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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to complain about smear test experience?

462 replies

Ktmc94 · 14/01/2021 13:54

On Monday I contacted my GP surgery to get a new prescription for my pill. I spoke to the nurse who sorted that out but then proceeded to ambush me into a smear test appointment. I have looked into the screening for myself and was not convinced that I wanted to participate (I'm 26). I got flustered and agreed to the appointment thinking that at the very least I could have a discussion with her about it.

Then yesterday I arrived for my appointment. Blood pressure taken for pill and then I was weighed (didn't see the weight on the scale but I'm about a size 14/16). What came next was effectively a lecture about my weight which sent me reeling because I was already feeling nervous and uncomfortable about what was to come.

I was then ordered to strip behind the curtain without further ado, I tried to intimate that I was feeling apprehensive and was basically told to get on with it "it's only 20 seconds it's fine". No reassurance, no chat about the procedure or pros and cons of screening.

She then presented which, to me, looked like a rather large speculum and I voiced my concerns about it and was told that due to my weight a larger size was needed (I have never given birth). I was shell-shocked by this pronouncement and the bloody thing hurt before it was even opened but was once again told to relax and get on with it.

I left the appointment absolutely devastated at being lectured about my weight while feeling too vulnerable to assert myself. Fine, I need to do something about it but to launch immediately into a diabetes and heart disease lecture and then telling me that because I'm a bit chunky it means I must have a fat vag and offering no further explanation on the matter was just too much in my view.

I couldn't sleep last night tossing between wondering if I'm overreacting and feeling very upset about what happened. I phoned the practice manager this morning to discuss what had happened and was not encouraged. She skipped over the part about me trying to make an informed choice before deciding to screen and said "but you're 26 you should have had one by now" and "the nurse has been doing these on a daily basis for 30 odd years" and then rounded off by saying "not in any way to diminish your feelings about what happened" while having no comment on the fact that a weight lecture took up more of the appointment than some much needed reassurance about an invasive test.

I can't find anyone of any size who has been refused even a try with a smaller speculum and if I'm being honest I'm not massively fat, just pandemic misery has got me seeking dopamine in the biscuit tin but she could not have cared less about the state of my mental health. I'm still spotting and cramping which I had to find out for myself were side effects.

OP posts:
lozster · 15/01/2021 13:59

@londongirl12 there are cons. One personal to me is that the speculum tore me. The blood then contaminated the sample so I didn’t even get a result. The gp was sure she could do better with local anaesthetic. Tore again.

A further con, which may have already been mentioned is that ‘abnormal cells’ can correct if left alone. It is I think, broadly agreed that over treatment is associated with smears. That would be of no consequence if the treatment were simple, painless and caused no harm but it can create problems for women who want to go on and have children.

An additional con is that smears do not detect all forms of cervical cancer. Again, this might not be a reason for not having one however women should be aware of this and watch for symptoms and see a GP if they have any.

Women should also understand that the sample is first checked for HPV. If it is HPV positive, only then are the cells looked at. This begs the question of why not check for HPV in a less invasive way and then smear test only the women who are HPV positive 🤷🏻‍♀️

So, there is some complexity here which the ‘marketing’ has reduced to black and white/

littlepattilou · 15/01/2021 13:59

@Dundundunnn

For God's sake OP. I don't even know where to begin, it's probably easier to just say YABVU on all fronts.

@puffinkoala

Why? Far too easy to throw in that sort of useless comment - rather than provide support.

Dear women of MN. Not everyone has easy periods. And not everyone has easy smear tests. So learn some empathy and stop being so nasty because you can hide behind anonymity.

Well said puffin ^ Some peoples attitudes on here are disgusting. Some women have suffered sexual abuse and really struggle with intimate examinations, and even women who haven't, still struggle with it.

And can people please BORE OFF with the size 14 is fat bullshit! It's fucking ridiculous!

NotMeekNotObedient · 15/01/2021 14:03

Sorry someone else here who had abnormal cells in my 20's.

I appreciate you didn't have a great experience and felt the nurse could have been more understanding but she was doing her job (in a pandemic!) and I have to say I have always found nurses and gynecologists very understanding and they always made me feel at ease.

However I think perhaps you went in to the appointment in the wrong frame of mind. This is a test you are lucky to have received and while it can be a bit uncomfortable for some people it is needed - the procedure is what it is.

Is it the conversation re your weight that bothered you more or the test itself?

I think we would all feel a bit upset when someone mentions our weight but the nurse is not telling you to be unkind.

You've raised your concerns and I'm not sure there is much else you can do? I'm sure you'll have a better experience next time and hope you feel better soon.

