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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:
110APiccadilly · 14/01/2021 15:12

I just wanted to comment on the assumption that everyone should have had a smear by 26. I hadn't on the advice of my GP as I hadn't been sexually active at that age. I had some abnormal bleeding and she told me that even then it wasn't worth my having the smear unless I had another episode.

Summersun2020 · 14/01/2021 15:12

@omg35 agreed!!

Spied · 14/01/2021 15:15

OP went for a smear test.
Whether she's 4st or 34st it was not the right time to be discussing weight.
Absolutely scandalous.

Nomorepies · 14/01/2021 15:17

This reply has been withdrawn

This has been withdrawn by MNHQ on the poster's request

Summersun2020 · 14/01/2021 15:18

@Spied what? It’s exactly the time to discuss it? At my last one I had a bit of an MOT, BP check, discussed my weight, exercise, diet etc. Opportunistic health care. Also the appointment was for her pill, which may be affected by her weight.

tenlittlecygnets · 14/01/2021 15:18

'ambushed' into a smear test?

That's very emotive language for a routine medical exam. If the nurse hadn't mentioned to you and you developed cervivcal cancer, then what would you say?

It's the practice's job to ensure that women over 25 have regular smear tests.

If she did say she needed to use a big speculum because of your weight, that is insane and rude, and deserves a complaint. It also sounds as if her bedside manner needs to be worked on. But bear in mind that she's NHS staff during a pandemic...

I had a smear test on Monday too. I'm a size 18. She didn't weigh me or talk to me about obesity (I know!) or mention the speculum size.

You should NOT be spotting or cramping today, three days after a smear test. The NHS website says you may have light spotting/cramping for a few hours afterwards, but contact your GP if you have any bleeding after cervical screening that does not stop after a few hours. I suggest you do this.

Nomorepies · 14/01/2021 15:18

This reply has been withdrawn

This has been withdrawn by MNHQ on the poster's request

Toddlerteaplease · 14/01/2021 15:19

I think you are being a bit over sensitive. I had my smear this morning. ( Well swabs taken for HPV anyway, they don't do the smear unless positive) this morning. The nurse said she would start with the small speculum, but might need the longer one. It was a statement of fact, not a remark about my weight. I'm also 14/16.

OneForTheRoadThen · 14/01/2021 15:21

You wanted to make an 'informed decision' about whether to have a smear test? You're being very, very unreasonable. It could literally save your life.

IDKNABYBIF22 · 14/01/2021 15:22

Hard to judge tone etc without being there, but please don't let it put you off getting another smear test OP, or anyone else reading; two of my friends have had to have a hysterectomy because of cervical cancer, one was 31 and the other 32.

Teardrop2021 · 14/01/2021 15:23

I'm due to go tonight to get my smear. The last smear I had before getting all clear I had CIN 3 precancer cells. I had to have laser treatment to have them removed. Its an important treatment that prevents cancers from forming.

It sounds as if you're upset about the weight issue, she wouldn't be doing her job if she didn't address you're weight..most have gained weight in lockdown I know I have but its time to look at more healthier options.

HOS8595 · 14/01/2021 15:24

I can’t even believe someone’s wrote the nurse has assaulted her Confused wtf is wrong with people. She did her bloody job!

If you didn’t want the app then you shouldn’t of booked one in the first place. You are 26, you can say no! Grow up and act like an adult.

The nurse spoke to you about being overweight because you are. That’s just a fact. Again, it’s her job.

bigbadbedknobs · 14/01/2021 15:26

My last smear I needed 2 visits, first one was so painful that the nurse couldn't do it. Next time it didn't hurt a bit and the much younger nurse managed it much quicker. The first nurse was an older person who presumably has been doing them for donkeys years. It doesn't have to be painful, the person doing the test makes a big difference it it is unpleasant and painful you can understand someone wanting to postpone it, but it doesn't need to be and if there is no feedback on the experience the practice will not know what women experience

Kolo · 14/01/2021 15:27

@Spied

OP went for a smear test. Whether she's 4st or 34st it was not the right time to be discussing weight. Absolutely scandalous.
And pill check? Which is definitely where weight would be discussed appropriately.
unmarkedbythat · 14/01/2021 15:28

I was obese at a 14/16. I mean they were 14/16s from shops known for their generosity of sizing, but still...

