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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think my doctor should take my mirena out when asked???

244 replies

ScienceIsTruth · 26/11/2018 16:13

Just that really.

Went to see consultant today as still bleeding constantly 2 years after having mirena fitted for heavy periods, although not as heavily.

Asked them to remove it as it's not really helping and the side effects (no libido, etc) are really getting me down, and they've basically refused.

They want to try me on another hormonal medication for 6 months first, whilst keeping the mirena in (because I had trouble when it was put in!).
But there's a waiting list for this medication as it's an injection they have to do, and I'm looking at least an 8 week wait.

OP posts:
dontalltalkatonce · 28/11/2018 18:48

explain being in charge of body is important concept.

It's not just a fuzzy little concept, it's the law. This person withdrew consent for the treatment, but is still being forced to endure it. The consultant doesn't need a polite letter explaining this to her, if she is too dim to have failed to grasp this, she has no business in her job.

I'd have already put in a formal complaint.

Abeautifulpeagreenboat · 28/11/2018 22:07

Why would backstreet clinics be needed for LARC removal? Sexual Health clinics will do it for you. There is a lack of information out there about the services that are available in these clinics if women are doing it themselves. It needs addressing.

mortifiedmama · 28/11/2018 22:39

Abeautifulpeagreenboat some areas don't have them, some require referrals from other health professionals and others have very strict criteria (e.g. only under 25s). Often they have long waiting lists or separate clinics for removal.

C8H10N4O2 · 28/11/2018 22:56

This isn’t the establishment oppressing women, just the current state of the NHS

No its misogyny in medicine.

There has never been a time in my life (which covers both austerity years and better times) when women's ailments have not been second class conditions in terms of budget allocation and being taken seriously. Or women's symptoms ignored because they don't conform to the male version of the relevant condition.

This is not unique to the UK or state supported medicine, its widespread.

OP if its at all possible try a different gynae but this can be easier said than done.

dontalltalkatonce · 28/11/2018 23:18

Loads of places don't have a sexual health clinic or a family planning clinic or, as pointed out, have criterion like under 25 only.

Grammar · 28/11/2018 23:25

Book in with your practice nurse and ask/ insist she takes it out. Shouldn't be difficult ( though sometimes it can become "embedded" and needs gynae referral.
There are no it's and buts. If you want it out, you should be able to get that done, generally relatively easily.
Yes, it's paternalistic misogyny to tell you to keep it in.
Sounds like a rather catastrophic lack of communication.
They can "advise" but never insist. Push for what you want.
Good luck

Graphista · 28/11/2018 23:37

"why would backstreet clinics be needed for LARC removal? Sexual Health clinics will do it for you." In many places sexual health clinics are closing or operating greatly reduced hours due to the cuts. We're now down to one clinic open 2.5 days a week for whole county.

Caffeine is right - it's the deep seated misogyny in medicine

cptartapp · 29/11/2018 06:27

Grammar I'm a practice nurse and never taken a coil out in my life, and wouldnt attempt to without appropriate training. So insist all you want. I'm all for OP having the right to get it removed, but don't go shouting at the wrong person, we get enough of that.

JacquesHammer · 29/11/2018 08:23

Sexual Health clinics will do it for you

We have one that’s open two afternoons a week. For under-25s only.

Grammar · 29/11/2018 09:59

Cptartap.
I too am a nurse practitioner. I am trained to take these out out, but realise some nureses are not.
I came on here to support the OP.
Call my use of the word "insist" ( I also used the work "ask, if you read my post properly) ,semantics, but at no point did I use the word 'shout. That was your word.
I see you called out another poster up thread about this.
I'm sure the OP would understand if the PN was not trained to do this, but I would expect her to be able to signpost to someone who would listen and act on her behalf.
PNs do not have the monopoly on being shouted at, paramedics, social workers, doctors, teachers...the list goes on.
I did not come on here to be misquoted by a fellow health professional, simply to support the OP. It's derailing the thread ( excuse the pun).

