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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be absolutely furious at bloody incompetent GP?

142 replies

ItchDrivingMeInsane · 21/04/2024 12:34

I am menopausal and have had itchy bits for about 6 months now. Tried absolutely everything and despite being on HRT thought I probably need a topical oestrogen gel.

It is driving me insane, I am sore and often bleed down there!

Went to see female GP, was examined and told atrophy present but she wanted me to try a hydrocortisone cream first as it may be dermatitis. I tried to argue a bit and say can you just give me the oestrogen cream to try but she said I’d need a referral to a gynaecologist. I tried to talk about NICE guidelines but she wasn’t having it. She made an appointment for two weeks later to see how steroid cream had worked.

That appointment was rescheduled as I was told she was going to be off sick so I had an appointment with a locum male doctor. I told him the steroid cream had slightly reduced the itching but it was still continuing. Again asked for oestrogen gel but he wanted to examine me again. I refused as said lady doctor had said atrophy was present (really didn’t want to get my bits out again!) at last appointment so surely that should be enough but he said she hadn’t put this in my notes.

He said he’d send a task for another appointment to be booked with her when she came back after sick leave.

That was 2 months ago. I was told that another appointment was not booked and I need to call in to get an appointment on the day on the two days a week that she works. Been trying that for a few weeks but all appointments are gone by the time I get through!

I honestly am fit to lose my shit tomorrow.

AIBU that I should have just been prescribed what my symptoms matched and according to NICE guidelines?

OP posts:
Helen1625 · 21/04/2024 20:25

EBearhug · 21/04/2024 20:04

Mine was sent in January, I was seen at the start of April- it varies hugely by area, it seems.

Wow, that's a huge difference. I chased up with my GP practice last week, they looked into it and said if I hadn't heard anything before 21st May, I could chase it up then and see where I was on the list. Starting to think I've been forgotten

Itsdeepitsblue · 21/04/2024 20:08

YANBU OP. It’s a cream ffs not a life time prescription to class A’s. And I also agree… I don’t like getting my vag out at the doctors funnily enough, once is enough!!

EBearhug · 21/04/2024 20:04

Helen1625 · 21/04/2024 19:47

Just to answer your question regarding how long a gynaecology appointment takes....my referral was sent off last July. I'm still waiting.

Mine was sent in January, I was seen at the start of April- it varies hugely by area, it seems.

Misthios · 21/04/2024 19:48

And I thought that repeated UTIs was just one of those things. A GP should be able to spot it very easily. An atrophic vagina has tissue which is pale and shiny. A woman with thrush has tissue which is red and swollen.

Helen1625 · 21/04/2024 19:47

ItchDrivingMeInsane · 21/04/2024 13:32

Yes exactly. GP said I would need a referral to a gynaecologist to get it! I said I did not!

How long do you think a referral to a gynaecologist will take?!!!

I feel like a teenage boy always scratching my balls (obviously haven’t got any but ykwim).

Just to answer your question regarding how long a gynaecology appointment takes....my referral was sent off last July. I'm still waiting.

Theeyeballsinthesky · 21/04/2024 19:45

Ohhbaby · 21/04/2024 19:28

I thought itching was thrush?

Vaginal atrophy where the skin of the vulva & vagina thins & tears, causes UTIS, frequent need to wee and can lead to the clitoris disappearing affects around half of all menopausal women

I had no idea what it was when I got it & thought it was thrush at first…

ChedderGorgeous · 21/04/2024 19:38

ItchDrivingMeInsane · 21/04/2024 13:32

Yes exactly. GP said I would need a referral to a gynaecologist to get it! I said I did not!

How long do you think a referral to a gynaecologist will take?!!!

I feel like a teenage boy always scratching my balls (obviously haven’t got any but ykwim).

This was 100% your fault for not letting the GP examine you. How could they judge if the hydrocortisone cream was working if you didn't let them examine you (with a chaperone of course)? For this reason YABU and wasting NHS GP appt slots ontop of that.

Misthios · 21/04/2024 19:35

Itching can be thrush. But it can also be caused by decreasing hormones which makes you dry and uncomfortable.

Ohhbaby · 21/04/2024 19:28

I thought itching was thrush?

WearyAuldWumman · 21/04/2024 19:09

GenerousGardener · 21/04/2024 13:37

OP. Have you tried Lanacane or Vagisil to tide you over? Both creams are very soothing.

I tried them and they didn't agree with me. The only thing that I seem to be able to tolerate is KY.

I'm on HRT, but it doesn't seem to be quite enough - Femoston 1mg. It did work for a while, but the last of my own hormones have obviously run out. Currently waiting for gynae appointment. (I have other symptoms as well. Had a D&C two years ago, but was told to go back if the problem reoccured.)

Nonewclothes2024 · 21/04/2024 19:07

Maltybiscuit · 21/04/2024 17:55

@Nonewclothes2024 mine go back to the 70s , I like looking through as you forget over the years what you've been for or been tested for etc

I'll look into it.

StormingNorman · 21/04/2024 19:03

LordPercyPercy · 21/04/2024 17:33

You cannot expect a doctor to provide a script for a prescription only medication without satisfying themselves it’s needed.

So why don't the doctors at Superdrug carry out an examination of the genitals before prescribing the identical prescription-only medication?

Because it’s an online service and you don’t expect the same level of medical attention when you essentially self-diagnose. I would also assume that because those doctors haven’t seen the patient, they wouldn’t be liable for missing signs of any other gynaecological conditions that could be causing discomfort. There is probably also a disclaimer to visit your own GP or a right not to prescribe if there is anything in the questionnaire they are unhappy with and you’s be referred back to your GP. They don’t have to exclude other more serious conditions before prescribing because they don’t have the same responsibility or accountability a GP does when someone is sitting in their surgery.

