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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:
Misthios · 21/04/2024 17:47

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.

We don't have this in Scotland, we don't have any sort of app and online anything is on a practice by practice basis. All I can do online at my practice is request repeat prescriptions (limited, my HRT is not on that list) and cancel an appointment which I've already made. We definitely can't see test results, make appointments, see notes or anything else.

Misthios · 21/04/2024 17:45

wednesdayaffairnc · 21/04/2024 17:41

Not to burst your bubble but the gynae waiting lists is over 18 months long in my area. Shocking.

Probably because there are GPs wasting time by referring people who need oestrogen cream for vaginal atrophy.

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.

wednesdayaffairnc · 21/04/2024 17:41

Not to burst your bubble but the gynae waiting lists is over 18 months long in my area. Shocking.

kateluvscats · 21/04/2024 17:36

I had very similar symptoms, drove me crazy, went to gp who gave me a fungal cream, steroid cream fucidin and clairithromycin. Itching stopped almost immediately. It was a Staphylococcus infection. Any orifice that's burning/itching which is relentless think of the possibility of Staphylococcus.

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?

Spirallingdownwards · 21/04/2024 17:24

Assume you want to report the first GP not the second?

StormingNorman · 21/04/2024 17:17

Misthios · 21/04/2024 16:39

But @StormingNorman that is the whole point of the thread - the GP has not been doing her job. Because she diagnosed vaginal atrophy, didn't record that on OP's notes, prescribed steroids which unsurprisingly had zero effect, and said that to get oestrogen cream the OP would need to see a hospital gynaecologist!!

If that's "doing your job properly" i'd hate to see your definition of being a bit clueless.

Your conflating points and doctors to your own ends. Re-read what I wrote. I was talking about the second doctor and doctors in general. I haven’t spoke. About the first doctor because whatever she did or didn’t do is bye the bye now. The diagnosis isn’t in the medical notes so the second doctor needs to start from scratch and do his job properly.

StormingNorman · 21/04/2024 17:15

LordPercyPercy · 21/04/2024 16:35

It’s quite insulting to doctors to label a medical examination as ‘peering’ at genitalia. This type of thinking is why OP left without her prescription.

She'd already had an examination, she shouldn't have to have an unnecessary second one just because the first doctor was too slack to update her notes properly.
That's also a spurious comparison re. the benylin as it's an OTC product. The point is that she can get her prescription as desired from Superdrug without getting her bits out.

The second exam is necessary because the first doctor didn’t put the diagnosis in the notes. You cannot expect a doctor to provide a script for a prescription only medication without satisfying themselves it’s needed.

ToddUnctious1 · 21/04/2024 17:06

Oh OP - just seen you've posted in AIBU! That was a bit silly.

Ask MN to move this to the women's health board where you'll get nuanced responses

ToddUnctious1 · 21/04/2024 17:05

@Misthios there is no consulting fee btw, just so you're clear. You'll pay £25 just for the cream and it's very simple

ToddUnctious1 · 21/04/2024 17:02

I buy my own ovestin cream and don't bother the doctor with it because I just can't be bothered to go through the rigmarole you describe

It's pricey at £25 a pop but you need such a small amount and a tube lasts me a couple of months. I buy via Superdrug online doctor usually and it's very straightforward

So yeah in an ideal world we'd all be listened to and cared for properly. But we are not in an ideal world these days especially so gen yourself up and purchase it online

It's a micro dose and. Nothing to be concerned about

Misthios · 21/04/2024 16:39

But @StormingNorman that is the whole point of the thread - the GP has not been doing her job. Because she diagnosed vaginal atrophy, didn't record that on OP's notes, prescribed steroids which unsurprisingly had zero effect, and said that to get oestrogen cream the OP would need to see a hospital gynaecologist!!

If that's "doing your job properly" i'd hate to see your definition of being a bit clueless.

LordPercyPercy · 21/04/2024 16:35

It’s quite insulting to doctors to label a medical examination as ‘peering’ at genitalia. This type of thinking is why OP left without her prescription.