ScienceIsTruth · 29/11/2018 11:19

If it was an implant, I would've used a Stanley knife to cut it out by now too, ArchbishopOfBanterbury.

dontalltalkatonce, I did tell them it's destroyed my libido, but she wasn't interested. I also mentioned the pain and the severe pms.
I didn't mention my depression because I didn't realise it's linked to that.

OP posts:
ScienceIsTruth · 29/11/2018 11:29

I have history of severe, suicidal depression from years ago, I also suffer migraines and suffer from varicose veins, so the pill isn't suitable for me. Now thinking the mirena isn't either. I keep bursting into tears over nothing, including at the GP surgery 2 weeks ago and hasn't realised it could possibly be linked to the mirena. I got really upset and just walked out as I didn't feel they were listening to me. This isn't me normally though.

OP posts:
ArchbishopOfBanterbury · 29/11/2018 12:06

Yes I definitely meant the implant - implanon, not the mirena. It's implanted just below the skin in the upper arm, and it's not near any essential organs, serious blood vessels etc. It's still risky and a bad choice to self remove, I wasn't in a great place mentally and felt I had no choice.

I've never had a coil and would never consider one... because of this experience. And I absolutely do NOT reccommend self surgery with a Stanley knife for any situation. Please do NOT follow my lead. If your GP won't help, try a sexual health clinic, or even minor injuries drop in.

mostdays · 29/11/2018 13:22

No its misogyny in medicine.

I completely agree. I have coccydynia since having ds3 (aged 4). I've seen my GP, was refused anything other than a referral to physio, who told me there was nothing much they could do but asked did I want to go to a class for low- activity people with back pain. I'm not low activity, nor do I have back pain, so no, I do not want to do that. I asked why I can't have what the nhs website says should be tried if coccydynia lasts more than 8 weeks- injections of anti-inflammatories and painkillers, as I have been dealing with this for years. Was told they don't do it, I just need to wait, these things can happen with childbirth, it will get better, it's up to me to manage it.

I have a male colleague. He started experiencing coccydynia after taking up going to the gym. He saw his GP within a week of experiencing the pain and was prescribed codeine immediately, within a week of that he had steroid injections. We live in the same area, it's not a 'Manchester don't but Liverpool do' funding thing. Our symptoms are similar. He is not in more pain than me. He is not more restricted than me as a result. The only difference is he is male and I am female, he hurt himself at the gym and I was hurt by childbirth. His pain is deemed worth a response, mine is not.

cptartapp · 29/11/2018 20:07

Grammar I'm not a nurse practitioner (if you read my post properly). Our roles are probably quite different if my colleague NP's are anything to go by.
But at the risk of derailing...of course I would signpost a patient to the correct practitioner. My suggestion was not to simply book in with the PN as OP has been advised, twice, as It would be unlikely to be dealt with then and there, wasting both an appointment with me and OP's time, and fuelling an already suboptimal situation. I don't claim anyone has the monopoly of being shouted at either, those are your words, but IME and in almost 30 years of nursing, people 'insisting' on treatment tend to be rather vocal and intimidating.
I too support the OP. Id be as frustrated as she is.

Grammar · 30/11/2018 15:18

Point taken CPtart.

Abeautifulpeagreenboat · 01/12/2018 01:18

Such minimal SH clinic provision isnt the case across the whole country (thankfully). In our county, there are 20 sites which run clinics, and of those, one is open 11 hours a day Monday to Friday, plus Saturdays, and another is open 12 hours a day Monday to Friday, plus Saturday. Some surrounding counties offer less, but still an awful lot more than the two examples mentioned above, which must surely be amongst the worst in the country - I hope so anyway!

NothingOnTellyAgain · 01/12/2018 09:42

There have been threads about teh slashing of sexual health services / clinics across the country.
With the cuts, a lot have been closed.

DunkandEggAgain · 05/12/2018 14:52

ScienceIsTruth
How are you? You can talk to us any time you feel low. Have you got anywhere with regards to your coil? Do you have support to go in with you when you next see your GP?

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