Workhardcryharder · 21/04/2024 19:00

ItchDrivingMeInsane · 21/04/2024 14:10

As a CSA survivor, I don’t think I should have to undergo unnecessary examinations of my vagina because the GP couldn’t be bothered to note observations from the last one.

In my opinion, the 2nd appointment was to ask if the strong steroid cream (which will have caused further thinning of the tissues) had helped and I should then have been prescribed Ovestin when I said it was still ongoing. The lady GP didn’t bother to note the atrophy which is why 2nd GP wanted to reexamine. I was not prepared for this. It took long enough for me to go to GP in the first place as I didn’t want to be examined!

She said there was clear atrophy (so why not note it!). She confirmed it was not lichen sclerosis. She thought it might be dermatitis despite me saying it was inflamed due to scratching. I use no soap feminine wash, I’d already thrown out all my undies for organic cotton non dyed ones used non bio washing liquid, using the moisturing pessaries internally etc. Er hello, 52 year old woman with an atrophied vagina - even I know the treatment and I’m not a medical professional!

Surely the Ovestin would have been a better start off treatment than strong steroid cream anyway!

I get your point with the rest of your comment, but it’s not about “bothering to write notes”. Each GP wants to make sure they are prescribing for the right thing. Clinical medicine is subjective and each GP will do things differently, hence wanting to check.

ThePaintedMoose · 21/04/2024 18:52

This reply has been withdrawn

Withdrawn at OP's request.

theholesinmyapologies · 21/04/2024 18:46

Women really are treated appallingly by so many on the NHS. Especially depressing when it's female GPs being so unnecessarily unsupportive.

Ohnobackagain · 21/04/2024 18:41

@ItchDrivingMeInsane my Dr just gave me the oestrogen cream when I asked, no exam.

Misthios · 21/04/2024 18:38

Also agree that it has helped me enormously. No more UTIs. No more lower pelvic aching for no apparent reason. No itch, no dryness, no feeling shrivelled up. Don't find it particularly messy tbh as you're only using a tiny amount and you insert it high up using an applicator. And the small amount of discharge is well worth putting up with for the benefits it brings. Fully expect to be using this for the rest of my life - once you have stopped producing your own oestrogen which has caused the atrophy, you are suddenly not going to start producing it again.

JosieRay · 21/04/2024 18:15

I had v.atrophy diagnosed by a nurse at a smear test. I was prescribed estriol cream with a follow up appointment with her to see how I was getting on. I had 3 weeks to use it every day and now use it twice a week. It has made a huge difference to my life, honestly. The nurse at the surgery has put it onto a repeat prescription. I don’t know why you would have to wait for a gynaecology appointment. It seems like they are making this unnecessarily difficult for you.

ElsieMc · 21/04/2024 18:14

I had similar op. I thought it was thrush that wouldn't go away. There is a reason pharmacists query thrush medication in over 60s and that is because of the possibility of vaginal atrophy. I knew nothing of this. My GP prefers phone appointments and kept prescribing me courses of canesten pessaries.

I saw a young GP locum who was terrible. He examined me and complained I had not covered myself up with my coat. I was given nothing to cover myself with. He made me feel ashamed. He said he did not know what on earth it was but it was not thrush. I suggested VA and he seemed baffled. He sent off some tests but when I rang for results would not speak to me and said I had to wait 3 weeks for a telephone appointment - during which he helpfully told me he was baffled. I again suggested VA. He replied he thought it was and prescribed estradiol. I could not get on with this, it is very messy so be warned here op.

I went to see a pharmacist who went through a questionnaire and I got Gina. This took some time to work but I feel a whole lot better. I just get it offline now from a reputable pharmacy company. I did make an appointment for a 12 month checkup with a female GP. Waited four weeks, then they cancelled, and no other appointments for 4.5 weeks. Told me they had rung me but no message on my phone.

I do hope you get sorted op.

RickyGervaislovesdogs · 21/04/2024 18:03

Can’t you buy this? I tortured myself over the G.P’s refusal to prescribe HRT. I had no idea you could get it from Boots.

If it were men it would be free and easily available.

SophieJo · 21/04/2024 18:02

Could be Lichen Sclerosis. Has this ever been suggested?

Maltybiscuit · 21/04/2024 18:00

I'm sorry to hear you don't have this access in Scotland , I think it's your absolute right to be able to access your own Information.

Maltybiscuit · 21/04/2024 17:55

@Nonewclothes2024 mine go back to the 70s , I like looking through as you forget over the years what you've been for or been tested for etc

Nonewclothes2024 · 21/04/2024 17:53

Maltybiscuit · 21/04/2024 17:42

@PrimalLass I'm in the UK at my GP practice I consented to view my medical notes and now I can see every single consultation, vaccination , results, prescriptions etc since the day I was born, this is all available on the NHS app, it's very useful and I always check after I've had a medical appointment.

Mine only goes back to 2016?

PrimalLass · 21/04/2024 17:49

Maltybiscuit · 21/04/2024 17:42

@PrimalLass I'm in the UK at my GP practice I consented to view my medical notes and now I can see every single consultation, vaccination , results, prescriptions etc since the day I was born, this is all available on the NHS app, it's very useful and I always check after I've had a medical appointment.

Ah thank you. As @Maltybiscuit says we don't have this in Scotland.

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