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I’m having second thoughts about my complaint to PALS - was I wrong to raise this issue?

78 replies

Silverumbrella · 12/03/2024 09:23

I am now having second thoughts due to a comment my friend made yesterday.

So, I am almost 51. Since the age of 12 I have had nightmare periods, days off school, ruined clothes/bedsheets/mattresses etc, years and years of anaemia.

I was first referred to gynae when I was in my late 20’s. All of my gynaecology appointments have been at the the same hospital and with (mainly) the same gynaecologist.

I had a d&c in 2000 and was told this would sort the issue but it didn’t. I then had a few fertility tests over the next few years as we struggled to conceive. I was lucky to go on have two dc (without any intervention) at the age of 32 and 35. The period issues never got better after childbirth, in fact became worse.

The period issues became worse in my late 30’s and I was re-referred to gynae from 2015. I have continually had appointments and/or procedures every year at the same department, in the same hospital. The periods just became heavier and heavier, terrible painful ovulation (which I have suffered from since my 20’s) which lasted 7+ days and iron levels so low that I needed infusions (ferritin fell to 3). Over this time it was discovered via ultrasound that I have uterine polyps, I have had these removed 4 times via hysteroscopy (4th in day surgery) and told they wouldn’t return but they always did.

Eventually I requested a uterine ablation, I asked a ton of questions beforehand though as I was concerned about post ablation failure. Was reassured by my gynae this was very rare. He even ‘joked’ with his nurse when I went in for the pre assessment that ‘oh, this is the lady who asked so many questions haha!’, this made me feel like a right twat tbh but I just laughed it off.

The ablation went well and 6 months post ablation my periods became non existent. Great, so I thought. However, each following month during the time my period was due (I still have some light spotting) the pain has become more and more intense radiating through to my hips, lower back, upper back and abdomen. It is such an awful pain which lasts 5+ days. I am gutted that I have exchanged flooding periods for painful ones. I kept being told to put up with it and it should get better. It didn’t.

A year on (last December) I saw the gynaecologist who has confirmed (after a clear us scan) that I have indeed developed Post Ablation Syndrome and his advice was to take pain killers. I wasn’t particularly happy with this so asked for a MRI scan to see exactly what is going on. I said I wanted to check all was ok as the pain is awful and my sister was diagnosed with endometriosis at the age of 45 (at same hospital). I had mentioned my sister’s endo diagnosis previously but it fell on deaf ears (I have read endo can run in families). I didn’t push it as I thought they must know, they are the experts?

My mri results have come back with ‘Deep endometriosis and diffuse adenomyosis’. The gynae rang me just before Christmas to let me know and to advise he was discharging me and referring me to the endo team. I rang them and they have informed me it’s at least a 40+ week wait just to see someone for initial consultation.

I can’t lie. I am thoroughly pissed off. Continued yearly appointments at the same gynae clinic since 2015. During that time I have seen this gynae regularly and 3 others and not one of them had suggested the possibility of endometriosis. I have kept all my paperwork and have notice a comment of a small ‘possible’ adenomyosis was mentioned from a US scan I had back in 2020, no one mentioned this to me and yet I was allowed to have the ablation, I have since found articles online stating women with adenomyosis are not great candidates for ablations as this can exacerbate the condition.

In January I paid to see a local Endo gynae privately (I really can not afford this but felt I needed as much info as possible). He was taken aback that I have been under gynae for 20 odd years and never been investigated for endo, he said the average is around 10 years! He said he can perform a laparoscopy but it’s £7400, I simply can not afford that so do still need to be seen by the NHS.

I am not a natural complainer, I hate making a fuss. I am a quiet person but I’m so upset and feel overlooked. So I have raised a complained via PALS. Not because I want any compensation or the like, it’s nothing like that. I would just like an answer as to why, after so many years, no health professional has ever thought to suggest endometriosis especially after I mentioned my sisters’ diagnosis (hers was traumatic as they told her the mass on her ovary was OC but luckily turned out to be endo). It’s all I want, answers. I feel sad that I could have had treatment for this years ago and it would have saved me many other hospital appointments and uncomfortable invasive procedures. I have had daily gut issues all this time too which I’m now told could be endo related, I’ve had gastroscopes, colonoscopies etc all unpleasant procedures.

Since the complaint I have had a call from the Endo team offering me a consultation appointment in May.
I was telling my friend all about this and she says I should drop the PALS complaint, she says I am now in the systems and as such ‘the ball is rolling’ (fwiw, she has never had any gynae, digestive or indeed any health issues).

She’s made me stumble now though - Am I making a bigger thing of this than necessary? I hate to use the word gas lit as I do think it’s an overly used phrase but I can’t help but feel that I have been all these years. I feel that in all sense and purpose I have been told to put up with my issues because that’s just what some women go through.

OP posts:
FunnyFinch · 12/03/2024 09:27

so in 30 years you only had one scan?

DrunkenElephant · 12/03/2024 09:28

I think you are right to complain.
How can they review and improve otherwise?

I am so sorry you went through all of that, woman are constantly expected to just put up with heavy/painful periods and it is not ok.

