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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:
Silverumbrella · 12/03/2024 20:47

Thanks everyone, I am most definitely going to see it through and see what kind of response they come back with.

OP posts:
FerryBerryHerry · 12/03/2024 20:56

No way, don’t be deterred. Your friend has no business in discouraging you from this. You’re doing the right thing, and good for you.

Silverumbrella · 12/03/2024 21:07

Thank you FerryBerryHerry

OP posts:

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FruitFlyPie · 13/03/2024 00:28

Agree with pps, you don't need to think of it as a complaint as such, it doesn't mean someone will be blamed or punished. It's more about recording what happened and finding out what, if anything, could have been done better.

Silverumbrella · 13/03/2024 07:54

FruitFlyPie · 13/03/2024 00:28

Agree with pps, you don't need to think of it as a complaint as such, it doesn't mean someone will be blamed or punished. It's more about recording what happened and finding out what, if anything, could have been done better.

I will keep it going as you say, in the hope of them learning by these things in the hope women in the future won’t have to battle for years to achieve decent (and swift) healthcare.

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FunnyFinch · 13/03/2024 08:04

good luck and keep us updated of the outcome!

Silverumbrella · 13/03/2024 08:11

Will do FunnyFinch 🤞

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Pilcrow · 13/03/2024 08:37

Yes, please let us know, @Silverumbrella. Sending best wishes to you and your DD.

Silverumbrella · 13/03/2024 09:00

Thank you Pilcrow

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RosesAndHellebores · 13/03/2024 09:15

I think you have received the sort of sub-optimal care for which we have been conditioned to be grateful.

Please pursue your concerns and seek answers and ask if your experiences may support changing practice moving forwards. You can't change your own health history but you may be able to positively impact care for other women.

Your complaint will also have them on their toes regarding your future care.

quiteathome · 13/03/2024 09:27

You are doing the right thing. These complaints are useful so that they can be learnt from.

Bemyclementine · 13/03/2024 09:33

Absolutely right to complain. I had an ablation 2 yrs ago, I still get periods but they are "normal" now but so so painful, which I never had before, "just" the horrendous flooding. No one else I've spoken to still has periods afterwards, yet I get those with the added bonus of crippling pains. Reading your post has made me think I should go back to the Drs

Silverumbrella · 13/03/2024 09:45

Bemyclementine · 13/03/2024 09:33

Absolutely right to complain. I had an ablation 2 yrs ago, I still get periods but they are "normal" now but so so painful, which I never had before, "just" the horrendous flooding. No one else I've spoken to still has periods afterwards, yet I get those with the added bonus of crippling pains. Reading your post has made me think I should go back to the Drs

Please go back. You/we should not have to put up with the pain.

I do still have a regular cycle (even though I’m 51 next month), I still have some bleeding in the form of spotting/light bleed but like you, I now have awful pain.

I joined a post ablation syndrome fb group and it is sadly far from uncommon (the medical profession just like to keep quiet about that!). From all the info I’ve gleaned over the last couple of years I believe if you still have bleeding then there is a strong possibility there are areas the device failed burn.

Pain after an ablation isn’t normal and you shouldn’t have to put up with that. I’m sorry you have this, it’s very frustrating isn’t it?

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Bemyclementine · 13/03/2024 12:05

It us, after all the years of such heavy bleeding, I was hopeful. Kind if wish I'd taken the hysterectomy when it was offered.

Silverumbrella · 13/03/2024 12:39

Bemyclementine · 13/03/2024 12:05

It us, after all the years of such heavy bleeding, I was hopeful. Kind if wish I'd taken the hysterectomy when it was offered.

100% wish I’d had a hysterectomy (although it was never offered to me as an option).
I was so worn down with anaemia and having to live my life around days of flooding that I thought an ablation would be the answer to my prayers. I know it works well for many women but I do feel they should really emphasis the fact that when it fails, it really fails.
If I’d had be given the option of a hysterectomy at least they would have been able to deal with the endometriosis at the same time. I now have to sit on a 18-24 month waiting list for a hysterectomy.

OP posts:
Bemyclementine · 13/03/2024 14:55

I was offered a hysterectomy by one female consultant who was very much "women shouldn't have to out up with this". However, at the time, I was a single parent to 2 toddlers and just couldn't see how I would manage so I saud yes, but not yet. Then covid....I should have just said yes. Next time I saw a different consultant who said it wasn't an option.

When I went in for the ablation, the original consultant saw me and reordered the hysterectomy there and then, instead of ablation. Again,I wasn't prepared. Dobt think I have any chance of it now

Silverumbrella · 14/03/2024 09:46

Bemyclementine · 13/03/2024 14:55

I was offered a hysterectomy by one female consultant who was very much "women shouldn't have to out up with this". However, at the time, I was a single parent to 2 toddlers and just couldn't see how I would manage so I saud yes, but not yet. Then covid....I should have just said yes. Next time I saw a different consultant who said it wasn't an option.

When I went in for the ablation, the original consultant saw me and reordered the hysterectomy there and then, instead of ablation. Again,I wasn't prepared. Dobt think I have any chance of it now

My gynae has said the only ‘cure’ for a failed ablation/post ablation failure is a hysterectomy so it’s definitely worth perusing. You shouldn’t have to put up with pain especially after a procedure which was supposed to help ease your menstrual issues.

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Solocup · 14/03/2024 10:04

It’s not okay for you to complain, it’s essential that you complain. Women are treated like crap by doctors. Men would have been diagnosed 30 years earlier. We are constantly gaslit and treated like we’re making things up or being dramatic. We NEED everyone who is strong enough to see a complaint through, to do it for all those that can’t. It’s a major problem in society (hell, nurofen have released a whole advert about it!). Well done you - ignore your friend.

FunnyFinch · 14/03/2024 10:38

have you heard back regarding your complaint?

FunnyFinch · 14/03/2024 10:40

My dd15 has awful periods. She may or may not have endo but I don’t want her to go through years of issues.

has your dd been taken to GP? investigations ongoing?

Silverumbrella · 14/03/2024 18:34

Thanks Solocup I will carry on with my grievance.

I haven’t heard anything yet FunnyFinch. I’ve never complained to a hospital before so not sure if I should just sit and wait for the time being or chase up after a certain amount of time?

FunnyFinch DD has seen the GP a few times over the last year or so. She tried the mini pill (she can’t take the combined as she suffers from aura migraines) but didn’t have a good time on it so has been putting up with the heavy bleeding and taking Tranexamic acid which helps only a little.
We saw the GP yesterday. I made the appointment following my consultation with the private Endo gynaecologist as he explained to me there was a high chance dd could have endo because my sister and I have it. He says he often sees 16/17 year olds who have been dismissed by their GPs regarding their period issues when in fact they do have endometriosis. The GP however said because the only way to determine for sure was via a laparoscopy and that is a surgery and all surgery carries risks she didn’t think it was worth taking such a risk at this moment in time, she would like dd to try another type of mini pill.

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FunnyFinch · 14/03/2024 18:43

neither you nor your husband has private with children added on? sorry if i missed

Oblomov24 · 14/03/2024 19:08

Don't give up on your complaint. I've got one going with pals currently.

Silverumbrella · 14/03/2024 21:15

FunnyFinch · 14/03/2024 18:43

neither you nor your husband has private with children added on? sorry if i missed

Sadly not. I paid privately to see the endo consultant. He said he could perform a lap privately at a cost of £7400. As a self pay patient I can’t afford that for myself let alone dd.

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Silverumbrella · 14/03/2024 21:16

Thank you Oblomov24 and good luck with yours too.

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