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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:
Anonymous2025 · 21/04/2024 16:09

Start an official complaint . There are several failures that need addressing . Please complaint

PoppyCherryDog · 21/04/2024 15:59

IvorTheEngineDriver · 21/04/2024 13:21

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

This. You knew what you wanted but the GP who is medically trained had another opinion.

Movinghouseatlast · 21/04/2024 15:55

Absolutely not being unreasonable.

It's a lack of training in menopause for GP's that is the problem. The lack of basic knowledge I have encountered beggars belief. The Nice guidelines state that HRT should be prescribed by symptoms. It's totally obvious that as a menopausal woman the symptoms are vaginal atrophy and if by some miracle they weren't it would do you no harm anyway. My menopause specialist prescribes it for everyone to prevent atrophy increasing to symptomatic levels. I was lucky enough to be referred to the specialist because my GP ' doesn't understand HRT'. Jesus wept!

Mrttyl · 21/04/2024 15:49

I agree with the others that you should try online. It is likely to be a form that a doctor checks and then they will send it out to you. Most of them offer next day delivery.

SoftPillowAllNight · 21/04/2024 15:42

Try an online pharmacy where you can get this directly. It is not OTC but pharmacy can prescribe it.

PrimalLass · 21/04/2024 15:41

Maltybiscuit · 21/04/2024 14:18

@ItchDrivingMeInsane did you not then read your online medical notes and question why vaginal atrophy hadn't been noted.
I have to say that with the NHS you get what you demand not what you deserve and you need to go in prepared and ready for anything.
You absolutely can buy this over the counter as other posters have stated ,why not do that in the interim whilst you wait for another appointment annoying as that is.
The steroid cream is used in small amounts , I have all the creams you can buy both prescribed and other things I've tried , the ovestin is available as part of your HRT pre paid prescription as are the vagirux pessaries , I know exactly what youre experiencing I've waited 13 months to see the gynae dermatologist, ive been to the sexual health clinic in desperation , only now with amitriptyline and ovestin and the steroid cream occasionally am i a bit more comfortable.

What online medical notes? How do you access those?

VJBR · 21/04/2024 15:28

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).

A nurse at our surgery prescribed this for me. Seems strange you have to see a gynaecologist. Are you in UK?

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.

Americano75 · 21/04/2024 15:23

I'm just here to give you a big hug, from one menopausal woman to another. I'm hoping by the time my daughters get to this stage of life things aren't so fucking hard.

Whatwillitbenext · 21/04/2024 15:18

Elmrosie · 21/04/2024 14:11

You can get it online from Superdrug website. You have to complete a questionnaire and one of their online doctors approves it. You can have it delivered to your home or a local store, if yours has that facility (mine doesn't).

@ItchDrivingMeInsane this!

StormingNorman · 21/04/2024 15:15

It is reasonable for a doctor to want to do an examination before prescribing as they are personally liable should anything go wrong or be missed.

I’m sorry about your experiences with CSA and, gently, we are all expected to let a doctor examine whatever they need to make a diagnosis.

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

LordPercyPercy · 21/04/2024 14:39

I second just buying it from Superdrug - you do it online and it gets signed off by one of their doctors. You need to be 45 or over.

I really don't get why they are gatekeeping the cream so hard - it's very low risk compared to systemic HRT and even suitable for those who can't have systemic HRT due to family history of hormone-driven cancers etc.

Maltybiscuit · 21/04/2024 14:18

@ItchDrivingMeInsane did you not then read your online medical notes and question why vaginal atrophy hadn't been noted.
I have to say that with the NHS you get what you demand not what you deserve and you need to go in prepared and ready for anything.
You absolutely can buy this over the counter as other posters have stated ,why not do that in the interim whilst you wait for another appointment annoying as that is.
The steroid cream is used in small amounts , I have all the creams you can buy both prescribed and other things I've tried , the ovestin is available as part of your HRT pre paid prescription as are the vagirux pessaries , I know exactly what youre experiencing I've waited 13 months to see the gynae dermatologist, ive been to the sexual health clinic in desperation , only now with amitriptyline and ovestin and the steroid cream occasionally am i a bit more comfortable.