She'd already had an examination, she shouldn't have to have an unnecessary second one just because the first doctor was too slack to update her notes properly.
That's also a spurious comparison re. the benylin as it's an OTC product. The point is that she can get her prescription as desired from Superdrug without getting her bits out.

StormingNorman · 21/04/2024 16:35

Misthios · 21/04/2024 16:31

And yes you can get some HRT things like the creams online. But why should women have to go to that additional expense - a tube of Ovestin is going to cost you £20 to £25 online, plus the private prescription fee. Is it really too much to expect that a family GP knows the basics of menopause and how to treat it?

Women don’t have to go to any additional expense. They just need to let the GP do their job.

You have a choice to pay privately if you don’t want a medically qualified professional examining you.

Misthios · 21/04/2024 16:31

And yes you can get some HRT things like the creams online. But why should women have to go to that additional expense - a tube of Ovestin is going to cost you £20 to £25 online, plus the private prescription fee. Is it really too much to expect that a family GP knows the basics of menopause and how to treat it?

StormingNorman · 21/04/2024 16:31

LordPercyPercy · 21/04/2024 15:26

I would be more concerned if the locum was happy to prescribe on your say so without investigating.

Yet that is exactly how it works if you order from Superdrug. If a woman is circa 50 and having those symptoms it's fairly obvious what's going on - no need to peer at her genitalia.

I can go to Superdrug and buy Benilyn but if I go to the doctor with a cough they’re going to get the stethoscope out to examine me before making a diagnosis and prescribing. You go to the doctor for diagnosis.

It’s quite insulting to doctors to label a medical examination as ‘peering’ at genitalia. This type of thinking is why OP left without her prescription.

Froggy99 · 21/04/2024 16:24

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!

You can do an consultation with an online pharmacy, they can then prescribe the Overton.

CurlsnSunshinetime4tea · 21/04/2024 16:24

I don’t think it’s unreasonable or incompetence that a Dr won’t prescribe before examining you first.
STD’s in over 50’s is not unheard of.

Snoopsteandcooper · 21/04/2024 16:23

You can also buy Hyalofemme over the counter, it's non hormonal, so no prescription required

Misthios · 21/04/2024 16:23

zeibesaffron · 21/04/2024 16:20

Perhaps the first Dr didn’t quite agree with your diagnosis and wanted to try something different first, as she is accountable for her prescribing practice.

I believe Ovestin can be bought online at superdrug pharmacy once their Dr has approved it.

The first doctor diagnosed vaginal atrophy. Yet failed to prescribe oestrogen cream and instead gave the OP steroids.

Too right she should be "accountable for her prescribing practice".

TruthorDie · 21/04/2024 16:22

IvorTheEngineDriver · 21/04/2024 13:21

If you want to self-medicate why bother seeing a doctor at all. YABU.

Probably because the GP doesn’t know what they are doing

I personally would make a complaint.

zeibesaffron · 21/04/2024 16:20

Perhaps the first Dr didn’t quite agree with your diagnosis and wanted to try something different first, as she is accountable for her prescribing practice.

I believe Ovestin can be bought online at superdrug pharmacy once their Dr has approved it.

Misthios · 21/04/2024 16:15

Would topical HRT make much difference if you are already on HRT?

YES!!!! It makes a massive difference.

Absolutely complain, @ItchDrivingMeInsane it makes me livid that so many of us are being fobbed off by GPs who haven't got a clue about menopause. Steroid cream for vaginal atrophy?? What makes me even more angry is that they haven't the self-awareness to realise what they don't know and have the decency to realise that actually, their 20 minutes training on menopause 30 years ago probably isn't enough, and to refer to a colleague with a specific interest in it. As for not being able to prescribe oestrogen cream without a referral to a gynae - wtf??

You can also buy Ovestin cream (estriol active ingredient) online if you are still getting fobbed off. I started using it in October and it's lifechanging. Every day for a fortnight, then twice a week. Now I'm using twice a week, a tube lasts me about 3 months.

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