SunnySideDownBriefly · 14/01/2021 15:28

You poor thing. What a horrible experience. She should have been doing everything to put you at your ease. Giving you a lecture on your weight before you're about to strip and undergo an intimate procedure is an awful thing to do.

I would say very gently that having a smear was the right thing to do for lots of reasons. But it sounds like you felt forced into it which would push your anxiety levels up high. God knows why she made a point about using a large speculum - sounds very unnecessary again.

Make sure you remember the nurse's name so you never have to go back to her. She doesn't have the bedside manner you need at all and sounds like a bully. I used to have a wonderful nurse who has been replaced by an unfeeling & miserable one...I'm much more nervous when I attend appointments now which I need regularly. I'm even considering switching surgeries as I dread going so much now.

Try to put it behind you. It's in the Practice Manager's interests to fob you off I'm afraid. And nurses are hard to come by for surgeries so it makes her valuable.

notalwaysalondoner · 14/01/2021 15:28

The NHS makes an informed decision for you - yes, you always have the right to refuse, but they only pay for regular tests over the age of 25 (or whatever it is) because the benefits (of catching cancer and treating early) outweigh the cost to them of doing smears. If you'd refused explicitly, I'm sure the nurse would have stopped. But your research that you're less likely to get it that older women doesn't mean the test isn't worth it - the NHS/NICE will have done all the analysis and concluded it's statistically worth it to do the test even if you're only 26.

And the weight lecture - it's not a nurse's job to be nice to you, it's her job to get you to realise the health implications and change your lifestyle.

Sounds like she didn't have a good bedside manner but the NHS is so stretched right now, the last thing they need is to spend half an hour persuading someone who is eligible to have a smear test at an appointment they've already booked and tiptoeing around the fact their weight is a risk factor for so many things. You should go private if you want that kind of treatment.

GreySkyClouds · 14/01/2021 15:29

YABU. I hope things feel a bit better soon

Sounds like she didn’t realise how sensitive you are about your weight.

SleepingStandingUp · 14/01/2021 15:30

Sorry op but this is clearly you receive to her telling you you're over weight. You say it isn't but even other comment is about how she get shamed you with her lectures and over sized equipment as it was the only thing that could handle your fast vagina.

If you book an appt for a procedure, they assume you're having it not still trying to decide UNLESS YOU SPEAK UP not try to allude to a possible feeling

I'm sorry the appointment was hard. It will hurt more because you're tense, which is why your told to relax.

MrsAudreyShapiro · 14/01/2021 15:30

People are being a little hard on you @Ktmc94 but this is AIBU. Smear tests are not nice, at best, but could save your life.

To echo what has already been said, you should NOT still be spotting and cramping 3 days afterwards. Please speak to a doctor about this.

BrokenCircle · 14/01/2021 15:31

Yabu for using the phrase ‘fat vag’.

WorraLiberty · 14/01/2021 15:34

@Spied

OP went for a smear test. Whether she's 4st or 34st it was not the right time to be discussing weight. Absolutely scandalous.
Yeah at a medical appointment, totally scandalous 🙄🙄

Perhaps they should've followed her around Asda and spoke to her then.

StepOutOfLine · 14/01/2021 15:34

@MrsAudreyShapiro

People are being a little hard on you *@Ktmc94* but this is AIBU. Smear tests are not nice, at best, but could save your life.

To echo what has already been said, you should NOT still be spotting and cramping 3 days afterwards. Please speak to a doctor about this.

She isn't. She said she had the smear yesterday.
Kolo · 14/01/2021 15:34

Impossible for any of us to decide if she was being rude or not, based on tone.

Sounds like you were nervous and wanted some reassurance and she wasn't sensitive enough to realise that.

As for vag sizes - moon cups come on 2 sizes, small for the young women who haven't given birth and large for the oldies and/or have given birth. I assumed (with no medical qualification) that age or childbirth might stretch the muscles a bit? Never asked what size smear weapon they use on me.

mumwon · 14/01/2021 15:37

having a smear test is uncomfortable - some practitioners are better at doing it than others - you were nervous (understandable) & I suspect she was trying to be as quick as possible (partially because of cross infection either way & partially because she has a list of other things to do -like vaccinations/blood test & probably other staff off ) S next time it will be better nb op treatment of this disease is far worse than the investigation - many internal investigations of various parts of the body are blinking unpleasant.