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To not understand why I have to talk to a nurse before I can book an appointment for implant removal?

(172 Posts)
Alarae Mon 25-Mar-19 15:44:57

Considering I want it out to start to TTC?

Rang up my local GP today to book an appointment for removal, only to be told my the receptionist that I need to speak to the nurse first, and then she might schedule an appointment for me.

I don't see why I should need a conversation considering my reasons? Understandable if someone wanted it out for other reasons such as concerns on side effects, recent implantation etc but even then if someone wants something out why should someone be trying to convince me otherwise?

Just a bit annoyed as the earliest telephone appointment is in 10 days, and then who knows how long it will take to actually get an appointment considering only one person holds the clinic!

I can't even go to a walk in clinic as I need a GP referral for that in my area because I am not 25...

BlackAmericanoNoSugar Mon 25-Mar-19 16:34:46

I was just wondering about self-removal. They are pretty close to the surface, aren't they? I was thinking some local anaesthetic cream and a scalpel would do it, probably no more painful than a bad splinter.

I bet if you said "it can't be that hard to do it myself" to a nurse who was trying to refuse a removal that you would get a removal appointment without further comment.

longtimelurkerhelen Mon 25-Mar-19 16:35:51

@YouSayRisottoIsayRisotto

The second time I came with him and let all three dc loose in the GP office grin

Release the children. (maniacal laugh) grin

InsertFunnyUsername Mon 25-Mar-19 16:36:50

I had a nightmare trying to get my implant removed after it had "run out" I even attempted to remove it do not advise!!

It took me taking a day off work and sitting in a sexual health clinic to get it removed, have you rung your local clinic? Might have better luck!

longtimelurkerhelen Mon 25-Mar-19 16:38:39

Fair enough if you have to have a chat with the nurse first (just to make sure you know your own mind angry ), but why not then have it removed at the same appointment?

Makes no sense. It's a waste of time for both of you and you would need to take time off work twice.

InsertFunnyUsername Mon 25-Mar-19 16:39:58

Sorry just read about the clinic!

agnurse Mon 25-Mar-19 16:41:04

They probably want to check with you to see why you want it removed.

Let me explain.

Obviously, you want to remove yours to TTC. But some people may want them removed for other reasons (e.g. side effects). This is why it's important to speak to someone about why you want it removed. They want to be sure that you understand the risks and benefits of having it removed, and if someone isn't planning a pregnancy right away, they want to be sure that she is aware of how to prevent one.

YouSayRisottoIsayRisotto Mon 25-Mar-19 16:41:23

@longtimelurkerhelen

I could have asked for a tenner while I was there as well. He just wanted us OUT. grin

KatnissKringle Mon 25-Mar-19 16:46:00

That's mad! I just made an appt and got mine out, no fuss. And I'd had it in less than a year so I expected some questions but the GP just cracked on and whipped it out in no time.

Alarae Mon 25-Mar-19 17:03:27

I fully understand scheduling a chat for people who have other concerns such as side effects, worries etc, but I don't want to swap to another contraceptive. Unless they are going to try and talk me out of TTC, I have absolutely no idea what they want to talk to me about? As others have mentioned, it's just a waste of time in my circumstances, since I'll have to make sure I'm far from the office to discuss it privately. I'm sure the nurse could do better things with her time then talk to me.

Unfortunately the nearest walk in clinic to me doesn't provide contraception services to over 25s without a GP referral, which means I might as well just take the nurse call as the wait for a GP is even longer.

Looks like I'm just going to have to travel further out to a family clinic that allows walk ins without needing a referral or for me to be younger hmm

pinegreen Mon 25-Mar-19 17:10:21

if someone isn't planning a pregnancy right away, they want to be sure that she is aware of how to prevent one.

Jesus wept. This level of condescension towards women is the reason I get my pill privately online, after a GP harangued me for 10 minutes over how to take it properly at the ripe old age of 34, no kids, and 15 years on the pill. Plus various fending off conversations trying to point me towards the implant (which I will never have).

Meanwhile, blokes who need a bit of help getting their todger upright can walk into any pharmacy and walk away with Viagra, no questions asked.

Grace212 Mon 25-Mar-19 17:21:45

pine so glad you said that - that example is one that annoys me immensely - adverts for Viagra everywhere but dog forbid a woman decide what meds/hormones etc do or don't go in her body.

OP it's worse to delay with side effects in some ways - the woman might be feeling awful.

Chucklecheeks1 Mon 25-Mar-19 17:21:53

I went to the FEmale GP last week to ask for a referral as my ablasion didn’t work as should. My periods are heavier than they were before and with horrid side effects. I was offered the ablasion after years of trying all other hormonal and non hormonal contraceptives.

She spent ten minutes trying to pursuance me to get the mirena as I was obviously over exaggerating thr side effects from the last time I had it fitted. She ignored that hormonal contraception gives me permenant periods, that my womb tilts and that coils don’t stay put. All the reasons the specialist decided on an ablasion in ther first place. She knew better.

I asked to see another GP who read my history and refered me straight away. I’m sick of justifying myself simply because I’m female.

Grace212 Mon 25-Mar-19 17:24:50

agnurse

your response made me ponder again - is this all a ploy by the NHS to get women to go private because it's such a hassle?

I've had the implant "promoted" to me endlessly as well. If it's cheaper, I wish they'd just say so.

PolPotNoodle Mon 25-Mar-19 17:25:09

How odd. I had mine out at a sexual health clinic, had to sit around for a bit waiting but it was done same-day. Same when I had my coil out. I don't recall being asked if I was super duper sure about it.