CostaDelOrchard · 12/03/2024 09:31

You are doing the right thing. You’ve been badly let down and definitely gaslit. I know what you mean about that word being overused but it applies here. I imagine your friend is of a similar temperament to you, keep quiet and keep it moving, but actually if your complaint stops one other woman from suffering like you have then it’s worth it

Interested in this thread?

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Pipecleanerrevival · 12/03/2024 09:31

This is awful and your complaint is necessary for things to change.

FunnyFinch · 12/03/2024 09:33

* no health professional has ever thought to suggest endometriosis especially after I mentioned my sisters’ diagnosis*

you only found that out very recently though?

Mairzydotes · 12/03/2024 09:36

No, don't cancel your complaint. PALS isn't just for life or death and horrific experiences , they are also for niggly , ongoing issues that could have been handled better earlier.

Lifebeganat50 · 12/03/2024 09:37

Your friend is in a very fortunate position!

Keep going with your complaint

Sundaygettingreadyfortheweek · 12/03/2024 09:39

PALS isn’t a complaints system. In fact they don’t deal with serious complaints. They can help you navigate the NHS and can explain to you how to make a formal complaint.

Silverumbrella · 12/03/2024 09:42

FunnyFinch · 12/03/2024 09:27

so in 30 years you only had one scan?

No, lots of US scans but endo can not be seen on ultra sound.

OP posts:
Silverumbrella · 12/03/2024 09:44

DrunkenElephant · 12/03/2024 09:28

I think you are right to complain.
How can they review and improve otherwise?

I am so sorry you went through all of that, woman are constantly expected to just put up with heavy/painful periods and it is not ok.

Exactly. This is one of the reasons I would like it brought to some kind of attention. My dd15 has awful periods. She may or may not have endo but I don’t want her to go through years of issues. I feel there needs to be more education on womens health issues. Since I’ve joined many endo support groups I can not believe who many women wait years for diagnosis p.

OP posts:
Silverumbrella · 12/03/2024 09:45

Thank you CostaDelOrchard

OP posts:
Octavia64 · 12/03/2024 09:46

Don't cancel your complaint.

You are doing the right thing.

I also have endo and it was 7 years for me to diagnosis and that was because a relative paid for me to have the operation to be diagnosed privately.

FunnyFinch · 12/03/2024 09:47

so in decades of medical gynaecology interaction, including concerns about your fertility, you have had just one ultrasound?

Silverumbrella · 12/03/2024 09:47

FunnyFinch · 12/03/2024 09:33

* no health professional has ever thought to suggest endometriosis especially after I mentioned my sisters’ diagnosis*

you only found that out very recently though?

My sister was diagnosed in 2016. I had mentioned this to my gynae a few times but this was always greeted with a shrug. Tbh, as no one had ever given me any indication to suggest I may have this I never looked into it and assumed they knew what they were talking about. At the end of the day I haven’t just developed endo, I’ve had this the whole time.

OP posts:
Pottingup · 12/03/2024 09:47

I’ve just been reading Hilary Mantel talking about her awful experience with endo which went undiagnosed for years. I think it’s really important that you ask for answers at least partly because it should be a learning situation for the department and might help other women.

Silverumbrella · 12/03/2024 09:49

Sorry, I don’t think I’ve made it clear in my op.
I have had many, many ultrasound scans but endo was never picked up and (I have since found out) it is very rarely seen via this type of scan unless by a very skilled sonographer who is an expert in endometriosis.

OP posts:
Anameisaname · 12/03/2024 09:50

OP your complaint is distinct from your current appointment process.
If you feel you have cause for complaint (and I thinknl you do) then contine with that complaint.
It won't affect the may appointment

FunnyFinch · 12/03/2024 09:50

you have been invited for a consultation op

but it is 100% not linked to your complaint

Silverumbrella · 12/03/2024 09:51

Sundaygettingreadyfortheweek · 12/03/2024 09:39

PALS isn’t a complaints system. In fact they don’t deal with serious complaints. They can help you navigate the NHS and can explain to you how to make a formal complaint.

You’re correct. In fact, they have been very helpful so far.

OP posts:
FunnyFinch · 12/03/2024 09:51

and in the years of fertility tests… endo was not explored?

gamerchick · 12/03/2024 09:51

No see your complaint through. It won't be mentioned during your appointments. This sort of stuff has to stop happening to women.

FunnyFinch · 12/03/2024 09:52

did you ever have a laparoscopy?

Silverumbrella · 12/03/2024 09:53

FunnyFinch · 12/03/2024 09:51

and in the years of fertility tests… endo was not explored?

No. Dh had tests and I had blood tests and a hycosy scan. We were then told all was ok and we could go down the IVF route which we declined. No other tests were offered as we didn’t want to do IVF.

OP posts:
Silverumbrella · 12/03/2024 09:54

FunnyFinch · 12/03/2024 09:52

did you ever have a laparoscopy?

I have never had a laparoscopy as I have never been offered one. All I have had are endless US scans, the D&C, hysteroscopies and the ablation.

OP posts:
FunnyFinch · 12/03/2024 09:55

did you sister also go through decades to get her diagnosis?