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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:
TriflePudding · 14/01/2021 15:55

I would like to add to my comments up thread :

Well. This is the first time on Mumsnet I have seen someone being told they are unreasonable for feeling uncomfortable with the smear process - and this seems a lot worse than some I have read

I agree with this. What the fuck is wrong with some of you ?? A women has come away from an invasive procedure feeling uncomfortable and treated badly and you think it’s appropriate to tell her to suck it up ? I would say you need to have a long hard look at yourselves.

Signed: an NHS worker.

BrumBoo · 14/01/2021 15:56

There's tons on info on smears on the net if you didn't want one you shouldn't of gone.

Women, how dare you want an actual medical professional put you at ease, and explain what they're doing when putting an unnatural object into your body! We really should have this for all medical procedures, don't bother the doctors and nurses with questions on your next operation, diagnosed illness, blood tests - that's what they invented Google for silly! In fact, stop burdening the NHS at all, if you Google hard enough they probably have a DIY suggestion for a smear test, and we can leave absolutely all medical staff to concentrate on Covid!

Dullardmullard · 14/01/2021 15:56

Thought smears only began at 20 Scotland and 25 England or have they changed that now

So saying you should of had done ages ago isn’t relevant is it.

Your entitled to your feelings and she sounded very brash. I’d have a word with the doc on your next appointment about it

Rockchick1984 · 14/01/2021 15:56

Why are so many posters implying that the weight discussion was part of the smear test???? @Ktmc94 I am slightly into the obese category at a size 14/16, an obese BMI is a risk factor on the pill for DVT so the nurse was totally right to discuss it with you - would you prefer that she had just refused to prescribe?

MissBaskinIfYoureNasty · 14/01/2021 15:57

Wow. The attitudes here demonstrate why I am yet to have a smear at the age of 30. Nice one guys 🙄

BrumBoo · 14/01/2021 15:58

@MaverickDanger

My friend died last year of cervical cancer, having just turned 30 and was diagnosed at 27.

She left a devastated husband and a gorgeous 2 year old who won’t remember his mum.

I personally feel the physical and emotional discomfort you went through is absolutely minute.

You're not so much having a race to the bottom as much as a sprint, are you? Sorry about your friend, absolutely no need for what you said though. You may not think so, but it does more harm than good.
SunshineCake · 14/01/2021 15:58

I'm sorry you feel so crap. It doesn't sound great. I turned up for my smear when the nurse wasn't expecting to do one. She said it was fine but she'd not want to do them all day HmmAngry.

queenofSI · 14/01/2021 15:59

YABU. You are LUCKY to have had one done. If you didn’t want it, it’s up to you to say actually I don’t want this done, not complain about it afterwards. It’s the nurses JOB to speak to you about your weight, especially in the context of birth control

Viviennemary · 14/01/2021 16:00

The nurse was unsympathetic. But really she hasn't got time to talk people into having smear tests. If you do get cervical cancer you will be facing a lot worse than a smear test. Just put it down to a not great experience and don't let that particular person do your test again.

RosesAndHellebores · 14/01/2021 16:00

YANBU. She lacked empathy, sympathy and an appropriate manner. A smear well done should not lead to cramping and spotting. I wouldn't complain but I wouldn't consent to seeing her again and I would ask to see someone kinder and more expert at the job next time. FWIW when a Dr or gynaecologist has taken a smear from me it has never hurt and there has never been blood. Every nurse who has done it has hurt and their comments/conversation have often been heavy handed and undermining "well it's not my fault your cervix is tucked away and I have to tug it". It isn't mine is retroverted either but dr's don't comment and aren't rough and patient blaming about it. So I know exactly how you feel and it's inappropriate to make another human feel their body is abnormal in some way.

If more people complained standards would improve.

OP I am 60. I am size 16 and presently weigh 12 stone 7lb with my covid stone. I am 5'7" and that puts me in the overweight category not the obese category and I would not have tolerated comments about my weight. Possibly why I don't make appointments any more with practice nurses.

PanamaPattie · 14/01/2021 16:01

You are getting a hard time here OP. Smear tests are offered and they are not compulsory. The Practice Manager was wrong to use the word “should”. No one “should” have any procedure without informed consent. You are entitled to feel assaulted if that is how you feel. Please complain in writing about the poor care you received from the nurse. If she behaves in this way with everyone that has a smear test she may put people off returning. COVID is no excuse for poor attitudes from HCP.

TaVeryMuchLove · 14/01/2021 16:02

@TheScurrilousFunge

Nomorepies

Do you think women who have had a baby are walking around with a gaping vagina ready for an extra big speculum to be inserted?!