Tolleshunt Mon 25-Mar-19 17:29:10

Totally agree, Pine. The level of patronising, paternalistic bullshit is really something.

2019sucks Mon 25-Mar-19 17:36:24

Oh god I had this - do you mind me asking how old you are OP?

I booked an appointment to get mine removed as we were also TTC, I was 24 at the time. Then had a letter saying I had to talk to the GP first, and the GP said basically TTC was the only reason they would remove it. I’d actually struggled with it for a long time, it massively affected my mental health, periods, appetite and libido and when I went to ask for removal due to this I left with a prescription for the pill on top of the implant to “balance out my reaction to the hormones”.

I can’t understand how they think they have so much control over a foreign object in a woman’s body.

agnurse Mon 25-Mar-19 17:38:00

Some people honestly have very strange ideas about how to prevent a pregnancy. Here are some of the ones I've heard about:

-You can't get pregnant standing up
-The Pill keeps working for several months after you stop taking it (it can take some time for fertility to return, that's true, but there's no guarantee)
-You can't get pregnant on your period
-You can't get pregnant your first time
-You can't get pregnant if you douche afterwards
-You can't get pregnant if he doesn't ejaculate (news flash: the pre-ejaculate can contain sperm)
-You can't get pregnant on a weekday, only on the weekend

It's incredible how misinformed some women are. Obviously, this is slightly different, but I have heard of women who thought babies were born through the urethra. They honestly did not know that you have two separate orifices down there. Then, too, even with the Pill, there are some women who aren't aware of things such as potential serious side effects, or even the fact that if you're on certain antibiotics the Pill won't be effective.

2019sucks Mon 25-Mar-19 17:38:07

Sorry the reason i asked your age is because the GP said as I was under 25 they needed to speak to me before “agreeing” to remove it!

FairfaxAikman Mon 25-Mar-19 17:42:09

* I bet if you said "it can't be that hard to do it myself" to a nurse who was trying to refuse a removal that you would get a removal appointment without further comment.*

I pretty much did do this. Nurse didn't believe me when I said the end was catching on clothes or DS running his hand up the inside of my arm was causing me pain. I ended up telling her it would be less bother to cut it out myself as the pain would only be short-term.
She agreed to remove it after that.

Graphista Mon 25-Mar-19 17:43:52

Medical sexism reinforced by "incentives" to promote LARC and once they're in if they're removed "early" the GP surgery can lose that "incentive"

Seriously tons about this on mn and in the press generally (but not making major headlines which it bloody well should be doing!) it's a scandal, both in terms of not acting in patients best interests and in wasting Nhs resources

"Let me explain." Wow! You couldn't be more patronising if you tried!

To Agnurse and the GP - you may act ethically but there's a hell of a lot of primary hcps who are not particularly wrt to LARC.

https://www.mumsnet.com/Talk/amii_being_unreasonable/3402449-Aibu-to-ask-you-to-tell-me-your-experiences-of-being-dismissed-by-medics-as-a-sick-woman-I-promise-to-listen

Tolleshunt Mon 25-Mar-19 17:46:11

agnurse those are not reasons to deny removal. Or make patients jump through the hoops, double appointments, long delays etc. If s woman rescinds her consent to Larc, it should be removed ASAP, regardless of what the HCP thinks of her reasons.

2019sucks that's awful. Did you complain?

ThinkOfAWittyNameLater Mon 25-Mar-19 17:46:58

Do not attempt to remove it yourself. My mirena cool became... entangled... and needed to be cut out sad

I absolutely hate the attitude some HCPs have about contraception. They need to decide if they'll "let" you take it out?! F off. My body, my choice.

My husband went for vasectomy and Dr was asking about my contraception. DH pointed out it was none of his business and irrelevant. Came home with date for the snip.

I went to ask for referral for sterilisation. They asked why DH couldn't just have the snip. I said he was welcome the make as many babies as he likes but don't want any more in my body. It's me that is permanently damaged from 2 (much adored) babies, not him and I want reassurance that it can never happen again. Got my referral.

agnurse Mon 25-Mar-19 17:58:03

Tolleshunt

I didn't say they were reasons to deny removal. Rather, my point is that it's all about informed consent. If a woman has a mistaken idea about how to prevent pregnancy, is her decision that she doesn't want to keep her coil or implant truly an informed one? (That said, I do think two appointments is a bit excessive. One should be sufficient for teaching and removal.)

Let's compare this to other medical conditions. Would you not suggest that if a patient wants to stop a medication, they should contact their provider?

Tolleshunt Mon 25-Mar-19 18:08:34

As far as I was aware, agnurse, legally there is only a requirement on a HCP to ensure fully informed consent before prescribing meds/carrying out a procedure. Patients are at liberty to discontinue treatment at any time, and don't need a HCP's permission to do so.

Re your specific example, no I wouldn't usually feel I needed to ask a HCP whether to stop treatment in most circumstances. If I did, I could easily make an appointment myself.

That said, in the context of an ongoing relationship between HCP and patient, I can see that the HCP may feel a duty of care to ensure the patient is informed before discontinuing. I wouldn't be upset about that in itself, provided there is no delay in removal, and the HCP agrees to remove, even if they don't agree with the patient's reasons. As you say, no reason a quick check on this can't be done at the appointment to remove.

Some of the egs given on this thread, and others, though, go far beyond that.

Graphista Mon 25-Mar-19 18:09:05

Would you not suggest that if a patient wants to stop a medication, they should contact their provider?

Not when it's contraception no! It's not medically necessary, it's not harmful to stop using and frankly your attitude is infantilising and bordering on supporting state control of women's fertility!

There isn't anything like this level of control or patronising and condescending bollocks about any other medication

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