Dundundunnn · 15/01/2021 14:04

And can people please BORE OFF with the size 14 is fat bullshit! It's fucking ridiculous!

It's not ridiculous though. Obviously it's not universal, but size 14 on average will be overweight.

Wearywithteens · 15/01/2021 14:12

This reply has been withdrawn

This has been withdrawn at the poster's request.

Circumlocutious · 15/01/2021 14:18

[quote lozster]@londongirl12 there are cons. One personal to me is that the speculum tore me. The blood then contaminated the sample so I didn’t even get a result. The gp was sure she could do better with local anaesthetic. Tore again.

A further con, which may have already been mentioned is that ‘abnormal cells’ can correct if left alone. It is I think, broadly agreed that over treatment is associated with smears. That would be of no consequence if the treatment were simple, painless and caused no harm but it can create problems for women who want to go on and have children.

An additional con is that smears do not detect all forms of cervical cancer. Again, this might not be a reason for not having one however women should be aware of this and watch for symptoms and see a GP if they have any.

Women should also understand that the sample is first checked for HPV. If it is HPV positive, only then are the cells looked at. This begs the question of why not check for HPV in a less invasive way and then smear test only the women who are HPV positive 🤷🏻‍♀️

So, there is some complexity here which the ‘marketing’ has reduced to black and white/[/quote]
Is your penultimate paragraph definitely true? Seems strange that they wouldn't do it an alternative way then, instead of the 'use your head and spread' type of 'campaigns' launched recently

CausingChaos2 · 15/01/2021 14:32

Yes it is true Circumlocutious in most areas, if not across the country by now.

CausingChaos2 · 15/01/2021 14:35

Some of the replies on this thread are awful and I hope the OP hasn’t taken them on board. No medical procedure should go ahead if the patient is not sure they want to have it, and haven’t given informed consent.

Lots of women, like rape survivors, can’t have smears. Shaming them does nothing to help their fears.

myusernamewastakenbyme · 15/01/2021 14:39

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

acatcalledjohn · 15/01/2021 14:42

@myusernamewastakenbyme

I'm sure you will be glad of the smear test if it shows up anything dodgy....jeez talk about ungrateful....people like you piss me off....people are dying of cancer that was diagnosed too late and you are bitching about having a smear.

People like you piss me off: all superior and unable to empathise with anyone who has other experiences.

Feetupteashot · 15/01/2021 14:52

Sounds as if communication was pretty rubbish. Should be better especially first time as don't want to put you off.
Nevertheless you sound very sensitive about your weight so perhaps she hit a nerve.
Longer speculums are much better for overweight people but shouldn't be more uncomfortable and nothing to do with having a fat vag. It's more efficient and comfy to have the speculum put in once rather than try with a second, so fair enough if she uses the most appropriate one she has to hand.

FrostyChocolateMilkshake · 15/01/2021 16:39

@Dundundunnn

And can people please BORE OFF with the size 14 is fat bullshit! It's fucking ridiculous!

It's not ridiculous though. Obviously it's not universal, but size 14 on average will be overweight.

I'm a good size 14 (and I'm not short) and, according to my doctor, am overweight. Unfortunately size 14 and over is plus size for a reason.
HelloThereMeHearties · 15/01/2021 16:52

@Wearywithteens

On MN anything size 12 and over is to be a lesser human being and morally inferior. Hmm

Meanwhile in the real world...

In the real world many, many people are overweight.
lozster · 15/01/2021 17:55

@Circumlocutious yes, that is what happens to your sample; it is explained here www.nhs.uk/conditions/cervical-screening/

One of the reasons cervical cancer is decreasing is the HPV vaccination programme.

RosesAndHellebores · 15/01/2021 19:48

The nurses' attitude to the op is precisely why I think HCPs should afford patients the courtesy of a title as they do the practice GPs. It's harder to be fucking rude to people you address with a modicum of respect.

VestaTilley · 15/01/2021 20:12

I’m not sure what’s reasonable here, OP.

Only you can know if you’ve received fair treatment. It really is vital to have your smear tests done every 3 years.

I’ve never been offered speculums of differing sizes, I’ve only ever heard about that on Mumsnet.

I had dodgy cells (CIN 2/3 if I remember rightly) and ended up having a Punch and LLETZ biopsy under local anaesthetic to get them checked them removed. It is very important to keep getting tested, so please don’t let this put you off.

I’m sorry about the weight issues too, but nurses and doctors do need to be more up front about this. Obesity is a terrible epidemic in our society; treating diabetes costs the nation a fortune and being overweight hugely increases your Covid risk.

