas realize and it often goes undiagnosed. My wife was gaslit about the pain of gyno procedures for two whole decades until the a doctor finally diagnosed her. A diagnosis which only came due a tubal ligation procedure forcing the doctors to physically see all the scar tissue inside her.

[–] [email protected] 9 points 7 months ago (1 children)

Yup, my wife has it and it AMAZING how many doctors are ignorant about it. We literally had one doctor tell her she “probably didn’t have that, because Endo is a very complicated disease and blah blah blah”. Nevermind all the symptoms lining up and the fact her GRANDMA HAD IT.

Went to a specialist surgeon focusing on it and he did a quick exam and was like “yep you have it, it felt like you have rocks in your vagina”. It was THAT obvious and yet no other fucking gyno she saw before that point noticed anything! Like doctors, please listen to your lady patients, PLEASE!

[–] [email protected] 2 points 6 months ago (1 children)

I always like when they say, "that's rare so you don't have that" (in regards to any potential diagnosis, really)

It's like they forget that "rare" doesn't mean "inexistent"

[–] [email protected] 2 points 6 months ago

Yeah, it just reminds me that not every doctor aced med school… someone had to be bottom of the class (while still technically passing).

[–] [email protected] 7 points 7 months ago (1 children)

Your girlfriend is lucky. I'm a British woman. It hurts. How many other women need to post from how many countries to convince you?

[–] [email protected] 4 points 7 months ago (1 children)

My girlfriend (also British) always complained it hurt until we moved and she got a new gyno and said with the new one she barely felt a thing.

[–] [email protected] 2 points 7 months ago* (last edited 7 months ago)

exactly that what i want to say, it don't need to be painful and it's the doctor fault. isn't there a way to review these doctors, or alert others womans?, or they learn to do it properly or they start losing clients

[–] [email protected] 7 points 7 months ago* (last edited 7 months ago)

Sample size of 1. The point of this whole thread is that people don't believe women when they say they are in pain. Obviously there are individual differences between patients, and differences in quality of care.

[–] Lmaydev 6 points 7 months ago (1 children)

That's called selection bias my friend.

[–] [email protected] 0 points 7 months ago

maybe, but from the answers look more like doctor stupidity than just certain woman being more sensitive or the exam be made literally to torture woman, not saying that the problem exist, but to fix it we need to blame correctly

[–] [email protected] -4 points 7 months ago (3 children)

I think we're just conditioned to tolerate it. An episiotomy is a terrible thing.

[–] [email protected] 13 points 7 months ago

I’m not conditioned to anything. I won’t argue I’m probably lucky but I’ve had 3 gynecologists in my life and routine examinations have been uncomfortable but have never hurt or made me cry.

[–] [email protected] 11 points 7 months ago* (last edited 7 months ago) (1 children)

It's not uncommon for medical procedures to hurt btw. An episiotomy is a surgery, though, and where I'm from it's always done with anesthesia. Could be a US thing to do it without. It's also not a "terrible thing" but a sometimes necessary procedure that can greatly benefit a mother and child when giving birth

Edit: Just to be clear, though: There is definitely loads of stuff to criticize about gynecological procedures.

Edit 2: Also, calling out an episiotomy like that is just unreasonable imo

[–] [email protected] 0 points 7 months ago

yes, better to just let them tear, right?

[–] [email protected] -4 points 7 months ago

You are a warrior my friend 🧡