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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:
Poppyandseed · 21/04/2024 13:46

It does sound immensely frustrating for you but it sounds more like a set of unfortunate circumstances than a GP who has messed up. The first GP prescribed a treatment for you based on her own expertise and what she saw on examination, and arranged a suitable follow-up for a short while later. It was unfortunate that she was then off sick but understandable that the locum GP did not want to prescribe a treatment without examining you himself, particularly as you'd had a treatment in that time so something might have changed. The new appointment not being booked is unfortunately one of those things - might be that the locum GP got the system slightly wrong, might be the ticket was just never seen by admin staff. Sadly these things really do have to be chased. Very frustrating for you though but I don't think it is fair to take this out on the first GP. Flowers

olympicsrock · 21/04/2024 13:43

Doctor has to agree with the diagnosis to prescribe any medication.
YABU to refuse to be examined

Maltybiscuit · 21/04/2024 13:42

Not sure of your age OP but you can buy Gina over the counter if you're over 50 , what have you been prescribed ? Clobaderm? I've been through your battle , I was referred to a gynae dermatologist, she prescribed amitriptyline tablets which help with the itching immensely but do make me extremely sleepy. It could be lichen sceloris but I think the GP who examined you should have picked that up.
Good luck

ThinWomansBrain · 21/04/2024 13:42

I had topical HRT prescription from GP without seeing a Gynaecologist; I don't think it was available OTC at the time, is it now?
I think I'd have jumped at the opportunity of a second opinion rather than cutting that appointment short and waiting to see the first GP again (and would have been on the phone to check the follow up appointment had been scheduled, rather than waiting passively).
Good luck with getting it sorted.

TeenLifeMum · 21/04/2024 13:39

I thought pharmacy can do this now?

Polarbearkeeper · 21/04/2024 13:38

How frustrating. It really shouldn't be this difficult to get topical HRT. (for a previous poster, yes you often still need topical HRT even if on systemic HRT). Local gynaecology waiting lists are 12+ months. Any GP should be able to manage this so I would continue to put in e-consults or whatever your practice uses until it’s sorted out. Unfortunately you may need another examination if the first didn’t write the findings clearly.

GenerousGardener · 21/04/2024 13:37

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

Theeyeballsinthesky · 21/04/2024 13:35

I went to a private menopause clinic OP and was prescribed vagirux and ovestin cream. They then sent that through to my GP surgery who have prescribed ever since

ive also been able to buy both from online chemists by answering a short questionnaire

ItchDrivingMeInsane · 21/04/2024 13:32

FelicityBennett · 21/04/2024 13:17

Topical HRT does help with those symptoms even if on systemic HRT.
do they have an e consult type consult ? Could ask for a script ? Even if you get referred is usually a long wait and topical HRT is a safe thing to try

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).

OP posts:
FelicityBennett · 21/04/2024 13:30

You can’t buy oestrogen cream over the counter which is what OP means . You need a script. Try e consult or ring and accept any appt and ask if has to be that GP to book you in with her.
failing that can you afford private GP ?

ItchDrivingMeInsane · 21/04/2024 13:29

You cannot purchase Ovestin over the counter!

OP posts:
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

IvorTheEngineDriver · 21/04/2024 13:21

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

FelicityBennett · 21/04/2024 13:17

Topical HRT does help with those symptoms even if on systemic HRT.
do they have an e consult type consult ? Could ask for a script ? Even if you get referred is usually a long wait and topical HRT is a safe thing to try

ontheflighttosingapore · 21/04/2024 13:16

You could buy it yourself ?

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.

Sparklfairy · 21/04/2024 12:39

Do you have to see her, or can you bite the bullet and see a different GP ringing for an on the day appt? You might have to grit your teeth and get examined again but it sounds like you're going to have an uphill battle fighting for an appt on the two days a week she works.

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