I use mine for storage now. It's a good sleeve for an insulated cup.

Grin
ToadsThePeanutButterSnob · 14/01/2021 16:02

@Viviennemary

The nurse was unsympathetic. But really she hasn't got time to talk people into having smear tests. If you do get cervical cancer you will be facing a lot worse than a smear test. Just put it down to a not great experience and don't let that particular person do your test again.
So if the OP is diagnosed with cervical cancer and she refuses treatment then someone will pin her down and force her to have treatment?
Sway19 · 14/01/2021 16:02

Ambushed? You sound absurd. Also it’s a nurses’ responsibility to advise you of the risks of being overweight. Particularly in these Covid times

WorraLiberty · 14/01/2021 16:02

Signed: an NHS worker.

Seriously? I can this catching on 🤣

Signed: bottom knockers saggar maker

RosesAndHellebores · 14/01/2021 16:03

Oh and actually I think there should be less of "you were lucky to get it done". Nobody is lucky to have something done badly. Something done badly may well lead to it never being done again which may have serious consequences and I don't think those consequences can be laid only at the feet of the patient.

MrsWindass · 14/01/2021 16:03

You got a free test in Covid times with a front line nurse who is dealing with all kinds of stuff right now and you are complaining ? The time for making your "informed choice " was at home NOT taking up important time . Grow up !

Coffeeandaride · 14/01/2021 16:03

She will have only used the speculum that will have given her the best view of your cervix. So that she can take the best smear she can, to try and prevent you getting cervical cancer.

You should have had a smear by now. If you hadn't decided whether you wanted one, then you should not have turned up to a smear appointment.

I think you are overreacting.

Spottybluepyjamas · 14/01/2021 16:03

I think you're incredibly lucky to be able to have a smear at the moment. Part of her job is literally to give you health advice and warn you about the dangers of being overweight.

It's obviously not great if she hasn't got a great bedside manner, but I think it pales into insignificance besides doing her job properly and giving you advice that might save your life and relieve pressure on the NHS. I hope your results come back negative, and you can relax safe in the knowledge that you don't have to do it again for a good few years Smile

TaVeryMuchLove · 14/01/2021 16:04

I don’t think smear tests are ever a particularly pleasant experience OP. I agree with PP who have said the nurse was probably just wanting to keep the appointment, ergo, contact time as brief as possible.

WeAreShiningStars · 14/01/2021 16:04

FFS. You made the appointment; it's usually a double appointment slot to cover all the entails, including the discussion about your general health. The NHS is trying to ensure you stay fit and healthy so you have a nice life.

Grow up.

ChronicallyCurious · 14/01/2021 16:05

I had a smear at the age of 21 with high grade pre cancerous cells. If I waited until 26 I’d be dead now. These save lives.

Being overweight does increase the risks of stroke on the pill. I think you’re being over sensitive

MustardMitt · 14/01/2021 16:05

@Viviennemary

The nurse was unsympathetic. But really she hasn't got time to talk people into having smear tests. If you do get cervical cancer you will be facing a lot worse than a smear test. Just put it down to a not great experience and don't let that particular person do your test again.
....but she had the time to talk about OP’s weight and diabetes and all that stuff? Maybe she should be focusing on the issue at hand - the smear test - and leave the weight issue to the contraception check that OP should be having six monthly as she’s on the pill?
Brieminewine · 14/01/2021 16:05

Being obese and on the OCP puts you at risk of bloody clots and other complications. The nurse was right to tell you to lose weight. The practice manager was right to remind you of the importance of having smear tests, they categorically save lives. Your anatomy dictates what size speculum to require, having children has nothing to do with it.

So in conclusion YABVU

PurplePansy05 · 14/01/2021 16:06

You're stressing too much about this, OP.
Nurses sometimes are straight talkers and often take the no-nonsense approach, yes, sometimes it isn't very nice, but I just get over this and move on. If I was that sensitive with all the gynae procedures I had over the last few years, I'd end up severely depressed. Honestly, it's not worth it.

What she told you about your weight is correct. It clearly is a sensitive issue for you if that's how you've reacted, but it is good to hear this from a health professional. One told me this few years ago and I lost a stone, never felt better. You also shouldn't have waited with the first smear for so long, for your own good. If you weren't sure then you shouldn't have made an appointment, frankly. And I really struggle to understand why you were so apprehensive, does a smear test scare you? It's never pleasant, but it's not done frequently.

FWIW, I have tilted cervix and smears are usually a particularly unpleasant experience, but no one has ever mentioned using a different size speculum 😂 I found out on MN that they exist! But I just get on with it, it really isn't that bad.

I wouldn't complain or take her attitude to heart, tbh.

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