Nurses are stressed and under huge pressure at the moment, and are working all the hours God sends to cover sick colleagues. If you feel better next week I’d probably let it go.

Spicedlatte · 15/01/2021 20:30

Increasingly angry and disgusted with some of the comments! I really struggle to believe any of these posters would put up with degrading, rough treatment during an intimate procedure with not so much as an explanation or kind word - in case the nurse is 'stressed' or 'busy' because of covid.

I work in primary care too and it's no busier than normal for the nursing team, we get a little longer for appointments to allow for extra cleaning between patients. That's it. No matter how much pressure we are under; kindness and respect take no extra time and cost nothing.

I personally think if a nurse is so rough and unpleasant towards a young girl that it puts them off ever having a smear test again then they bloody should be struck off Angry

Chel098 · 15/01/2021 20:41

@Spicedlatte

Increasingly angry and disgusted with some of the comments! I really struggle to believe any of these posters would put up with degrading, rough treatment during an intimate procedure with not so much as an explanation or kind word - in case the nurse is 'stressed' or 'busy' because of covid.

I work in primary care too and it's no busier than normal for the nursing team, we get a little longer for appointments to allow for extra cleaning between patients. That's it. No matter how much pressure we are under; kindness and respect take no extra time and cost nothing.

I personally think if a nurse is so rough and unpleasant towards a young girl that it puts them off ever having a smear test again then they bloody should be struck off Angry

OP is not that young in terms of been examined. “A speculum looks rather large” are these not usually a standard size? Unless the nurse went to get a bigger one.

OP never felt comfortable with the smear from the start! I don’t think the nurse would of realised this.

Smears are painful but I would never complain against a nurse saying she hurt me FFS it can’t be helped. OP is not 14/15 years of age.

Even OPs wording “ordered to strip” Shock

Why did OP book the appointment if she wasn't sure? Why did she get undressed if she didn’t want to have the smear? OP agreed to having it done!

I’m glad I’m not that nurse.

Chel098 · 15/01/2021 20:47

@SunsetBeetch

I very much doubt the nurse would be sacked. Unless it's a pattern of behaviour with her and there have been other complaints. And if it is a pattern of behaviour, she could well be putting off other women from having smear tests. So she needs telling.

If she's feeling stretched and at risk, why was she pushing for OP to have a smear test during this difficult time?

Something doesn’t sit right with OPs post and her wording. You normally get a letter sent out for a smear.You wouldn’t just be squeezed in for “a quick smear” whilst getting your prescription.

I think the issue is OP sounds anxious which is fine but the nurse should not be blamed for that.

daisyjgrey · 15/01/2021 20:57

@Chel098

I'm hoping you're not a nurse at all tbh.

RosesAndHellebores · 15/01/2021 21:02

@Chel098 in my experience smears have only been painful when conducted by nurses. I am 60 and have had quite a few. A Dr (GP or gynaecologist) has never done it in a way that hurts.

Perhaps there is an issue with nurse training and competence in this area.

Chel098 · 15/01/2021 21:10

@RosesAndHellebores yes perhaps your right.

Pinetreesfall · 15/01/2021 21:44

It was smear test day for me today. My second one. It was rushed - honestly felt like we were trying to beat the Countdown clock.
However with Covid I get that.
The nurse didn't give a great explanation - more like you've had one before you know the drill. Fine - I didn't ask.
Having had a biopsy down there last week I can tell you that was a lot more painful!!
However both the smear and biopsy are important medical tests. I don't expect it to be fun. I have 3 boys, the youngest is 1 and I would very much like to see them grow up so I suck it up and bear it.

SunsetBeetch · 15/01/2021 21:48

*Something doesn’t sit right with OPs post and her wording. You normally get a letter sent out for a smear.You wouldn’t just be squeezed in for “a quick smear” whilst getting your prescription.

I think the issue is OP sounds anxious which is fine but the nurse should not be blamed for that.*

I dunno. I once went to a check up and blood pressure test once in relation to my pill prescription, and the nurse said "It looks like you're overdue for a smear test, shall we book one for you now?". But she wasn't a scary dragon about it and didn't comment on my weight, so it was fine.

BananaHammock23 · 15/01/2021 21:56

YABU OP. It sounds like nurse did her job more thoroughly than most, and like PP said you're lucky to get a smear test during this time. Perhaps she wasn't the most polite, but it sounds like everything she said was correct, just not very comforting.

Would love to hear your reasoning behind not getting screened? Smear tests literally save lives. It's totally bizarre that you wouldn't want one.

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