Neverpostagain · 21/04/2024 14:17

Elmrosie · 21/04/2024 14:11

You can get it online from Superdrug website. You have to complete a questionnaire and one of their online doctors approves it. You can have it delivered to your home or a local store, if yours has that facility (mine doesn't).

This. Just buy it and give it a go. Don't get yourself into a fury when it is easily resolved. If it's no good hopefully you will get that gynecology appt soon. Seriously with the NHS as it is at the moment you do have to take responsibility for your own health. Anything you get from the NHS is a bonus.

Loveskin2024 · 21/04/2024 14:13

Push for a referral

Elmrosie · 21/04/2024 14:11

ItchDrivingMeInsane · 21/04/2024 13:29

You cannot purchase Ovestin over the counter!

You can get it online from Superdrug website. You have to complete a questionnaire and one of their online doctors approves it. You can have it delivered to your home or a local store, if yours has that facility (mine doesn't).

ItchDrivingMeInsane · 21/04/2024 14:10

Sugarcoatedalmonds · 21/04/2024 13:51

Of course a different doctor will want to examine you before prescribing anything. What a waste of an appointment.

This is all your own doing, OP. Go to the Dr, get examined and they will suggest a different course of treatment.

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!

OP posts:
Droolylabradors · 21/04/2024 14:07

BrioNotBiro · 21/04/2024 13:13

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

Seriously, I'd grab any appointment with a GP, male or female or alien. Divert your fury to getting a gynae referral if offered.

It could be lichen sclerosis and an early diagnosis and an ultra potent steroid and a check up from a specialist gynaecologist or dermatologist is to be welcomed.

I speak from experience, vaginal oestrogen cream makes ALL the difference.

DramaAlpaca · 21/04/2024 14:05

You shouldn't need to be examined for vaginal atrophy, it's usually done by describing the symptoms - at least it was for me, but I do have a clued up GP.

You might be able to get Ovestin via a private online prescription from Superdrug. You can here in Ireland. It has to be paid for, but the cost isn't extortionate.

PinkyFlamingo · 21/04/2024 14:04

Scottishshortbread11877 · 21/04/2024 13:25

Yabu; there needs to be some responsibility and get things you need to help organised yourself if you are able. This cream can be purchased

No it can't. It's prescription only

PTSDBarbiegirl · 21/04/2024 13:58

Thought things were supposed to be improving. I'm 55 and have had significant MH difficulties over 5-7 years. I'm on long term meds for diagnosis of bipolar. Having had lifelong problems with hormones which I think are responsible for the bipolar symptoms, it's always been cyclical. I've been asking for 5 years about HRT. I've had further anti depressants and other non hormone related treatments, blood tests and scans. Still no fucking HRT help. It's so long drawn out & frustrating that I've just accepted it. It feels like having a diagnosis makes me less important when considering my needs could be hormonal. It often feels like I'm being pushed on. It's really unhelpful. I'm going back next week to ask again about why I'm not being spoken to about HRT possibility instead of yet more MH drugs, which obviously have many side effects. Aaaarrrggghhh!

Sugarcoatedalmonds · 21/04/2024 13:51

Of course a different doctor will want to examine you before prescribing anything. What a waste of an appointment.

This is all your own doing, OP. Go to the Dr, get examined and they will suggest a different course of treatment.

Maray1967 · 21/04/2024 13:47

BrioNotBiro · 21/04/2024 13:13

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

Seriously, I'd grab any appointment with a GP, male or female or alien. Divert your fury to getting a gynae referral if offered.

It could be lichen sclerosis and an early diagnosis and an ultra potent steroid and a check up from a specialist gynaecologist or dermatologist is to be welcomed.

A competent GP should be able to spot lichen sclerosis - mine said it’s very obvious and I clearly didn’t have it. I got a topical oestrogen cream presided by the GP and I also use vagisil gel - from Boots. My itchiness tends to get worse by the evening though - not there all the time.

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